“Assessment of the Impact of Vaccine Funding by the National Health Insurance on Vaccination Coverage Among Patients Targeted by Current Vaccination Recommendations and Followed in Outpatient Consultations in Ile-de-France Region in France””: Coronavirus - COVID-19 - Insurance News | InsuranceNewsNet

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December 8, 2025 Newswires
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“Assessment of the Impact of Vaccine Funding by the National Health Insurance on Vaccination Coverage Among Patients Targeted by Current Vaccination Recommendations and Followed in Outpatient Consultations in Ile-de-France Region in France””: Coronavirus – COVID-19

NewsRx COVID-19 Daily

2025 DEC 08 (NewsRx) -- By a News Reporter-Staff News Editor at NewsRx COVID-19 Daily -- Staff editors report on the newly launched clinical trial, NCT07243236, which has the following summary description: “The objective of our study is to evaluate the impact of vaccine funding for patients seen in outpatient consultations within four healthcare institutions in the Ile-de-France region in France, made possible through the establishment of a tripartite agreement between the hospital group, the Ile-de-France Regional Health Agency (ARS IDF), and the Primary Health Insurance Fund (CPAM).”

As a matter of record, on November 22, 2025, NewsRx staff editors report that the available information provided by Assistance Publique - Hopitaux de Paris on this trial include:

Tracking Information

Trial Identifier NCT07243236
First Submitted Date November 17, 2025
First Posted Date November 21, 2025
Results First Submitted Date Not Provided
Results First Posted Date Not Provided
Last Update Submitted Date November 17, 2025
Last Update Posted Date November 21, 2025
Primary Completion Date May 31, 2027
Start Date 2025-11
Current Primary Outcome Measures •Number of subjects vaccinated against pneumococcal infections [ Time Frame: Month 3 ] -- Variation in the number of subjects vaccinated against pneumococcal infections (eligible subjects according to current recommendations) before (according to the usual intra-hospital organization) and after the implementation of the National Health Insurance funding for vaccines made available during outpatient consultations for the target populations across four healthcare institutions in the Ile-de-France region
•Number of subjects vaccinated against pneumococcal infections [ Time Frame: Month 18 ] -- Number of subjects vaccinated against pneumococcal infections (eligible subjects according to current recommendations), before (according to the usual intra-hospital organization) the implementation of the National Health Insurance funding for vaccines made available during outpatient consultations for the target populations
•Number of subjects vaccinated against pertussis [ Time Frame: Month 3 ] -- Variation in the number of subjects vaccinated against pertussis during pregnancy, before (according to the usual intra-hospital organization) and after the implementation of the National Health Insurance funding for vaccines made available during outpatient consultations for the target populations
•Number of subjects vaccinated against pertussis [ Time Frame: Month 18 ] -- Variation in the number of subjects vaccinated against pertussis during pregnancy, before (according to the usual intra-hospital organization) and after the implementation of the National Health Insurance funding for vaccines made available during outpatient consultations for the target populations
Current Secondary Outcome Measures •Associated factors [ Time Frame: Month 3 ] -- Factors associated with pertussis vaccination among pregnant women and pneumococcal vaccination among eligible patients (including vaccination pathway, socio-demographic and socio-economic factors, category of healthcare providers involved in pregnancy follow-up, etc.),
•Associated factors [ Time Frame: Month 18 ] -- Factors associated with pertussis vaccination among pregnant women and pneumococcal vaccination among eligible patients (including vaccination pathway, socio-demographic and socio-economic factors, category of healthcare providers involved in pregnancy follow-up, etc.),
•Frequency with which vaccination providers offer vaccinations to eligible patients for these vaccinations [ Time Frame: Month 3 ] -- Frequency with which vaccination providers offer pertussis vaccination to pregnant women and pneumococcal vaccination to eligible patients for these vaccinations
•Frequency with which vaccination providers offer vaccinations to eligible patients for these vaccinations [ Time Frame: Month 18 ] -- Frequency with which vaccination providers offer pertussis vaccination to pregnant women and pneumococcal vaccination to eligible patients for these vaccinations
•Frequency with which vaccinating healthcare providers administer vaccinations to eligible patients for this vaccination [ Time Frame: Month 3 ] -- Frequency with which vaccinating healthcare providers administer pertussis vaccination to pregnant women and pneumococcal vaccination to eligible patients for this vaccination
•Frequency with which vaccinating healthcare providers administer vaccinations to eligible patients for this vaccination [ Time Frame: Month 18 ] -- Frequency with which vaccinating healthcare providers administer pertussis vaccination to pregnant women and pneumococcal vaccination to eligible patients for this vaccination
•Proportion of vaccinating healthcare providers [ Time Frame: Month 3 ] -- Proportion of vaccinating healthcare providers recording in a digital tool pertussis vaccinations for pregnant women and pneumococcal vaccinations for eligible patients
•Proportion of vaccinating healthcare providers [ Time Frame: Month 18 ] -- Proportion of vaccinating healthcare providers recording in a digital tool pertussis vaccinations for pregnant women and pneumococcal vaccinations for eligible patients
Other Outcome Measures Not Provided
Change History Complete list of historical revisions of study NCT07243236

