National insurance funding to increase vaccination in outpatient care

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational project follows patients seen in outpatient consultations at four health institutions in Île‑de‑France after a tripartite agreement enabled National Health Insurance funding of recommended vaccines administered on site. Data collection combines patient and provider questionnaires with vaccination records to measure coverage for pertussis in pregnancy and pneumococcal vaccination in eligible adults. Analyses will examine changes in coverage, the influence of socio‑economic factors, and whether hospital clinician practices and documentation of vaccination status change. If coverage improves during the funding period, investigators plan to present results to national health authorities to support broader agreements between hospitals and local insurers.

Why it matters

Who can join: the full rules

Inclusion Criteria:

For patients:

1. 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).
2. 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.

Exclusion Criteria:

* Individuals seen in settings other than outpatient consultations (day hospital, week hospital, conventional hospitalization, International Vaccination Center).

Where it's running

• COCHIN HOSPITAL - Assistance Publique-Hôpitaux de Paris (APHP)
  Paris, Idf, France Recruiting
• Sud Seine Et Marne Hospital
  Fontainebleau, France Not yet recruiting
• Sud Seine Et Marne Hospital
  Montereau-Fault-Yonne, France Not yet recruiting
• Sud Seine Et Marne Hospital
  Nemours, France Not yet recruiting
• Rambouillet Hospital
  Rambouillet, France Not yet recruiting
• Delafontaine Hospital
  Saint-Denis, France Not yet recruiting

Study contacts

• Study coordinator: Marie LACHATRE, MD
• Email: marie.lachatre@aphp.fr
• Phone: 0033158412093

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.