Key policy and programmatic factors to improve influenza vaccination rates based on the experience from four high-performing countries.
Key policy and programmatic factors to improve influenza vaccination rates based on the experience from four high-performing countries.
复制标题
DOI：
10.7573/dic.2020-9-5
复制
发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Vitoux O
中科院分区：
文献类型：
--
作者：
Kassianos G;Banerjee A;Baron-Papillon F;Hampson AW;McElhaney JE;McGeer A;Rigoine de Fougerolles T;Rothholz M;Seale H;Tan LJ;Thomson A;Vitoux O
许多国家始终未能实现世界卫生组织和欧洲理事会建议的针对有并发症风险的人群的75%的目标流感疫苗覆盖率（VCR）。我们旨在确定在流感病毒VCR高的四个基准国家（澳大利亚、加拿大、英国和美国）范围内实现高VCR的因素。首先在全球一级审查了公开可用的证据，然后在四个国家中的每一个国家进行了审查。然后与符合预定标准的利益攸关方进行半结构化访谈。进行描述性聚类分析，以确定建立和维持高VCR的关键因素和支柱。没有单一因素导致高VCR，每个基准国家使用不同的定制方法组合来实现高疫苗覆盖率。在每个国家，特定的触发因素对于刺激导致提高疫苗覆盖率的变化非常重要。成功的流感疫苗接种计划共确定了42个关键因素，并分为五大支柱：（1）卫生当局的问责制和流感计划的优势，（2）促进疫苗接种，（3）医疗保健专业人员的问责制和参与，（4）对疾病负担和严重程度的认识和（5）对流感疫苗接种益处的信念。每个基准国家都实施了每个支柱的多个因素。通过对四个高绩效基准国家（分为五大支柱）的评价，确定了一系列广泛的因素，从而为VCR较低的国家提供了一个基础，使其能够制定自己的特定解决方案，以改善其流感VCR。
Many countries consistently fail to achieve the target influenza vaccine coverage rate (VCR) of 75% for populations at risk of complications, recommended by the World Health Organization and European Council. We aimed to identify factors for achieving a high VCR in the scope of four benchmark countries with high influenza VCRs: Australia, Canada, UK and USA. Publicly available evidence was first reviewed at a global level and then for each of the four countries. Semi-structured interviews were then conducted with stakeholders meeting predefined criteria. Descriptive cluster analyses were performed to identify key factors and pillars for establishing and maintaining high VCRs. No single factor led to a high VCR, and each benchmark country used a different combination of tailored approaches to achieve a high vaccine coverage. In each country, specific triggers were important to stimulate changes that led to improved vaccine coverage. A total of 42 key factors for a successful influenza vaccination programme were identified and clustered into five pillars: (1) Health Authority accountability and strengths of the influenza programme, (2) facilitated access to vaccination, (3) healthcare professional accountability and engagement, (4) awareness of the burden and severity of disease and (5) belief in influenza vaccination benefit. Each benchmark country has implemented multiple factors from each pillar. A wide range of factors were identified from an evaluation of four high-performing benchmark countries, classified into five pillars, thus providing a basis for countries with lower VCRs to tailor their own particular solutions to improve their influenza VCR.