Descriptive Information

Brief Title Impact of Vaccine Funding by the National Health Insurance on Vaccination Coverage Among Patients Targeted by Current Vaccination Recommendations and Followed in Outpatient Consultations
Official Title “Assessment of the Impact of Vaccine Funding by the National Health Insurance on Vaccination Coverage Among Patients Targeted by Current Vaccination Recommendations and Followed in Outpatient Consultations in Ile-de-France Region in France””
Brief Summary The objective of our study is to evaluate the impact of vaccine funding for patients seen in outpatient consultations within four healthcare institutions in the Ile-de-France region in France, made possible through the establishment of a tripartite agreement between the hospital group, the Ile-de-France Regional Health Agency (ARS IDF), and the Primary Health Insurance Fund (CPAM).
Detailed Description The aim of this project is to highlight whether dedicated funding for vaccine procurement in healthcare institutions can generate both individual and collective benefits in terms of improved vaccination coverage among vulnerable patients at infectious risk. Should the data analysis demonstrate a positive impact on vaccination coverage among patients who attended outpatient consultations in the participating institutions during the study period, it is planned to approach the Directorate General for Health with a view to generalizing such agreements between healthcare institutions and local health insurance organizations, thereby enabling reimbursement of vaccines included in the national immunization schedule administered within these institutions. Primary objective: To assess the impact of National Health Insurance (NHI) funding for vaccines made available in outpatient consultations on pertussis vaccination coverage among pregnant women and pneumococcal vaccination coverage among eligible patients, in accordance with current French recommendations and fully covered by NHI, across four healthcare institutions in the Ile-de-France region. Secondary objectives: To evaluate: * The influence of socio-economic determinants on patients’ vaccination coverage; * Changes in the practices of hospital healthcare professionals in outpatient consultations regarding the monitoring of their patients’ vaccination status; * Changes in practices related to the documentation of patient vaccinations to facilitate communication between healthcare institutions and primary care practitioners through the use of existing digital tools (hospital software, electronic vaccination record (CVE) in MonEspaceSante).
Study Type OBSERVATIONAL
Study Phase Not Provided
Study Design Observational Model: COHORT
Time Perspective: PROSPECTIVE
Condition Healthcare Providers
Postpartum
Intervention •OTHER: Questionnaires for patients
Questionnaires for patients
•OTHER: Questionnaires for healthcare providers
Questionnaires for healthcare providers
Study Arms •Healthcare providers
Vaccinating healthcare providers + Other healthcare providers involved in the operational aspects of the project (excluding health data)
Interventions:
⚬OTHER: Questionnaires for healthcare providers
•Patients eligible for pneumococcal vaccination
Patients eligible for pneumococcal vaccination who benefit from long-term illness coverage (ALD), state medical aid (AME), or complementary universal health coverage C2S
Interventions:
⚬OTHER: Questionnaires for patients
•Women in the immediate postpartum period
Women in the immediate postpartum period (during their stay in the maternity ward) who have declared their pregnancy to the National Health Insurance, covered under maternity benefits up to the 12th day following delivery
Interventions:
⚬OTHER: Questionnaires for patients
