The influence of partial public reimbursement on vaccination uptake in the older population: a cross-sectional study

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dc.contributor.authorMcHugh, Sheena M.
dc.contributor.authorBrowne, John P.
dc.contributor.authorO'Neill, Ciaran
dc.contributor.authorKearney, Patricia M.
dc.contributor.funderHealth Research Boarden
dc.date.accessioned2016-01-18T16:34:01Z
dc.date.available2016-01-18T16:34:01Z
dc.date.issued2015-02-05
dc.description.abstractBACKGROUND: Flu vaccination is recommended annually for high risk groups. However, in Ireland, free access to vaccination is not universal for those in high risk groups; the vaccine and consultation are only free for those with a medical card, a means tested scheme. Few private health insurance policies cover the cost of attendance for vaccination in general practice. The aim was to examine the influence of this reimbursement policy on vaccination coverage among older adults. METHODS: Cross-sectional wave 1 data from The Irish Longitudinal Study on Ageing (TILDA) were analysed (2009–2011). TILDA is a nationally representative prospective cohort study of adults aged ≥50, sampled using multistage stratified clustered sampling. Self-reported entitlement to healthcare was categorised as 1) medical card only 2) private health insurance only, 3) both and 4) neither. The outcome was responses to ‘have you ever had a flu shot’. Multivariate logistic regression was used, adjusting for age and need. RESULTS: 68.6% of those defined as clinically high-risk received the flu vaccination in the past (95% CI = 67-71%). Those with a medical card were almost twice as likely to have been vaccinated, controlling for age and chronic illness (OR = 1.9, 95% CI = 1.5-2.5, p = <0.001). CONCLUSIONS: Having a medical card increased the likelihood of being vaccinated, independent of age and need. The mismatch between vaccination guidelines and reimbursement policy is creating unequal access to recommended services among high risk groupsen
dc.description.sponsorshipHealth Research Board (HRB/ICE/2012/12, HRB/RL/2013/16, HRB/RL/2013/7)en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleid83
dc.identifier.citationMC HUGH, S. M., BROWNE, J. P., O’NEILL, C. & KEARNEY, P. M. 2015. The influence of partial public reimbursement on vaccination uptake in the older population: a cross-sectional study. BMC Public Health, 15:83, 1-7. http://dx.doi.org/10.1186/s12889-015-1356-7en
dc.identifier.doi10.1186/s12889-015-1356-7
dc.identifier.endpage7en
dc.identifier.issn1471-2458
dc.identifier.journaltitleBMC Public Healthen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/2191
dc.identifier.volume15en
dc.language.isoenen
dc.publisherBiomed Central Ltd.en
dc.rights© 2015 Mc Hugh et al.; licensee BioMed Central 2015. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectInfluenza vaccineen
dc.subjectCoverageen
dc.subjectSocioeconomic statusen
dc.subjectElderlyen
dc.subjectPneumococcal vaccinationen
dc.subjectElderly outpatientsen
dc.subjectSelf-reporten
dc.subjectRisk groupsen
dc.titleThe influence of partial public reimbursement on vaccination uptake in the older population: a cross-sectional studyen
dc.typeArticle (peer-reviewed)en
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