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Titolo:
IMPACT OF MEDICARE REIMBURSEMENT ON INFLUENZA VACCINATION RATES IN THE ELDERLY
Autore:
IVES DG; LAVE JR; TRAVEN ND; KULLER LH;
Indirizzi:
UNIV PITTSBURGH,GRAD SCH PUBL HLTH,DEPT EPIDEMIOL PITTSBURGH PA 15261 UNIV PITTSBURGH,GRAD SCH PUBL HLTH,DEPT HLTH SERV ADM PITTSBURGH PA 15261
Titolo Testata:
Preventive medicine
fascicolo: 2, volume: 23, anno: 1994,
pagine: 134 - 141
SICI:
0091-7435(1994)23:2<134:IOMROI>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
IMMUNIZATION; PNEUMONIA; POPULATION; MORTALITY; REDUCTION; BEHAVIOR; PROGRAM; RISK; COST;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
33
Recensione:
Indirizzi per estratti:
Citazione:
D.G. Ives et al., "IMPACT OF MEDICARE REIMBURSEMENT ON INFLUENZA VACCINATION RATES IN THE ELDERLY", Preventive medicine, 23(2), 1994, pp. 134-141

Abstract

Background. Influenza is responsible for significant morbidity, mortality, and medical costs, but immunization rates in the elderly remain low. Methods. As part of a demonstration project in rural Pennsylvania, 1,989 community-dwelling Medicare beneficiaries, 65-79 years old, completed a health risk appraisal including questions about flu shots. Participants were randomized to two experimental (hospital or physician) or control groups. Experimental groups were offered free flu shots for the 1990-91 flu season. Follow-up interviews to determine vaccination rates were completed about 1 year later. Results. Baseline immunization rates were almost identical for the hospital-based (41.2%), physician-based (41.3%), and control group not offered free immunizations (40.6%). Follow-up rates for the groups offered immunizations rose significantly to 63.6 and 69.1% for hospital and physician groups, respectively, while the control group also increased significantly to 54.1%. Individuals who were more educated, were older, and had greater chronic diseases history (myocardial infarction, hypertension, and pulmonarydisease) were more likely to be immunized. Male and married elderly were more likely to be immunized as a result of the demonstration. Conclusions. Increasing community education and providing immunizations free through Medicare will increase immunization rates among elderly. The elderly are more likely to receive flu shots provided through physicians' offices than through hospital-based clinics. (C) 1994 Academic Press, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/12/20 alle ore 07:47:11