Vaccination management for elderly patients in primary care settings – documentation and responsibilities during a vaccination campaign

Figures & data

Table 1 Description of the study sample (n=697)

Variables		Number (%)*
Age categories, years	From 60 to 69	103 (14.8%)
	From 70 to 79	244 (35.0%)
	From 80 to 89	254 (36.4%)
	90 and older	96 (13.8%)
Gender	Male	266 (38.2%)
	Female	426 (61.1%)
Vaccination status collected by	Physician	401 (57.5%)
	Practice assistant	292 (41.9%)
Vaccination status collected during	Home visit	54 (7.7%)
	Nursing home visit	313 (44.9%)
	Practice visit	328 (47.1%)

Note: *Number varies due to missing data.

Table 2 Immunization of elderly patients by different vaccinations

Type of immunization*	Documentation available, n (%)	Documentation unavailable, n (%)
Tetanus	402 (57.7%)	287 (41.2%)
Diphtheria	388 (55.7%)	307 (44.0%)
Pertussis	231 (33.1%)	462 (66.3%)
Polio	183 (26.3%)	513 (73.6%)
Influenza	389 (55.8%)	235 (33.7%)
Pneumococcal	211 (30.3%)	485 (69.6%)

Note: *Number varies due to missing data.

Abbreviation: N, Number.

Table 3 Who is responsible for evaluating the vaccination status?

		Physician* (n=401)	Practice assistant* (n=292)	p-value
Determining vaccination status during …
Home visit		52 (13.0%)	2 (0.7%)	<0.001
Nursing home		241 (60.1%)	69 (23.8%)
Practice visit		108 (26.9%)	219 (75.5%)
Type of immunization
Tetanus	Available	181 (45.7%)	220 (76.1%)	<0.001
	Unavailable	215 (54.3%)	69 (23.9%)
Diphtheria	Available	171 (42.8%)	216 (74.2%)	<0.001
	Unavailable	229 (57.3%)	75 (25.8%)
Pertussis	Available	95 (23.8%)	136 (46.9%)	<0.001
	Unavailable	304 (76.2%)	154 (53.1%)
Polio	Available	77 (19.3%)	105 (36.0%)	<0.001
	Unavailable	323 (80.8%)	187 (64.0%)
Influenza	Available	201 (54.8%)	187 (73.9%)	<0.001
	Unavailable	166 (45.2%)	66 (26.1%)
Pneumococcal	Available	104 (25.9%)	107 (36.8%)	0.002
	Unavailable	297 (74.1%)	184 (63.2%)

Note: *Number varies due to missing data.

Table 4 Attitudes to vaccination – descriptive analysis (n=697)

Variables*	Very positive, n (%)	Positive, n (%)	Partly, n (%)	Negative, n (%)	Very negative, n (%)	Missing
General attitude to vaccination	231 (33.1%)	194 (27.8%)	108 (15.5%)	85 (12.2%)	42 (6.0%)	37 (5.3%)
Attitudes towards influenza vaccination	301 (43.2%)	207 (29.7%)	58 (8.3%)	40 (5.7%)	59 (8.5%)	32 (4.6%)
Attitudes towards pneumococcal vaccines	220 (31.6%)	176 (25.3%)	113 (16.2%)	81 (11.6%)	55 (7.9%)	52 (7.4%)

Abbreviation: N, Number.

Table 5 The five common reasons for opposition to vaccinations (n=205)

Reasons against vaccination	Number (%)
I don’t feel that I’m in any danger of contracting influenza.	75 (21.2%)
I have no vaccination certificate with me.	54 (15.3%)
I don’t feel that I’m in any danger of contracting pneumonia.	54 (15.3%)
I’m suspicious of vaccinations.	34 (9.6%)
I generally reject vaccination.	29 (8.2%)

Table 6 Overview of vaccinations administered before and after the vaccination campaign

Type of vaccination	Before vaccination campaign	After vaccination campaign	Rate of increase
Influenza, for patients older than 60 years	N=913	N=1054	13.4%
Invasive pneumococcal diseases for patients older than 60 years	N=101	N=272	62.9%
Diphtheria, Tetanus and Polio	N=77	N=158	51.3%
Diphtheria, Tetanus and Pertussis	N=118	N=194	39.2%