"Assessment of the Impact of Vaccine Funding by the National Health Insurance on Vaccination Coverage Among Patients Targeted by Current Vaccination Recommendations and Followed in Outpatient Consultations in Ile-de-France Region in France""
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 2,920
- 试验地点
- 4
- 主要终点
- Number of subjects vaccinated against pneumococcal infections
研究概览
简要总结
The objective of our study is to evaluate the impact of vaccine funding for patients seen in outpatient consultations within four healthcare institutions in the Ile-de-France region in France, made possible through the establishment of a tripartite agreement between the hospital group, the Île-de-France Regional Health Agency (ARS IDF), and the Primary Health Insurance Fund (CPAM).
详细描述
The aim of this project is to highlight whether dedicated funding for vaccine procurement in healthcare institutions can generate both individual and collective benefits in terms of improved vaccination coverage among vulnerable patients at infectious risk.
Should the data analysis demonstrate a positive impact on vaccination coverage among patients who attended outpatient consultations in the participating institutions during the study period, it is planned to approach the Directorate General for Health with a view to generalizing such agreements between healthcare institutions and local health insurance organizations, thereby enabling reimbursement of vaccines included in the national immunization schedule administered within these institutions.
Primary objective: To assess the impact of National Health Insurance (NHI) funding for vaccines made available in outpatient consultations on pertussis vaccination coverage among pregnant women and pneumococcal vaccination coverage among eligible patients, in accordance with current French recommendations and fully covered by NHI, across four healthcare institutions in the Île-de-France region.
Secondary objectives:
To evaluate:
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •For patients:
- •For the assessment of pneumococcal coverage among patients eligible for this vaccination:
- •Individuals aged 18 years or older,
- •Individuals followed in outpatient consultations within a department and healthcare institution participating in the project;
- •Individuals eligible for pneumococcal vaccination against according to current French recommendations,
- •Individuals meeting the eligibility conditions and receiving care under long-term illness coverage (ALD) or benefiting from complementary universal health coverage (C2S) or state medical aid (AME).
- •For the assessment of pertussis vaccination among pregnant women:
- •Women aged 18 years or older,
- •Women who have had at least one follow-up outpatient consultation from 20 weeks of gestation in a maternity ward participating in the project,
- •Women in the immediate postpartum period (during their maternity stay) who have given birth to one or more live children and delivered after 36 weeks of gestation,
- •Women who have declared their pregnancy and are covered under maternity insurance (i.e., from the first day of the sixth month of pregnancy until the 12th day after delivery).
- •For healthcare professionals: all vaccinating healthcare providers working in a participating department or center.
排除标准
- •Individuals seen in settings other than outpatient consultations (day hospital, week hospital, conventional hospitalization, International Vaccination Center).
结局指标
主要结局
Number of subjects vaccinated against pneumococcal infections
时间窗: Month 18
Number of subjects vaccinated against pneumococcal infections (eligible subjects according to current recommendations), before (according to the usual intra-hospital organization) the implementation of the National Health Insurance funding for vaccines made available during outpatient consultations for the target populations
Number of subjects vaccinated against pertussis
时间窗: Month 18
Variation in the number of subjects vaccinated against pertussis during pregnancy, before (according to the usual intra-hospital organization) and after the implementation of the National Health Insurance funding for vaccines made available during outpatient consultations for the target populations
次要结局
- Associated factors(Month 18)
- Frequency with which vaccination providers offer vaccinations to eligible patients for these vaccinations(Month 18)
- Frequency with which vaccinating healthcare providers administer vaccinations to eligible patients for this vaccination(Month 18)
- Proportion of vaccinating healthcare providers(Month 18)