title: Increased utilization of influenza and pneumococcal vaccines in an elderly hospitalized population.
abstract: This study compared three interventions designed to increase acceptance of influenza and pneumococcal vaccines among elderly hospitalized patients. All individuals 65 and older able to give informed consent (73 patients) who were admitted to one medical floor of an acute care hospital were randomized to one of three groups. All groups received informational pamphlets explaining influenza and pneumococcal disease, their respective vaccines, and indications for their use. The first group received pamphlets only, the second received nursing follow-up, and the third received trained volunteer follow-up. Patients on another medical floor served as controls. The results showed a significant improvement in vaccine acceptance in all three study groups compared to controls for both influenza (78% vs 0%) and pneumococcal (75% vs 0%) vaccines. The differences among the three groups were not significant. No significant differences were found among patients accepting or refusing vaccination with regard to diagnosis, age, length of stay, sex, or having a private physician. We conclude that a simple educational program followed by offering vaccination before hospital discharge can be easily implemented, and dramatically increase immunization rates in this high risk group.
authors.affiliation: Department of Medicine, Albert Einstein College of Medicine, Bronx, New York.
authors.forename: H G
authors.initials: HG
authors.lastname: Bloom
authors.forename: J S
authors.initials: JS
authors.lastname: Bloom
authors.forename: L
authors.initials: L
authors.lastname: Krasnoff
authors.forename: A D
authors.initials: AD
authors.lastname: Frank
mesh_terms: D000368:Aged; D001428:Bacterial Vaccines / Q000008:administration & dosage*; D005260:Female; D006760:Hospitalization; D006801:Humans; D007252:Influenza Vaccines / Q000008:administration & dosage*; D008297:Male; D010342:Patient Acceptance of Health Care; D010353:Patient Education as Topic; D011008:Pneumococcal Infections / Q000517:prevention & control*; D022242:Pneumococcal Vaccines; D011897:Random Allocation
chemical_list: D001428:Bacterial Vaccines; D007252:Influenza Vaccines; D022242:Pneumococcal Vaccines