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首页> 外文期刊>Journal of Health Services Research & Policy >Organising services for influenza vaccination for older people
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Organising services for influenza vaccination for older people

机译：为老年人组织流感疫苗接种服务

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摘要

Objectives: To follow up a trial of home-administered in uenza vaccination of older people to explore reasons forntheir immunisation behaviour, including their views on the organisation of services.nMethods: Follow-up of original trial using analysis of records of 1865 older people and semi-structured interviewsnof 25 older people.nResults: A once-off home visit does not appear to result in sustained changes in immunisation behaviour. Oldernpeople’s behaviour appears to be largely explained by their beliefs about immunisation; the organisation of servicesnmay exert only small effects. Older people can be characterised as belonging to one of four groups in theirnorientation towards in uenza vaccination: the ‘faithful’, who are keen to have vaccination; the ‘converts’, who havenbeen persuaded of the bene. ts of vaccination and are likely to self-initiate appointments for vaccination; the ‘easygoing’,nwho require prompting for vaccination; and the ‘sceptics’, who perceive in uenza vaccination to benineffective or to be irrelevant for them because of their perceived inherent resistance to in uenza. The last groupnsees vaccination as a form of interference and may be resistant to home visits to administer the vaccine.nConclusions: Targets for immunising older people require more debate because of the delicate balance betweennachieving herd immunity and preserving autonomy and choice for older people.
机译：目的：跟踪一项老年人在家进行流感预防接种的家庭管理试验，以探讨其免疫行为的原因，包括他们对服务组织的看法。n方法：利用对1865名老年人的记录进行分析，对原始试验进行跟踪结果：一次家访似乎并不会导致免疫行为的持续变化。老年人的行为似乎很大程度上是由他们对免疫的信念所解释。服务的组织只能发挥很小的作用。老年人的特征可以归为他们对uenza疫苗接种的四个方向之一：“忠实的”热衷于接种疫苗；尚未被说服的“转换者”。可能会自行接种疫苗； “随和的人”，不需要提示进行疫苗接种；和“怀疑论者”，因为他们对uenza的内在抵抗力，因此认为他们在uenza疫苗接种中无效或与他们无关。最后一个小组将疫苗接种视为一种干扰，可能会抵制家访疫苗的使用。n结论：由于实现群体免疫力与保持老年人的自主权和选择之间的微妙平衡，对老年人进行免疫的目标需要更多的辩论。

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  • 来源
    《Journal of Health Services Research & Policy》 |2004年第2期|p.85-90|共6页
  • 作者

    Mary Dixon-Woods Hilary Brown Antony Arthur Ruth Matthews and Carol Jagger;

  • 作者单位

    Mary Dixon-Woods DPhil, Senior Lecturer in Social Science andHealth, Hilary Brown MSc, Research Associate, Ruth Matthews MSc,Research Associate in Statistics, Carol Jagger PhD, Professor ofEpidemiology, Department of Epidemiology and Public Health,University of Leicester, 22–28 Princess Road West, Leicester LE16TP, UK. Antony Arthur PhD, Senior Lecturer in Elder Care, School ofNursing, Faculty of Medicine and Health Sciences, University ofNottingham, Nottingham, UK.;

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  • 正文语种 eng
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  • 关键词

    home-administered;

    机译：家庭管理;

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