Strategies to Improve Vaccination among At-Risk Adults and the Elderly in Italy
Abstract
:1. Introduction
2. Materials and Methods
- (1)
- Demographic and professional information (Italian region and department of affiliation);
- (2)
- General information on the implementation, at the regional level, of the PNPV and the introduction of an immunization information registry;
- (3)
- A section focused on the three vaccinations of interest; interviewees were asked whether, to their knowledge, any strategy that met the eligibility criteria was implemented in the last five years in their region. This section was divided into three sub-sections, one for each of the vaccinations considered: influenza, pneumococcal, and HZV;
- (4)
- A section collecting information on any strategy reported: target, setting, healthcare professionals involved, ways of inviting the target population, waiting time to receive vaccination, counseling and informative material, and final assessment. Further contacts and material (links, attached documents, regional deliberations, etc.) were also requested in order to evaluate the strategy in detail.
3. Results
3.1. Influenza Vaccination Strategies
3.2. Pneumococcal Vaccination Strategies
3.3. HZV Vaccination Strategies
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Vaccination Strategy | Region | Setting | Target Population | Type of Strategy |
---|---|---|---|---|
Influenza vaccination | Emilia-Romagna | Cona Hospital (Ferrara); | Pregnant women | Vax Day Hospital Presides: free access vaccinations |
Vaccination clinic in “SS.ma Annunziata” hospital, Cento; | ||||
“Del Delta” Hospital (Lagosanto, Ferrara); | ||||
Argenta Hospital (Ferrara) | ||||
Liguria | Hygiene Unit clinics in “San Martino” hospital Pharmacies | ≥65 years, adults with risk conditions | Campaign promoted by Liguria Region and A.Li.Sa., in collaboration with five Health Authorities and Ligurian Hospitals | |
Liguria | Vaccination clinic in “Villa Scassi” hospital (Genova) | Fragile hospitalized patients, pregnant women, and those who live with immunosuppressed subjects | “Ospivax, the vaccinating hospital” Project | |
Lombardy | Dedicated clinics of some specialist departments | ≥65 years, adults with risk conditions, and pregnant women | Influenza vaccination campaign | |
Lombardy | Accredited socio-health and hospital facilities | ≥65 years, adults with risk conditions, pregnant women, those working on livestock farms, healthcare personnel, and public services personnel | Influenza vaccination campaign | |
Lombardy | “San Camillo” rest home and other social and health facilities | ≥65 years, adults with risk conditions | Influenza vaccination campaign | |
Trentino-South Tyrol | Stand at the Autumn Fair | ≥65 years, adults with risk conditions | Influenza vaccination campaign | |
Pneumococcal and HZV vaccinations | Emilia-Romagna | Cona Hospital (Ferrara); | People aged 65 and 66 | Vax Day Hospital Presides: free access vaccinations |
Vaccination clinic in “SS.ma Annunziata” hospital, Cento; | ||||
“Del Delta” Hospital (Lagosanto, Ferrara); | ||||
Argenta Hospital (Ferrara) | ||||
Liguria | Vaccination clinic in “Villa Scassi” hospital (Genova) | Fragile hospitalized patients and those who live with immunosuppressed subjects | “Ospivax, the vaccinating hospital” Project | |
Lombardy | Accredited socio-health and hospital facilities | ≥65 years | Free pneumococcal and HZV vaccination |
Vaccination Strategy | Region | Province | Target Population | Setting | Access to Vaccination | Invitation to Vaccination Initiative | Counseling (Supporting Information Material) | Registration in the Vaccination Registry? | Strategy Assessment | Evaluation Parameters of the Strategy | Are the Results Public? |
---|---|---|---|---|---|---|---|---|---|---|---|
Influenza vaccination | Calabria | Crotone | ≥65 years, adults with risk conditions | Hospital clinic, health care residence, pharmacy, prison house, rest home | Paper booking | Invitation letter | No | No | No | N.A. | N.A. |
Calabria | Cosenza | ≥65 years, adults with risk conditions | Hospital clinic, health care residence, pharmacy, prison house, rest home, parish | Paper, telephone, and online booking | Invitation letter, text message | Yes (yes) | Yes | Yes | % uptake, vaccination coverage, customer satisfaction | Yes | |
