Session Type: 30min ePoster Review
Session Title: 30min ePoster Review
Authors(s): F. Kuehne, L. Sanftenberg, T. Dreischulte, J. Gensichen
Authors Affiliations(s): Institute of General Practice and Family Medicine, LMU Munich, Germany
Background:
Insufficient vaccination rates against pneumococcal disease and influenza are a major problem in primary health care, especially in adult patients, leading to a considerable burden of disease worldwide. Shared decision-making (SDM) may address major barriers to vaccination. The objective of this review was to assess the impact of SDM on vaccination rates in adult patients in outpatient care.
Methods:We conducted a systematic literature search in MEDLINE, EMBASE, CENTRAL, PsycINFO, and ERIC on February 2nd, 2020. Only (clustered) RCTs were considered for inclusion. Studies had to aim an uptake of vaccination rates in adult patients and comprise 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.
Results:We identified eight studies on pneumococcal vaccination and 15 studies on influenza vaccination meeting the inclusion criteria. The pooled effect size was OR (95% CI): 2.26 (1.60–3.18) for pneumococcal vaccination and OR of 1.96 (95% CI: 1.31 to 2.95) for influenza vaccinaton rates. Subgroup analyses among studies about influenza vaccination suggested a higher effectiveness of interventions, which included all criteria of a SDM process, compared to interventions that focused only on patient activation. Sharing responsibilities to facilitate SDM among HCP in a team was also successful to increase influenza vaccination rates. Concerning pneumococcal vaccinations, impersonal patient activation methods, the exchange of information facilitated by a non-physician HCP and a deliberation of options enabled by a physician were most successful.
Conclusions:This systematic review and meta-analysis provide evidence that SDM processes can be an effective strategy to increase influenza and pneumococcal vaccination rates. With the majority of patients being vaccinated in outpatient care, especially in primary care practices, our findings are of direct relevance for HCP and vaccination service delivery. Further research with more detailed descriptions of SDM implementation modalities is necessary to better understand which components of SDM are most effective.
Trial Registration: PROSPERO: CRD42020175555
Keyword(s): shared decision making, vaccination, adultSession Type: 30min ePoster Review
Session Title: 30min ePoster Review
Authors(s): F. Kuehne, L. Sanftenberg, T. Dreischulte, J. Gensichen
Authors Affiliations(s): Institute of General Practice and Family Medicine, LMU Munich, Germany
Background:
Insufficient vaccination rates against pneumococcal disease and influenza are a major problem in primary health care, especially in adult patients, leading to a considerable burden of disease worldwide. Shared decision-making (SDM) may address major barriers to vaccination. The objective of this review was to assess the impact of SDM on vaccination rates in adult patients in outpatient care.
Methods:We conducted a systematic literature search in MEDLINE, EMBASE, CENTRAL, PsycINFO, and ERIC on February 2nd, 2020. Only (clustered) RCTs were considered for inclusion. Studies had to aim an uptake of vaccination rates in adult patients and comprise 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.
Results:We identified eight studies on pneumococcal vaccination and 15 studies on influenza vaccination meeting the inclusion criteria. The pooled effect size was OR (95% CI): 2.26 (1.60–3.18) for pneumococcal vaccination and OR of 1.96 (95% CI: 1.31 to 2.95) for influenza vaccinaton rates. Subgroup analyses among studies about influenza vaccination suggested a higher effectiveness of interventions, which included all criteria of a SDM process, compared to interventions that focused only on patient activation. Sharing responsibilities to facilitate SDM among HCP in a team was also successful to increase influenza vaccination rates. Concerning pneumococcal vaccinations, impersonal patient activation methods, the exchange of information facilitated by a non-physician HCP and a deliberation of options enabled by a physician were most successful.
Conclusions:This systematic review and meta-analysis provide evidence that SDM processes can be an effective strategy to increase influenza and pneumococcal vaccination rates. With the majority of patients being vaccinated in outpatient care, especially in primary care practices, our findings are of direct relevance for HCP and vaccination service delivery. Further research with more detailed descriptions of SDM implementation modalities is necessary to better understand which components of SDM are most effective.
