[Strategies to improve influenza vaccination coverage in Primary Health Care]

Semergen. 2016 Apr;42(3):147-51. doi: 10.1016/j.semerg.2015.02.014. Epub 2015 Apr 16.
[Article in Spanish]


Introduction: 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.

Patients and 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%.

Keywords: Atención Primaria; Estrategias vacunales; Influenza vaccination; Primary Health Care; Vaccination strategies; Vacuna antigripal.

Publication types

  • Comparative Study
  • Multicenter Study

MeSH terms

  • Aged
  • Female
  • General Practitioners / organization & administration
  • Homes for the Aged
  • Humans
  • Immunization Programs / methods
  • Influenza Vaccines / administration & dosage*
  • Influenza, Human / prevention & control*
  • Male
  • Patient Acceptance of Health Care / statistics & numerical data
  • Practice Patterns, Physicians'
  • Primary Health Care / methods*
  • Spain
  • Vaccination / statistics & numerical data*


  • Influenza Vaccines