Calabria | Cosenza | ≥65 years, adults with risk conditions | Mobile vaccination station, hospital clinic, health care residence, pharmacy, prison house, rest home | Paper, telephone, and online booking | Invitation letter, text message | Yes (yes) | Yes | Yes | % uptake, vaccination coverage, costs, customer satisfaction | Yes | |
Friuli Venezia Giulia | Pordenone | ≥65 years, adults with risk conditions | Hospital clinic, health care residence, pharmacy, rest home | Telephone and online booking | By telephone contact, by email | Yes (yes) | Yes | Yes | % uptake, vaccination coverage, costs | Yes | |
Lombardy | Milan | ≥65 years, adults with risk conditions | Hospital ward, hospital clinic, health care residence, rest home | N.R. | Media, posters, website | Yes (yes) | Yes | Yes | % uptake, vaccination coverage, costs | No | |
Lombardy | Sondrio | ≥65 years, adults with risk conditions | Hospital clinic, health care residence, rest home | Telephone booking | Invitation letter | Yes (no) | Yes | N.R. | N.A. | N.A. | |
Marche | Ancona | Adults with risk conditions | Mobile vaccination station, center for diabetes | N.R. | N.R. | Yes (yes) | No | No | N.A. | N.A. | |
Apulia | Foggia | Adults with risk conditions | Hospital ward, hospital clinic, health care residence, rest home | Telephone and online booking | Invitation letter, by email | Yes (no) | Yes | Yes | % uptake, vaccination coverage, customer satisfaction, costs | Yes | |
Apulia | Bari | Pregnant women | Hospital clinic | Telephone booking | By telephone contact | Yes (yes) | Yes | Yes | % uptake, customer satisfaction, adverse event with call after 48/72 h | No | |
Trentino-South Tyrol | Bolzano | ≥65 years, adults with risk conditions | Hospital ward, hospital clinic, rest home | Paper, telephone, and online booking | N.R. | No | Yes | Yes | % uptake, vaccination coverage | Yes | |
Pneumococcal vaccination | Lombardy | Milan | Adults with risk conditions | Hospital ward, hospital clinic | N.R. | N.R. | Yes (yes) | Yes | Yes | Vaccination coverage, costs | No |
Lombardy | Sondrio | ≥65 years, adults with risk conditions | Hospital clinic, health care residence, rest home | Telephone booking | Invitation letter, by telephone contact | Yes (no) | Yes | N.R | N.A | N.A | |
Apulia | Foggia | Adults with risk conditions | Hospital ward, hospital clinic, health care residence, rest home | Telephone and online booking | Invitation letter, by e-mail | Yes (yes) | Yes | Yes | % uptake, vaccination coverage, costs | Yes | |
Trentino-South Tyrol | Bolzano | ≥65 years | Hospital clinic, rest home | Paper, telephone, and online booking | Invitation letter | No | Yes | Yes | % uptake, vaccination coverage | Yes | |
HZV vaccination | Lombardy | Sondrio | ≥65 years, adults with risk conditions | Hospital clinic | Paper and telephone booking | By telephone contact | Yes (no) | Yes | N.R. | N.A. | N.A. |
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Share and Cite
Calabrò, G.E.; Tognetto, A.; Carini, E.; Mancinelli, S.; Sarnari, L.; Colamesta, V.; Ricciardi, W.; de Waure, C. Strategies to Improve Vaccination among At-Risk Adults and the Elderly in Italy. Vaccines 2020, 8, 358. https://doi.org/10.3390/vaccines8030358
Calabrò GE, Tognetto A, Carini E, Mancinelli S, Sarnari L, Colamesta V, Ricciardi W, de Waure C. Strategies to Improve Vaccination among At-Risk Adults and the Elderly in Italy. Vaccines. 2020; 8(3):358. https://doi.org/10.3390/vaccines8030358
Chicago/Turabian StyleCalabrò, Giovanna Elisa, Alessia Tognetto, Elettra Carini, Silvia Mancinelli, Laura Sarnari, Vittoria Colamesta, Walter Ricciardi, and Chiara de Waure. 2020. "Strategies to Improve Vaccination among At-Risk Adults and the Elderly in Italy" Vaccines 8, no. 3: 358. https://doi.org/10.3390/vaccines8030358
APA StyleCalabrò, G. E., Tognetto, A., Carini, E., Mancinelli, S., Sarnari, L., Colamesta, V., Ricciardi, W., & de Waure, C. (2020). Strategies to Improve Vaccination among At-Risk Adults and the Elderly in Italy. Vaccines, 8(3), 358. https://doi.org/10.3390/vaccines8030358