Next Article in Journal
Monitoring Neuromuscular Performance in Military Personnel
Previous Article in Journal
Tracking Websites’ Digital Communication Strategies in Latin American Hospitals During the COVID-19 Pandemic
Open AccessReview

Shared Decision Making Enhances Pneumococcal Vaccination Rates in Adult Patients in Outpatient Care

Institute of General Practice and Family Medicine, Munich University Hospital, 80336 Munich, Germany
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(23), 9146; https://doi.org/10.3390/ijerph17239146
Received: 11 November 2020 / Revised: 29 November 2020 / Accepted: 30 November 2020 / Published: 7 December 2020
Insufficient vaccination rates against pneumococcal disease are a major problem in primary health care, especially in adult patients. Shared decision-making (SDM) may address major barriers to vaccination. The objective of this review was to assess the impact of SDM on pneumococcal vaccination rates in adult patients. We conducted a systematic literature search in MEDLINE, EMBASE, CENTRAL, PsycINFO, and ERIC. RCTs and cluster RCTs were included, if they aimed to enhance pneumococcal vaccination rates in adult patients and comprised a personal interaction between health care provider (HCP) and patient. Three further aspects of the SDM process (patient activation, bi-directional exchange of information and bi-directional deliberation) were assessed. A meta-analysis was conducted for the effects of interventions on vaccination rates. We identified eight studies meeting the inclusion criteria. The pooled effect size was OR (95% CI): 2.26 (1.60–3.18) comparing intervention and control groups. Our findings demonstrate the efficacy of interventions that enable a SDM process to enhance pneumococcal vaccination rates; although, the quality of evidence was low. In exploratory subgroup analyses, we concluded that an impersonal patient activation and an exchange of information facilitated by nurses are sufficient to increase vaccination rates against pneumococcal disease in adult patients. However, the deliberation of options between physicians and patients seemed to be more effective than deliberation of options between nurses and patients. View Full-Text
Keywords: shared decision making; pneumococcal; vaccination shared decision making; pneumococcal; vaccination
Show Figures

Figure 1

MDPI and ACS Style

Kuehne, F.; Sanftenberg, L.; Dreischulte, T.; Gensichen, J. Shared Decision Making Enhances Pneumococcal Vaccination Rates in Adult Patients in Outpatient Care. Int. J. Environ. Res. Public Health 2020, 17, 9146. https://doi.org/10.3390/ijerph17239146

AMA Style

Kuehne F, Sanftenberg L, Dreischulte T, Gensichen J. Shared Decision Making Enhances Pneumococcal Vaccination Rates in Adult Patients in Outpatient Care. International Journal of Environmental Research and Public Health. 2020; 17(23):9146. https://doi.org/10.3390/ijerph17239146

Chicago/Turabian Style

Kuehne, Flora; Sanftenberg, Linda; Dreischulte, Tobias; Gensichen, Jochen. 2020. "Shared Decision Making Enhances Pneumococcal Vaccination Rates in Adult Patients in Outpatient Care" Int. J. Environ. Res. Public Health 17, no. 23: 9146. https://doi.org/10.3390/ijerph17239146

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Search more from Scilit
 
Search
Back to TopTop