Evidence map›Paper›PMID 39852795›Full record

ArticleVaccines2024

Vaccinating in Different Settings: Best Practices from Italian Regions.

Carlo Signorelli, Flavia Pennisi, Anna Carole D'Amelio, Michele Conversano, Sandro Cinquetti, Lorenzo Blandi, Giovanni Rezza

Abstract read
In one paragraph

Article in Vaccines, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Carlo SignorelliFaculty of Medicine, University Vita-Salute San Raffaele, 20132 Milan, Italy.ORCID 0000-0001-9710-4962
Flavia PennisiFaculty of Medicine, University Vita-Salute San Raffaele, 20132 Milan, Italy.ORCID 0009-0001-9185-9747
Anna Carole D'AmelioFaculty of Medicine, University Vita-Salute San Raffaele, 20132 Milan, Italy.ORCID 0000-0003-0636-7199
Michele ConversanoPrevention Department, Local Health Authority of Taranto, 74123 Taranto, Italy.
Sandro CinquettiPrevention Department, Local Health Authority "ULSS 1 Dolomiti", 32100 Belluno, Italy.
Lorenzo BlandiFaculty of Medicine, University Vita-Salute San Raffaele, 20132 Milan, Italy.ORCID 0000-0002-5244-950X
Giovanni RezzaFaculty of Medicine, University Vita-Salute San Raffaele, 20132 Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe success of vaccination programs depends on a complex interplay of logistical, social, and structural factors. The objective of this study was to analyze the different approaches to vaccine administration implemented by several Italian regions since the onset of the SARS-CoV-2 pandemic.

methodsAfter careful qualitative review of information gathered from scientific articles, official reports (grey literature), contact with regional health authorities, and local health departments, five vaccination strategies across several Italian regions focusing on alternative vaccine providers and/or settings were identified. The innovative practices implemented by different actors covered specific topics and were then examined and described in detail.

resultsIn Veneto, where prevention departments were the main actor, herpes zoster vaccination coverage for the 65-year-old cohort increased from 44.4% to 54.9%; in Tuscany, family pediatricians administered 64% of all childhood vaccines; in Liguria, pharmacies delivered 70.1% of COVID-19 vaccines, while vaccinating in schools in Taranto led to higher human papilloma virus vaccination rates compared to regional and national averages. Finally, in all the regions, hospitals focused on vaccinating healthcare workers and vulnerable populations.

conclusionsThe positive outcomes of these five experiences may, in a context of limited resources, encourage other national and international entities to adopt innovative practices, which offer new perspectives beyond the traditional delivery methods (i.e., local health authority vaccination centers for childhood and adolescent immunizations, and family doctors for adults and the elderly). These strategies suggest the efficacy of specific local approaches favored by regional autonomy in optimizing vaccine distribution and coverage.

Indexed as

immunization scheduleItalynational vaccination planprovidersvaccination

Identifiers

PMID39852795
PMCPMC11768668

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.