Moderated poster sessions: abstracts

2012 European Journal of Public Health  
Anti-pneumococcal vaccination is an important public health strategy addressed to children, at risk adults and elderly people. Health professionals, particularly General Practitioners (GPs), play a key role in spreading and conveying information among target population, addressing services demand and administering vaccination. This study has been aimed to investigate the main barriers to anti-pneumococcal vaccination, mainly in adult and elderly population, in order to identify the possible
more » ... re public health strategies to increase vaccine coverage levels. Methods A scientific literature review was performed by using the following electronic databases: PubMed, Cochrane Library and Embase. Italian institutional websites were also examined and grey literature was consulted through the search engine "Google Scholar" and other general purpose search engines. Specific key words and MeSH terms were used. Results The main barriers to anti-pneumococcal vaccination are: the lack of knowledge among population or health professionals and the lack of information received from GPs/specialists/ pharmacists. In a survey on a sample of 400 subjects aged ! 65 years only 13% of respondents said that they were aware of anti-pneumococcal vaccination and 49% said that they would agreed to be vaccinated if it had been recommended. A study carried out on a sample of 500 GPs showed that only 17.1% of them give correct information to their patients about the population groups to which antipneumococcal vaccination is recommended. A survey on a sample of GPs and specialists showed that 81% of the former and 64% of the latter strongly recommend pneumococcal vaccination in the elderly. Other evidences showed that physicians considered the increase in vaccination coverage rate depending on an outpatient management of vaccination and the promotion of vaccination efficient campaigns. Conclusions Several public health strategies to increase coverage vaccination levels could be implemented, such as: appropriate training programs for GPs and all health professionals involved in the vaccination process; the empowerment of the patient/citizen through specific training and education programs, the strengthening of the planning process and the effective delivery of vaccines in Primary Care. Differences in treatment and outcomes of patients with acute coronary syndrome with ST segment elevation
doi:10.1093/eurpub/cks115 fatcat:lilbtg3bbzfsdhttm4gfeoscsa