Prevalence and predictors of influenza vaccination in long-term care homes: a cross-national retrospective observational study.

Autor:	Mulla RT; School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada rmulla@uwaterloo.ca., Turcotte LA; School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada., Wellens NI; HES-SO La Source Institute and School of Nursing, Lausanne, Switzerland.; Public Health and Social Affairs of the Canton of Vaud, Directorate General of Health, Lausanne, Switzerland., Angevaare MJ; Department of Medicine for Older People & Department of General Practice, Amsterdam Public Health research institute, Amsterdam UMC - Vrije Universiteit Amsterdam, Amsterdam, The Netherlands., Weir J; New Brunswick Association of Nursing Homes, Fredericton, New Brunswick, Canada., Jantzi M; School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada., Hébert PC; Université de Montréal, Montreal, Québec, Canada.; Centre Hospitalier de l'Université de Montréal, Montreal, Québec, Canada., Heckman GA; School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.; Schlegel-UW Research Institute for Aging, Waterloo, Ontario, Canada., van Hout H; Department of General Practice, Amsterdam Public Health Research Institute, Amsterdam UMC - Vrije Universiteit Amsterdam, Amsterdam, The Netherlands., Millar N; University of Otago, Dunedin, New Zealand., Hirdes JP; School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2022 Apr 18; Vol. 12 (4), pp. e057517. Date of Electronic Publication: 2022 Apr 18.
DOI:	10.1136/bmjopen-2021-057517
Abstrakt:	Objective: To compare facility-level influenza vaccination rates in long-term care (LTC) homes from four countries and to identify factors associated with influenza vaccination among residents. Design and Setting: Retrospective cross-sectional study of individuals residing in LTC homes in New Brunswick (Canada), New Zealand, Switzerland, and the Netherlands between 2017 and 2020. Participants: LTC home residents assessed with interRAI assessment system instruments as part of routine practice in New Brunswick (n=7006) and New Zealand (n=34 518), and national pilot studies in Switzerland (n=2760) and the Netherlands (n=1508). End-of-life residents were excluded from all country cohorts. Outcomes: Influenza vaccination within the past year. Results: Influenza vaccination rates among LTC home residents were highest in New Brunswick (84.9%) and lowest in Switzerland (63.5%). For all jurisdictions where facility-level data were available, substantial interfacility variance was observed. There was approximately a fourfold difference in the coefficient of variation for facility-level vaccination rates with the highest in Switzerland at 37.8 and lowest in New Brunswick at 9.7. Resident-level factors associated with vaccine receipt included older age, severe cognitive impairment, medical instability, health conditions affecting a greater number of organ systems and social engagement. Residents who displayed aggressive behaviours and smoke tobacco were less likely to be vaccinated. Conclusion: There are opportunities to increase influenza vaccine uptake at both overall country and individual facility levels. Enhanced vaccine administration monitoring programmes in LTC homes that leverage interRAI assessment systems should be widely adopted. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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