Influenza and pneumococcal vaccine distribution and use in primary care and hospital settings in Scotland: coverage, practice and policies
A survey of the coverage, distribution and the factors associated with use of influenza and pneumococcal vaccines among general practitioners (GPs) in primary care and in hospital settings was carried out in 53 general practices in Scotland taking part in the ‘Continuous Morbidity Recording’ (CMR) p...
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| Veröffentlicht in: | Epidemiology and infection 2002-06, Vol.128 (3), p.445-455 |
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| creator | KYAW, M. H. WAYNE, B. CHALMERS, J. JONES, I. G. CAMPBELL, H. |
| description | A survey of the coverage, distribution and the factors associated with use of influenza and pneumococcal vaccines among general practitioners (GPs) in primary care and in hospital settings was carried out in 53 general practices in Scotland taking part in the ‘Continuous Morbidity Recording’ (CMR) programme. The annual vaccine distribution increased substantially among 53 general practices from 1993 to 1999 and in Scotland as a whole from 1984 to 1999. From the questionnaire, overall coverage was 43% (95% CI 38–48) for influenza vaccine in the 2000–1 season and 13% (95% CI 9–16) for pneumococcal vaccine in the last 5 year period, in high-risk patients recommended for these vaccines by the Department of Health (DoH). Influenza vaccine coverage was highest in the elderly (65 years of age and above) at 62% (95% CI 59–74). Although pneumococcal vaccination is not currently recommended for all elderly, coverage of this vaccine was also higher in this group (22%, 95% CI 16–29). In the majority of patients (influenza vaccine, 98% and pneumococcal vaccine, 94%), vaccination was carried out in general practice. Only 2% of patients had received pneumococcal vaccination in a hospital setting. The level of influenza and pneumococcal vaccination varied with the level of deprivation. Most GPs considered that the responsibility for influenza and pneumococcal vaccination lay with them. Forty-five percent of GPs reported having a written policy with set target for influenza vaccination and 11% for pneumococcal vaccination. |
| doi_str_mv | 10.1017/S0950268802006891 |
| format | Article |
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H. ; WAYNE, B. ; CHALMERS, J. ; JONES, I. G. ; CAMPBELL, H.</creator><creatorcontrib>KYAW, M. H. ; WAYNE, B. ; CHALMERS, J. ; JONES, I. G. ; CAMPBELL, H.</creatorcontrib><description>A survey of the coverage, distribution and the factors associated with use of influenza and pneumococcal vaccines among general practitioners (GPs) in primary care and in hospital settings was carried out in 53 general practices in Scotland taking part in the ‘Continuous Morbidity Recording’ (CMR) programme. The annual vaccine distribution increased substantially among 53 general practices from 1993 to 1999 and in Scotland as a whole from 1984 to 1999. From the questionnaire, overall coverage was 43% (95% CI 38–48) for influenza vaccine in the 2000–1 season and 13% (95% CI 9–16) for pneumococcal vaccine in the last 5 year period, in high-risk patients recommended for these vaccines by the Department of Health (DoH). Influenza vaccine coverage was highest in the elderly (65 years of age and above) at 62% (95% CI 59–74). Although pneumococcal vaccination is not currently recommended for all elderly, coverage of this vaccine was also higher in this group (22%, 95% CI 16–29). In the majority of patients (influenza vaccine, 98% and pneumococcal vaccine, 94%), vaccination was carried out in general practice. Only 2% of patients had received pneumococcal vaccination in a hospital setting. The level of influenza and pneumococcal vaccination varied with the level of deprivation. Most GPs considered that the responsibility for influenza and pneumococcal vaccination lay with them. Forty-five percent of GPs reported having a written policy with set target for influenza vaccination and 11% for pneumococcal vaccination.</description><identifier>ISSN: 0950-2688</identifier><identifier>EISSN: 1469-4409</identifier><identifier>DOI: 10.1017/S0950268802006891</identifier><identifier>PMID: 12113489</identifier><identifier>CODEN: EPINEU</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject><![CDATA[Aged ; Bacterial diseases ; Bacterial diseases of the respiratory system ; Biological and medical sciences ; Chronic diseases ; Female ; General practice ; Health Care Surveys ; Health Policy ; Health Services Accessibility ; Hospitals ; Human bacterial diseases ; Human viral diseases ; Humans ; Immunization ; Immunization Programs ; Infectious diseases ; Influenza vaccines ; Influenza Vaccines - administration & dosage ; Influenza Vaccines - supply & distribution ; Influenza, Human - prevention & control ; Lung diseases ; Male ; Medical records ; Medical sciences ; Older adults ; Patients ; Pneumococcal vaccine ; Pneumococcal Vaccines - administration & dosage ; Pneumococcal Vaccines - supply & distribution ; Pneumonia, Pneumococcal - prevention & control ; Population distributions ; Population estimates ; Practice Patterns, Physicians' - statistics & numerical data ; Primary care ; Primary health care ; Primary Health Care - statistics & numerical data ; Questionnaires ; Risk Factors ; Scotland ; Seasons ; Vaccination ; Vaccines ; Viral diseases ; Viral diseases of the respiratory system and ent viral diseases]]></subject><ispartof>Epidemiology and infection, 2002-06, Vol.128 (3), p.445-455</ispartof><rights>2002 Cambridge University Press</rights><rights>Copyright 2002 Cambridge University Press</rights><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c618t-4ba23364db16cf83baad83867ddf3ee66b37079fcb7cb826253a0f47f4937eff3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/3864745$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/3864745$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,727,780,784,803,885,27924,27925,53791,53793,58017,58250</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13755224$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12113489$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>KYAW, M. H.</creatorcontrib><creatorcontrib>WAYNE, B.</creatorcontrib><creatorcontrib>CHALMERS, J.</creatorcontrib><creatorcontrib>JONES, I. G.</creatorcontrib><creatorcontrib>CAMPBELL, H.</creatorcontrib><title>Influenza and pneumococcal vaccine distribution and use in primary care and hospital settings in Scotland: coverage, practice and policies</title><title>Epidemiology and infection</title><addtitle>Epidemiol. Infect</addtitle><description>A survey of the coverage, distribution and the factors associated with use of influenza and pneumococcal vaccines among general practitioners (GPs) in primary care and in hospital settings was carried out in 53 general practices in Scotland taking part in the ‘Continuous Morbidity Recording’ (CMR) programme. The annual vaccine distribution increased substantially among 53 general practices from 1993 to 1999 and in Scotland as a whole from 1984 to 1999. From the questionnaire, overall coverage was 43% (95% CI 38–48) for influenza vaccine in the 2000–1 season and 13% (95% CI 9–16) for pneumococcal vaccine in the last 5 year period, in high-risk patients recommended for these vaccines by the Department of Health (DoH). Influenza vaccine coverage was highest in the elderly (65 years of age and above) at 62% (95% CI 59–74). Although pneumococcal vaccination is not currently recommended for all elderly, coverage of this vaccine was also higher in this group (22%, 95% CI 16–29). In the majority of patients (influenza vaccine, 98% and pneumococcal vaccine, 94%), vaccination was carried out in general practice. Only 2% of patients had received pneumococcal vaccination in a hospital setting. The level of influenza and pneumococcal vaccination varied with the level of deprivation. Most GPs considered that the responsibility for influenza and pneumococcal vaccination lay with them. Forty-five percent of GPs reported having a written policy with set target for influenza vaccination and 11% for pneumococcal vaccination.</description><subject>Aged</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the respiratory system</subject><subject>Biological and medical sciences</subject><subject>Chronic diseases</subject><subject>Female</subject><subject>General practice</subject><subject>Health Care Surveys</subject><subject>Health Policy</subject><subject>Health Services Accessibility</subject><subject>Hospitals</subject><subject>Human bacterial diseases</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Immunization</subject><subject>Immunization Programs</subject><subject>Infectious diseases</subject><subject>Influenza vaccines</subject><subject>Influenza Vaccines - administration & dosage</subject><subject>Influenza Vaccines - supply & distribution</subject><subject>Influenza, Human - prevention & control</subject><subject>Lung diseases</subject><subject>Male</subject><subject>Medical records</subject><subject>Medical sciences</subject><subject>Older adults</subject><subject>Patients</subject><subject>Pneumococcal vaccine</subject><subject>Pneumococcal Vaccines - administration & dosage</subject><subject>Pneumococcal Vaccines - supply & distribution</subject><subject>Pneumonia, Pneumococcal - prevention & control</subject><subject>Population distributions</subject><subject>Population estimates</subject><subject>Practice Patterns, Physicians' - statistics & numerical data</subject><subject>Primary care</subject><subject>Primary health care</subject><subject>Primary Health Care - statistics & numerical