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Effect of Primary Care Center Characteristics, Healthcare Worker Vaccination Status and Patient Economic Setting on Patient Influenza Vaccination Coverage Rates

Background: Reaching the public health organizations targets of influenza vaccination in at-risk patient groups remains a challenge worldwide. Recognizing the relationship between the healthcare system characteristics and the economic environment of the population with vaccination uptake can be of g...

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Autores principales: Bengoa Terrero, Christian, Bas Villalobos, Marian, Rodríguez-Moñino, Ana Pastor, Lasheras Carbajo, María Dolores, Pérez-Villacastín, Julián, García Torrent, María Jesús, Sánchez-del-Hoyo, Rafael, Bengoa San Sebastian, Eneko, García Lledó, Alberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10304610/
https://www.ncbi.nlm.nih.gov/pubmed/37376414
http://dx.doi.org/10.3390/vaccines11061025
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author Bengoa Terrero, Christian
Bas Villalobos, Marian
Rodríguez-Moñino, Ana Pastor
Lasheras Carbajo, María Dolores
Pérez-Villacastín, Julián
García Torrent, María Jesús
Sánchez-del-Hoyo, Rafael
Bengoa San Sebastian, Eneko
García Lledó, Alberto
author_facet Bengoa Terrero, Christian
Bas Villalobos, Marian
Rodríguez-Moñino, Ana Pastor
Lasheras Carbajo, María Dolores
Pérez-Villacastín, Julián
García Torrent, María Jesús
Sánchez-del-Hoyo, Rafael
Bengoa San Sebastian, Eneko
García Lledó, Alberto
author_sort Bengoa Terrero, Christian
collection PubMed
description Background: Reaching the public health organizations targets of influenza vaccination in at-risk patient groups remains a challenge worldwide. Recognizing the relationship between the healthcare system characteristics and the economic environment of the population with vaccination uptake can be of great importance to improve. Methods: Several characteristics were correlated in this retrospective ecological study with data from 6.8 million citizens, 15,812 healthcare workers across 258 primary care health centers, and average income by area of the care center in Spain. Results: No correlation between HCW vaccination status and patient vaccination was found. A weak negative significant correlation between the size of the population the care center covers and their vaccination status did exist (6 mo.–59 yr., r = 0.19, p = 0.002; 60–64 yr., r = 0.23, p < 0.001; ≥65 yr., r = 0.23, p ≥ 0.001). The primary care centers with fewer HCWs had better uptake in the at-risk groups in the age groups of 60–64 yr. (r = 0.20, p = 0.002) and ≥65 (r = 0.023, p ≥ 0.001). A negative correlation was found regarding workload in the 6 mo.–59 yr. age group (r = 0.18, p = 0.004), which showed the at-risk groups that lived in the most economically deprived areas were more likely to be vaccinated. Conclusions: This study reveals that the confounding variables that determine influenza vaccination in a population and in HCWs are complex. Future influenza campaigns should address these especially considering the possibility of combining influenza and SARS-CoV-2 vaccines each year.
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spelling pubmed-103046102023-06-29 Effect of Primary Care Center Characteristics, Healthcare Worker Vaccination Status and Patient Economic Setting on Patient Influenza Vaccination Coverage Rates Bengoa Terrero, Christian Bas Villalobos, Marian Rodríguez-Moñino, Ana Pastor Lasheras Carbajo, María Dolores Pérez-Villacastín, Julián García Torrent, María Jesús Sánchez-del-Hoyo, Rafael Bengoa San Sebastian, Eneko García Lledó, Alberto Vaccines (Basel) Article Background: Reaching the public health organizations targets of influenza vaccination in at-risk patient groups remains a challenge worldwide. Recognizing the relationship between the healthcare system characteristics and the economic environment of the population with vaccination uptake can be of great importance to improve. Methods: Several characteristics were correlated in this retrospective ecological study with data from 6.8 million citizens, 15,812 healthcare workers across 258 primary care health centers, and average income by area of the care center in Spain. Results: No correlation between HCW vaccination status and patient vaccination was found. A weak negative significant correlation between the size of the population the care center covers and their vaccination status did exist (6 mo.–59 yr., r = 0.19, p = 0.002; 60–64 yr., r = 0.23, p < 0.001; ≥65 yr., r = 0.23, p ≥ 0.001). The primary care centers with fewer HCWs had better uptake in the at-risk groups in the age groups of 60–64 yr. (r = 0.20, p = 0.002) and ≥65 (r = 0.023, p ≥ 0.001). A negative correlation was found regarding workload in the 6 mo.–59 yr. age group (r = 0.18, p = 0.004), which showed the at-risk groups that lived in the most economically deprived areas were more likely to be vaccinated. Conclusions: This study reveals that the confounding variables that determine influenza vaccination in a population and in HCWs are complex. Future influenza campaigns should address these especially considering the possibility of combining influenza and SARS-CoV-2 vaccines each year. MDPI 2023-05-25 /pmc/articles/PMC10304610/ /pubmed/37376414 http://dx.doi.org/10.3390/vaccines11061025 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Bengoa Terrero, Christian
Bas Villalobos, Marian
Rodríguez-Moñino, Ana Pastor
Lasheras Carbajo, María Dolores
Pérez-Villacastín, Julián
García Torrent, María Jesús
Sánchez-del-Hoyo, Rafael
Bengoa San Sebastian, Eneko
García Lledó, Alberto
Effect of Primary Care Center Characteristics, Healthcare Worker Vaccination Status and Patient Economic Setting on Patient Influenza Vaccination Coverage Rates
title Effect of Primary Care Center Characteristics, Healthcare Worker Vaccination Status and Patient Economic Setting on Patient Influenza Vaccination Coverage Rates
title_full Effect of Primary Care Center Characteristics, Healthcare Worker Vaccination Status and Patient Economic Setting on Patient Influenza Vaccination Coverage Rates
title_fullStr Effect of Primary Care Center Characteristics, Healthcare Worker Vaccination Status and Patient Economic Setting on Patient Influenza Vaccination Coverage Rates
title_full_unstemmed Effect of Primary Care Center Characteristics, Healthcare Worker Vaccination Status and Patient Economic Setting on Patient Influenza Vaccination Coverage Rates
title_short Effect of Primary Care Center Characteristics, Healthcare Worker Vaccination Status and Patient Economic Setting on Patient Influenza Vaccination Coverage Rates
title_sort effect of primary care center characteristics, healthcare worker vaccination status and patient economic setting on patient influenza vaccination coverage rates
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10304610/
https://www.ncbi.nlm.nih.gov/pubmed/37376414
http://dx.doi.org/10.3390/vaccines11061025
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