Interventions on health care providers to improve seasonal influenza vaccination rates among patients: a systematic review and meta-analysis of the evidence since 2000
Autor: | Ahmed M Abou-Setta, Otto L T Lam, Ayman Chit, Tiba Abdulwahid, Viraj K Reddy, Edward Thommes, Salaheddin M. Mahmud, Nicole Askin, George N. Okoli |
---|---|
Rok vydání: | 2021 |
Předmět: |
Adult
medicine.medical_specialty Systematic Reviews Attitude of Health Personnel Health Personnel Psychological intervention law.invention Seasonal influenza 03 medical and health sciences 0302 clinical medicine Randomized controlled trial systematic review law 030225 pediatrics Internal medicine Health care Influenza Human Medicine Humans 030212 general & internal medicine Limited evidence Child AcademicSubjects/MED00780 intervention Paediatric patients business.industry Vaccination human influenza meta-analysis Editor's Choice Meta-analysis Seasons Family Practice business |
Zdroj: | Family Practice |
ISSN: | 1460-2229 |
Popis: | Background Seasonal influenza vaccination (SIV) rates remain suboptimal in many populations, even in those with universal SIV. Objective To summarize the evidence on interventions on health care providers (physicians/nurses/pharmacists) to increase SIV rates. Methods We systematically searched/selected full-text English publications from January 2000 to July 2019 (PROSPERO-CRD42019147199). Our outcome was the difference in SIV rates between patients in intervention and non-intervention groups. We calculated pooled difference using an inverse variance, random-effects model. Results We included 39 studies from 8370 retrieved citations. Compared with no intervention, team-based training/education of physicians significantly increased SIV rates in adult patients: 20.1% [7.5–32.7%; I2 = 0%; two randomized controlled trials (RCTs)] and 13.4% [8.6–18.1%; I2 = 0%; two non-randomized intervention studies (NRS)]. A smaller increase was observed in paediatric patients: 7% (0.1–14%; I2 = 0%; two NRS), and in adult patients with team-based training/education of physicians and nurses together: 0.9% (0.2–1.5%; I2 = 30.6%; four NRS). One-off provision of guidelines/information to physicians, and to both physicians and nurses, increased SIV rates in adult patients: 23.8% (15.7–31.8%; I2 = 45.8%; three NRS) and paediatric patients: 24% (8.1–39.9%; I2 = 0%; two NRS), respectively. Use of reminders (prompts) by physicians and nurses slightly increased SIV rates in paediatric patients: 2.3% (0.5–4.2%; I2 = 0%; two RCTs). A larger increase was observed in adult patients: 18.5% (14.8–22.1%; I2 = 0%; two NRS). Evidence from both RCTs and NRS showed significant increases in SIV rates with varied combinations of interventions. Conclusions Limited evidence suggests various forms of physicians’ and nurses’ education and use of reminders may be effective for increasing SIV rates among patients. |
Databáze: | OpenAIRE |
Externí odkaz: |
načítá se...