title: [Strategies to improve influenza vaccination coverage in Primary Health Care].
abstract: BACKGROUND
  Vaccination coverage reached in adults is insufficient, and there is a real need for new strategies.
  
  
  OBJECTIVE
  To compare strategies for improving influenza vaccination coverage in persons older than 64 years.
  
  
  METHODS
  New strategies were introduced in our health care centre during 2013-2014 influenza vaccination campaign, which included vaccinating patients in homes for the aged as well as in the health care centre. A comparison was made on vaccination coverage over the last 4 years in 3 practices of our health care centre: P1, the general physician vaccinated patients older than 64 that came to the practice; P2, the general physician systematically insisted in vaccination in elderly patients, strongly advising to book appointments, and P3, the general physician did not insist.
  
  
  RESULTS
  These practices looked after P1: 278; P2: 320; P3: 294 patients older than 64 years. Overall/P1/P2/P3 coverages in 2010: 51.2/51.4/55/46.9% (P=NS), in 2011: 52.4/52.9/53.8/50.3% (P=NS), in 2012: 51.9/52.5/55.3/47.6% (P=NS), and in 2013: 63.5/79.1/59.7/52.7 (P=.000, P1 versus P2 and P3; P=NS between P2 and P3). Comparing the coverages in 2012-2013 within each practice P1 (P=.000); P2 (P=.045); P3 (P=.018). In P2 and P3 all vaccinations were given by the nurses as previously scheduled. In P3, 55% of the vaccinations were given by the nurses, 24.1% by the GP, 9.7% rejected vaccination, and the remainder did not come to the practice during the vaccination period (October 2013-February 2014).
  
  
  CONCLUSIONS
  The strategy of vaccinating in the homes for the aged improved the vaccination coverage by 5% in each practice. The strategy of "I've got you here, I jab you here" in P1 improved the vaccination coverage by 22%.
authors.affiliation: Centro de Salud Fuensanta, Valencia, España. Electronic address: fanton250v@gmail.com.
authors.forename: F
authors.initials: F
authors.lastname: Antón
authors.affiliation: Centro de Salud Fuensanta, Valencia, España.
authors.forename: M J
authors.initials: MJ
authors.lastname: Richart
authors.affiliation: Centro de Salud Fuensanta, Valencia, España.
authors.forename: S
authors.initials: S
authors.lastname: Serrano
authors.affiliation: Centro de Salud Fuensanta, Valencia, España.
authors.forename: A M
authors.initials: AM
authors.lastname: Martínez
authors.affiliation: Centro de Salud Fuensanta, Valencia, España.
authors.forename: D F
authors.initials: DF
authors.lastname: Pruteanu
mesh_terms: D000368:Aged; D005260:Female; D058005:General Practitioners / Q000458:organization & administration; D006707:Homes for the Aged; D006801:Humans; D017589:Immunization Programs / Q000379:methods; D007252:Influenza Vaccines / Q000008:administration & dosage*; D007251:Influenza, Human / Q000517:prevention & control*; D008297:Male; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D010818:Practice Patterns, Physicians'; D011320:Primary Health Care / Q000379:methods*; D013030:Spain; D014611:Vaccination / Q000706:statistics & numerical data*
chemical_list: D007252:Influenza Vaccines
keywords: Atención Primaria; Estrategias vacunales; Influenza vaccination; Primary Health Care; Vaccination strategies; Vacuna antigripal