QIM 4: Proportion of regular clients aged 65 years and over with an influenza immunisation status recorded in their GP record within the previous 15 months

Overview

Influenza is a common disease of the respiratory tract. It affects people of all ages. In 2023, Influenza accounted for 19% of the total notifiable disease cases and has been the most common cause of notifiable disease hospitalisations in most years over the past decade, though highly variable from year to year. Influenza, which was the most common cause of notifiable disease deaths between 2014 and 2019, was recorded as the underlying cause of 305 deaths in 2022 (AIHW 2024e).  

A number of groups are at a higher risk of influenza and its complications. These groups experience higher rates of illness and death associated with influenza than the rest of the population and adults aged ≥65 years is one of the vulnerable population groups. Therefore, annual influenza vaccination is strongly recommended for those aged ≥65 years (ATAGI 2024). The administration of the influenza vaccine to people at risk of complications of infection is the single most important measure in preventing or attenuating influenza infection and preventing mortality. There is evidence that influenza vaccination reduces hospitalisations from influenza and pneumonia and all-cause mortality in adults aged ≥65 years of age (ATAGI 2024). While best practice guidelines recommend annual immunisation, a 15-month interval allows for cases when a client decides to receive a vaccine earlier than recommended (for example, from a pharmacy), or delay and wait for the release of an ‘enhanced’ vaccine (Department of Health 2020a).

Capture of results recorded outside of the general practice setting

Results arising from clinical intervention conducted outside of the service that are known and recorded by the practice are included in the measure. Where immunisation was provided elsewhere but is not known to the practice, this is not captured in the report. For example, this might be where the vaccination providers’ information systems may not be compatible with the clinical information system (CIS) of the client’s usual general practice.

Other sources of relevant data

There are other administrative data collections where the data on influenza immunisation are captured, for example, the Australian Immunisation Register (AIR).

This indicator reports on the proportion of regular clients aged 65 years and over who had an influenza immunisation status recorded in their GP record within the previous 15 months.

The QIM proportions summarised by the different extraction tools in use are also shown in the ‘Regional proportions’ bar charts for this measure. This illustrates the differences in how software providers have interpreted the technical specifications and coding of QIMs.

QIM 4: Regional proportions

As of July 2024, nationally, 55.9% of regular clients aged 65 years and over had an influenza immunisation status recorded in their GP record in the previous 15 months. This varied from 38.4% to 65.2% across PHNs, and between 53.8% and 59.9% across extraction tools.

Figure 35: Proportion of regular clients aged 65 years and over with an influenza immunisation status recorded in their GP record within the previous 15 months, by PHN, or extraction tool (ET), July 2024

This bar chart shows the proportion of regular clients aged 65 years and over with influenza immunisation status recorded in their GP record, by PHN and extraction tool for July 2024.

QIM 4: National proportions over time

Nationally, between July 2023 and July 2024, there was a decrease of 3.1 percentage points for regular clients aged 65 years and over who had an influenza immunisation status recorded in their GP record within the previous 15 months, from 59.0% to 55.9%.

Figure 36: Proportion of regular clients aged 65 years and over with an influenza immunisation status recorded in their GP record within the previous 15 months, July 2023 to July 2024

This line chart shows the proportion of regular clients aged 65 years and over with influenza immunisation status recorded in their GP record, from July 2023 to July 2024.

QIM 4: National proportions by sex

As of July 2024, nationally, the proportion of regular clients aged 65 years and over with an influenza immunisation status recorded in their GP record within the previous 15 months was 56.9% for females and 54.7% for males.

Figure 37: Proportion of regular clients aged 65 years and over with an influenza immunisation status recorded in their GP record within the previous 15 months, by sex, July 2024

This bar chart shows the proportion of regular clients aged 65 years and over with influenza immunisation status recorded in their GP record, by sex for July 2024.