Threat-responsiveness and the decision to obtain free influenza vaccinations among the older adults in Taiwan 英文参考文献.docVIP

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Threat-responsiveness and the decision to obtain free influenza vaccinations among the older adults in Taiwan 英文参考文献.doc

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Threat-responsiveness and the decision to obtain free influenza vaccinations among the older adults in Taiwan 英文参考文献

BMC Public Health BioMedCentral Research article Open Access Threat-responsiveness and the decision to obtain free influenza vaccinations among the older adults in Taiwan Ying-Chun Li* and Chi-Mei Liu Address: Institute of Health Care Management, National Sun Yat-Sen University, 70 Lien-Hai Rd., Kaohsiung 804, Taiwan, Republic of China Email: Ying-Chun Li* - ycli@.tw; Chi-Mei Liu - chimei0403@ * Corresponding author Published: 31 July 2009 Received: 13 November 2008 Accepted: 31 July 2009 BMC Public Health 2009, 9:275 doi:10.1186/1471-2458-9-275 This article is available from: /1471-2458/9/275 ? 2009 Li and Liu; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Background: Although older adults are encouraged by government agencies to receive influenza vaccinations, many do not obtain them. In Taiwan, where universal health care coverage has significantly reduced the barriers of access to care, the health care system has provided free influenza vaccinations for people 65 years or older since 2001. Nevertheless, the numbers of people who use this service are much fewer than expected. The aim of this study was to explore major factors that might affect the decision to receive influenza vaccinations among older adults in Taiwan. Methods: Using national representative health insurance medical claims from the National Health Insurance Research Database between 2002 and 2004, we investigated the role of threat- responsiveness, represented by prior vaccinations and prior physician visits for flu-like respiratory conditions, in the decisions of older adults to obtain vaccinations in Taiwan. Results: Among the sample of 23,023 older adults, the overall yearly vaccination