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Determinants of influenza vaccination coverage rates among primary care patients in Krakow,Poland and the surrounding region
Institution:1. Department of Family Medicine, Chair of Internal Medicine and Gerontology, Jagiellonian University Medical College, Bochenska 4, 31-061 Krakow, Poland;2. School of Medicine in English, Jagiellonian University Medical College, Anny 12, Krakow, Poland;1. Center for Microscopy-Microanalysis and Information Processing, University Politehnica of Bucharest, Romania;2. Department of Informatics, Bioengineering, Robotics and Systems Engineering, University of Genova, Italy;3. PlasmaChem GmbH, Berlin, Germany;1. Department of Diagnostic Radiology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan;2. Department of Pediatric Surgery, Shin Kong Wu Ho Su Memorial Hospital, Taipei, Taiwan;3. Department of Pediatrics, Shin Kong Wu Ho Su Memorial Hospital, Taipei, Taiwan;1. Departamento de Anestesiologia, Kanuni Sultan Suleyman Education and Training Hospital, Istambul, Turquia;2. Departamento de Fisiologia, Faculty of Medicine, Yeni Yuzyil University, Istambul, Turquia;3. Departamento de Patologia, Faculty of Medicine, Maltepe University, Istambul, Turquia;4. Departamento de Neurocirurgia, Bakirkoy Sadi Konuk Education and Training Hospital, Istambul, Turquia
Abstract:ObjectivePoland is significantly behind other European countries in terms of influenza vaccination coverage. In addition, the vaccination rate among health care personnel in Poland is also very low. The aim of this study was to determine the current barriers to achieving effective influenza vaccination coverage among primary health care (PHC) patients and physicians in Poland and to reveal any associations between the patients’ and physicians’ characteristics and the influenza vaccination coverage rate among patients.MethodA cross-sectional questionnaire-based survey was distributed among 18 PHC physicians and 533 their patients in Krakow, Poland and the surrounding region. The data from patients were associated with the doctors’ characteristics.ResultsThe reasons for not receiving the influenza vaccine differed between patients and their physicians. Among the patient population, the main reason behind vaccination non-compliance was the self-perception of good health, while forgetting about the vaccination was the main reason among the physicians.The factors that had the positive influence on the patients’ decision to receive the vaccination involved: older age, being a widower, being retired, having a chronic disease, being vaccinated against influenza in the past and awareness of influenza complications. Moreover, those patients who had received sufficient influenza vaccination education from their healthcare provider and had been the patients of physicians who had been vaccinated against influenza, had significantly higher vaccination rates.ConclusionImproved patients and doctors education strategies are needed to maximize influenza vaccination coverage rates. Information regarding the need and benefits of the influenza vaccine, along with details on where and when to receive vaccination will provide a positive influence on a patients’ decision-making process regarding vaccination compliance. Also, the free of charge influenza vaccinations for all primary health care workers should be considered.
Keywords:Influenza  Vaccination  Coverage  Determinants
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