data</subject><subject>Questionnaires</subject><subject>Risk Factors</subject><subject>Scotland</subject><subject>Seasons</subject><subject>Vaccination</subject><subject>Vaccines</subject><subject>Viral diseases</subject><subject>Viral diseases of the respiratory system and ent viral diseases</subject><issn>0950-2688</issn><issn>1469-4409</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkl1rFDEYhQdR7Fr9AYLIUFBvHM3X5MMLQYvWYsHK6nXIZJJt6myyJplF_Qn-arPdYdcP1KtAznNeOO97quouBE8ggOzpHIgWIMo5QABQLuC1agYJFQ0hQFyvZhu52egH1a2ULgEAAnF2szqACEJMuJhV30-9HUbjv6la-b5eeTMugw5aq6FeK62dN3XvUo6uG7ML_ooak6mdr1fRLVX8WmsVzdX_RUgrl4szmZydX6QNNdchD0V9VuuwNlEtzOPiVDo7vXWtwuC0M-l2dcOqIZk703tYfXz96sPxm-bs3cnp8YuzRlPIc0M6hTCmpO8g1ZbjTqmeY05Z31tsDKUdZoAJqzumO44oarECljBLBGbGWnxYPd_OXY3d0vTa-BzVIKc0Mignf1W8u5CLsJaIU8EJLAMeTQNi-DyalOXSJW2GktKEMUlGCWwFalkhH_6bhJwzANB_QchpuSPiBTz6DbwMY_RlXxKBtoUtBaJAcAvpGFKKxu7CQSA3zZF_NKd47v-8lb1jqkoBHkyASqUdNiqvXdpzmLUtQqRw97bcZcoh7vRyIcJIW-RmK5dSmS87WcVPkrIyQ9KT95Kcz8_RW4Tky8LjKYtadtH1C7NP_Pc0PwB-9PWf</recordid><startdate>20020601</startdate><enddate>20020601</enddate><creator>KYAW, M. 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H.</au><au>WAYNE, B.</au><au>CHALMERS, J.</au><au>JONES, I. G.</au><au>CAMPBELL, H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Influenza and pneumococcal vaccine distribution and use in primary care and hospital settings in Scotland: coverage, practice and policies</atitle><jtitle>Epidemiology and infection</jtitle><addtitle>Epidemiol. Infect</addtitle><date>2002-06-01</date><risdate>2002</risdate><volume>128</volume><issue>3</issue><spage>445</spage><epage>455</epage><pages>445-455</pages><issn>0950-2688</issn><eissn>1469-4409</eissn><coden>EPINEU</coden><abstract>A survey of the coverage, distribution and the factors associated with use of influenza and pneumococcal vaccines among general practitioners (GPs) in primary care and in hospital settings was carried out in 53 general practices in Scotland taking part in the ‘Continuous Morbidity Recording’ (CMR) programme. The annual vaccine distribution increased substantially among 53 general practices from 1993 to 1999 and in Scotland as a whole from 1984 to 1999. From the questionnaire, overall coverage was 43% (95% CI 38–48) for influenza vaccine in the 2000–1 season and 13% (95% CI 9–16) for pneumococcal vaccine in the last 5 year period, in high-risk patients recommended for these vaccines by the Department of Health (DoH). Influenza vaccine coverage was highest in the elderly (65 years of age and above) at 62% (95% CI 59–74). Although pneumococcal vaccination is not currently recommended for all elderly, coverage of this vaccine was also higher in this group (22%, 95% CI 16–29). In the majority of patients (influenza vaccine, 98% and pneumococcal vaccine, 94%), vaccination was carried out in general practice. Only 2% of patients had received pneumococcal vaccination in a hospital setting. The level of influenza and pneumococcal vaccination varied with the level of deprivation. Most GPs considered that the responsibility for influenza and pneumococcal vaccination lay with them. Forty-five percent of GPs reported having a written policy with set target for influenza vaccination and 11% for pneumococcal vaccination.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>12113489</pmid><doi>10.1017/S0950268802006891</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Epidemiology and infection, 2002-06, Vol.128 (3), p.445-455 |
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| source | MEDLINE; JSTOR Archive Collection A-Z Listing; PubMed Central |
| subjects | Aged Bacterial diseases Bacterial diseases of the respiratory system Biological and medical sciences Chronic diseases Female General practice Health Care Surveys Health Policy Health Services Accessibility Hospitals Human bacterial diseases Human viral diseases Humans Immunization Immunization Programs Infectious diseases Influenza vaccines Influenza Vaccines - administration & dosage Influenza Vaccines - supply & distribution Influenza, Human - prevention & control Lung diseases Male Medical records Medical sciences Older adults Patients Pneumococcal vaccine Pneumococcal Vaccines - administration & dosage Pneumococcal Vaccines - supply & distribution Pneumonia, Pneumococcal - prevention & control Population distributions Population estimates Practice Patterns, Physicians' - statistics & numerical data Primary care Primary health care Primary Health Care - statistics & numerical data Questionnaires Risk Factors Scotland Seasons Vaccination Vaccines Viral diseases Viral diseases of the respiratory system and ent viral diseases |
| title | Influenza and pneumococcal vaccine distribution and use in primary care and hospital settings in Scotland: coverage, practice and policies |
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