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Master Thesis

Argumentaire pour la vaccination anti grippale de la personne âgée de plus de 75 ans : attentes et réalités

Abstract : Introduction: numerous studies show that influenza vaccination coverage is insufficient in elderly subjects compared to national targets. Several solutions have been issued to reverse the trend. An argument is then of interest as a tool to help the doctor answer the patient's questions. Such a tool was proposed by the ARS. Objectives: The main objective of this thesis was to assess the impact of the arguments of the Hauts de France ARS in patients, over 75 years of age, refractory to vaccination. Method: qualitative study with thematic analysis resulting from semi-structured interviews in Gironde and Landes, from October 2019 to March 2020, in 14 patients over 75 years of age refusing to be vaccinated against influenza. Results / Discussion: the ARS argument alone was neither appropriate nor sufficient. The doctor emerged as the trusted person who could potentially convince most effectively with the help of this tool. The flu was underestimated with a feeling of immunity, not fragility. The vaccine, its composition, its adverse effects were feared by patients. The benefit appeared small. The main solutions put forward were the provision of appropriate information by a health professional to improve accessibility to vaccination. The COVID-induced situation had prompted only one in four patients re-interviewed to get the flu shot. Conclusion: this study has shown the limits of this tool which should be placed in the hands of a doctor and adapted to the patient. It also helped to better understand the reasons for refusing influenza vaccination. Other promotional tools or campaigns could then emerge as a result of this work.
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Master Thesis
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Submitted on : Wednesday, January 20, 2021 - 4:44:49 PM
Last modification on : Friday, January 22, 2021 - 3:11:37 AM
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  • HAL Id : dumas-03116900, version 1



Elena Alves, David Amouroux. Argumentaire pour la vaccination anti grippale de la personne âgée de plus de 75 ans : attentes et réalités. Médecine humaine et pathologie. 2020. ⟨dumas-03116900⟩



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