Trial Registration: PROSPERO: CRD42020175555
Keyword(s): shared decision making, vaccination, adult
Institute for General Practice and Family Medicine, LMU Munich
Session Type: 30min ePoster Review
Session Title: 30min ePoster Review
Authors(s): F. Kuehne, L. Sanftenberg, T. Dreischulte, J. Gensichen
Authors Affiliations(s): Institute of General Practice and Family Medicine, LMU Munich, Germany
Background:
Insufficient vaccination rates against pneumococcal disease and influenza are a major problem in primary health care, especially in adult patients, leading to a considerable burden of disease worldwide. Shared decision-making (SDM) may address major barriers to vaccination. The objective of this review was to assess the impact of SDM on vaccination rates in adult patients in outpatient care.
Methods:We conducted a systematic literature search in MEDLINE, EMBASE, CENTRAL, PsycINFO, and ERIC on February 2nd, 2020. Only (clustered) RCTs were considered for inclusion. Studies had to aim an uptake of vaccination rates in adult patients and comprise 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.
Results:We identified eight studies on pneumococcal vaccination and 15 studies on influenza vaccination meeting the inclusion criteria. The pooled effect size was OR (95% CI): 2.26 (1.60–3.18) for pneumococcal vaccination and OR of 1.96 (95% CI: 1.31 to 2.95) for influenza vaccinaton rates. Subgroup analyses among studies about influenza vaccination suggested a higher effectiveness of interventions, which included all criteria of a SDM process, compared to interventions that focused only on patient activation. Sharing responsibilities to facilitate SDM among HCP in a team was also successful to increase influenza vaccination rates. Concerning pneumococcal vaccinations, impersonal patient activation methods, the exchange of information facilitated by a non-physician HCP and a deliberation of options enabled by a physician were most successful.
Conclusions:This systematic review and meta-analysis provide evidence that SDM processes can be an effective strategy to increase influenza and pneumococcal vaccination rates. With the majority of patients being vaccinated in outpatient care, especially in primary care practices, our findings are of direct relevance for HCP and vaccination service delivery. Further research with more detailed descriptions of SDM implementation modalities is necessary to better understand which components of SDM are most effective.
Trial Registration: PROSPERO: CRD42020175555
Keyword(s): shared decision making, vaccination, adultSession Type: 30min ePoster Review
Session Title: 30min ePoster Review
Authors(s): F. Kuehne, L. Sanftenberg, T. Dreischulte, J. Gensichen
Authors Affiliations(s): Institute of General Practice and Family Medicine, LMU Munich, Germany
Background:
Insufficient vaccination rates against pneumococcal disease and influenza are a major problem in primary health care, especially in adult patients, leading to a considerable burden of disease worldwide. Shared decision-making (SDM) may address major barriers to vaccination. The objective of this review was to assess the impact of SDM on vaccination rates in adult patients in outpatient care.
Methods:We conducted a systematic literature search in MEDLINE, EMBASE, CENTRAL, PsycINFO, and ERIC on February 2nd, 2020. Only (clustered) RCTs were considered for inclusion. Studies had to aim an uptake of vaccination rates in adult patients and comprise 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.
Results:We identified eight studies on pneumococcal vaccination and 15 studies on influenza vaccination meeting the inclusion criteria. The pooled effect size was OR (95% CI): 2.26 (1.60–3.18) for pneumococcal vaccination and OR of 1.96 (95% CI: 1.31 to 2.95) for influenza vaccinaton rates. Subgroup analyses among studies about influenza vaccination suggested a higher effectiveness of interventions, which included all criteria of a SDM process, compared to interventions that focused only on patient activation. Sharing responsibilities to facilitate SDM among HCP in a team was also successful to increase influenza vaccination rates. Concerning pneumococcal vaccinations, impersonal patient activation methods, the exchange of information facilitated by a non-physician HCP and a deliberation of options enabled by a physician were most successful.
Conclusions:This systematic review and meta-analysis provide evidence that SDM processes can be an effective strategy to increase influenza and pneumococcal vaccination rates. With the majority of patients being vaccinated in outpatient care, especially in primary care practices, our findings are of direct relevance for HCP and vaccination service delivery. Further research with more detailed descriptions of SDM implementation modalities is necessary to better understand which components of SDM are most effective.
Trial Registration: PROSPERO: CRD42020175555
Keyword(s): shared decision making, vaccination, adult