title: [Can we improve influenza vaccination rates in older people with chronic diseases?].
abstract: OBJECTIVE
  To determine the proportion of older patients (>or= 65 years) with chronic diseases served by the health center studied here who were not vaccinated during the 2001-2002 influenza vaccination campaign, and to find out why they were not vaccinated.
  
  
  METHODS
  Observational, descriptive, retrospective study.
  
  
  METHODS
  The urban health center serving Area 19 in the Community of Valencia (eastern Spain).
  
  
  METHODS
  Of the 29757 inhabitants served by this center (10.4% >or= 65 years), we included 3868 patients registered in chronic disease care programs and 2980 registered in the influenza vaccination program. We found 853 older patients with chronic diseases who were not vaccinated.
  
  
  METHODS
  Vaccination rate for patients with chronic diseases, for older patients, and for older patients with chronic diseases. Audit of the medical records to identify the reasons why some patients in the latter group were not vaccinated.
  
  
  RESULTS
  The vaccination rates were 52.12% (95% CI, 50.4-53.9) for older patients, 26.96% (95% CI, 25.6-28.4) for patients with chronic diseases, and 54.43% (95% CI, 51.4-57.5) for older patients with chronic diseases. Of the 853 older patients with chronic diseases who were not vaccinated, 48.17% came to the center at least once during the vaccination campaign, 27.34% had not come to the center since more than 1 year before the campaign, and the cause for nonvaccination was recorded for only 10.4%.
  
  
  CONCLUSIONS
  Coverage for influenza vaccination in older patients with chronic diseases was low. Intervention to increase vaccination rates is possible in groups of patients for whom accessibility is good.
authors.affiliation: Unidad de Calidad y Formación, Dirección de Atención Primaria, Alicante, España.
authors.forename: H
authors.initials: H
authors.lastname: Schwarz Chávarri
authors.forename: J L
authors.initials: JL
authors.lastname: Ortuño López
authors.forename: A
authors.initials: A
authors.lastname: Lattur Vílchez
authors.forename: V
authors.initials: V
authors.lastname: Pedrera Carbonell
authors.forename: D
authors.initials: D
authors.lastname: Orozco Beltrán
authors.forename: V
authors.initials: V
authors.lastname: Gil Guillén
mesh_terms: D000368:Aged; D002908:Chronic Disease; D006801:Humans; D007252:Influenza Vaccines; D007251:Influenza, Human / Q000517:prevention & control*; D012189:Retrospective Studies; D014611:Vaccination / Q000706:statistics & numerical data*
chemical_list: D007252:Influenza Vaccines