Patient's behaviors and missed opportunities for vaccination against seasonal epidemic influenza and evaluation of their impact on patient's influenza vaccine uptake

Influenza vaccination (IV) coverage remains low in France. Objectives were to assess patient knowledge and behaviors and missed opportunities for vaccination (MO) and their impact on vaccine uptake. This is a prospective-observational study, including emergency department patients at risk for severe...

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Bibliographic Details
Published in:PloS one 2018-03, Vol.13 (3), p.e0193029-e0193029
Main Authors: Casalino, Enrique, Ghazali, Aiham, Bouzid, Donia, Antoniol, Stephanie, Pereira, Laurent, Kenway, Philippe, Choquet, Christophe
Format: Article
Language:English
Subjects:
Biology and Life Sciences
Departments
Drug therapy
Efficiency
Emergency medical services
Emergency services
Epidemics
Immunization
Influenza
Medicine and Health Sciences
Patients
People and Places
Population
Public health
Quality
Risk factors
Risk taking
Side effects
Vaccination
Vaccine efficacy
Vaccines
Verger
Womens health
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Summary:Influenza vaccination (IV) coverage remains low in France. Objectives were to assess patient knowledge and behaviors and missed opportunities for vaccination (MO) and their impact on vaccine uptake. This is a prospective-observational study, including emergency department patients at risk for severe influenza. Patients were interviewed about their knowledge and behaviors. We evaluated the health-care voucher scheme (HCVS) and MO. 868 patients were included. Vaccine uptake was 33.2%, 42% of patients knew about the possible severity of influenza, 23% thought that they were not at risk for severe influenza, 39% knew that they have an indication for the vaccine, and 4.3% to 11.5% expressed reservations concerning IV side effects and effectiveness. HCVS was used by 44.3% of patients, but only 14.8% had been vaccinated. MO were reported by 484 patients (69.4%) declaring 1104 consultations and 148 IV propositions (86.6%). Predictors of vaccine uptake (p
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0193029