Developing and testing a decision model for predicting influenza vaccination compliance.

摘要: Influenza vaccination has long been recommended for elderly high-risk patients, yet national surveys indicate that compliance rates are remarkably low (20 percent). We conducted a study to model prospectively the flu shot decisions and subsequent behavior of an and/or chronically diseased (at high risk complications influenza) ambulatory care population at Seattle VA Medical Center. Prior 1980-81 season, random (stratified by disease) sample 63 drawn from total patients in general medicine clinic, was interviewed identify patient-defined concerns regarding shots. Six potential consequences influenza nine were emphasized provided content weighted hierarchical utility questionnaire. The provides operational framework (1) obtaining subjective value relative importance judgments patients; (2) combining these obtain prediction behavioral intention each patient; and, if is valid (predictive behavior), (3) identifying those factors which most salient patient's behavior. 1981-82 decision questionnaire administered 350 other same clinic population. correctly predicted 87 percent 82 this more importantly, differentiated "takers" "nontakers" along several attitudinal dimensions suggest specific areas clinical intervention strategies.