Publications* *Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline
PubMed Link - Chen H, Matsumoto H, Horita N, Hara Y, Kobayashi N, Kaneko T. Prognostic factors for mortality in invasive pneumococcal disease in adult: a system review and meta-analysis. Sci Rep. 2021 Jun 4;11(1):11865. doi: 10.1038/s41598-021-91234-y.
PubMed Link - Schnell D, Mayaux J, de Bazelaire C, Legoff J, Feuillet S, Scieux C, Andreu-Gallien J, Darmon M, Baruchel A, Schlemmer B, Azoulay E. Risk factors for pneumonia in immunocompromised patients with influenza. Respir Med. 2010 Jul;104(7):1050-6. doi: 10.1016/j.rmed.2010.01.021. Epub 2010 Feb 24.
PubMed Link - Belsky JA, Tullius BP, Lamb MG, Sayegh R, Stanek JR, Auletta JJ. COVID-19 in immunocompromised patients: A systematic review of cancer, hematopoietic cell and solid organ transplant patients. J Infect. 2021 Mar;82(3):329-338. doi: 10.1016/j.jinf.2021.01.022. Epub 2021 Feb 4.
PubMed Link - Garcia Garrido HM, Knol MJ, Heijmans J, van Sorge NM, Sanders EAM, Klumpen HJ, Grobusch MP, Goorhuis A. Invasive pneumococcal disease among adults with hematological and solid organ malignancies: A population-based cohort study. Int J Infect Dis. 2021 May;106:237-245. doi: 10.1016/j.ijid.2021.03.072. Epub 2021 Mar 26.
PubMed Link - Marijam A, Vroom N, Bhavsar A, Posiuniene I, Lecrenier N, Vroling H. Systematic Literature Review on the Incidence of Herpes Zoster in Populations at Increased Risk of Disease in the EU/EEA, Switzerland, and the UK. Infect Dis Ther. 2024 May;13(5):1083-1104. doi: 10.1007/s40121-024-00963-w. Epub 2024 Apr 24.
PubMed Link - Ellington S, Strid P, Tong VT, Woodworth K, Galang RR, Zambrano LD, Nahabedian J, Anderson K, Gilboa SM. Characteristics of Women of Reproductive Age with Laboratory-Confirmed SARS-CoV-2 Infection by Pregnancy Status - United States, January 22-June 7, 2020. MMWR Morb Mortal Wkly Rep. 2020 Jun 26;69(25):769-775. doi: 10.15585/mmwr.mm6925a1.
PubMed Link - Mertz D, Geraci J, Winkup J, Gessner BD, Ortiz JR, Loeb M. Pregnancy as a risk factor for severe outcomes from influenza virus infection: A systematic review and meta-analysis of observational studies. Vaccine. 2017 Jan 23;35(4):521-528. doi: 10.1016/j.vaccine.2016.12.012. Epub 2016 Dec 23.
PubMed Link - Tubiana S, Belchior E, Guillot S, Guiso N, Levy-Bruhl D; Renacoq Participants. Monitoring the Impact of Vaccination on Pertussis in Infants Using an Active Hospital-based Pediatric Surveillance Network: Results from 17 Years’ Experience, 1996-2012, France. Pediatr Infect Dis J. 2015 Aug;34(8):814-20. doi: 10.1097/INF.0000000000000739.
PubMed Link - Fell DB, Johnson J, Mor Z, Katz MA, Skidmore B, Neuzil KM, Ortiz JR, Bhat N. Incidence of laboratory-confirmed influenza disease among infants under 6 months of age: a systematic review. BMJ Open. 2017 Sep 7;7(9):e016526. doi: 10.1136/bmjopen-2017-016526.
PubMed Link - Del Riccio M, Spreeuwenberg P, Osei-Yeboah R, Johannesen CK, Fernandez LV, Teirlinck AC, Wang X, Heikkinen T, Bangert M, Caini S, Campbell H, Paget J; RESCEU Investigators. Burden of Respiratory Syncytial Virus in the European Union: estimation of RSV-associated hospitalizations in children under 5 years. J Infect Dis. 2023 Nov 28;228(11):1528-1538. doi: 10.1093/infdis/jiad188.
PubMed Link - Wyplosz B, Fernandes J, Sultan A, Roche N, Roubille F, Loubet P, Fougere B, Moulin B, Duhot D, Vainchtock A, Raguideau F, Lortet-Tieulent J, Blanc E, Moisi J, Goussiaume G. Pneumococcal and influenza vaccination coverage among at-risk adults: A 5-year French national observational study. Vaccine. 2022 Aug 5;40(33):4911-4921. doi: 10.1016/j.vaccine.2022.06.071. Epub 2022 Jul 7.
PubMed Link - Loubet P, Rouviere J, Merceron A, Launay O, Sotto A, On Behalf Of The Avnir Group. Patients’ Perception and Knowledge about Influenza and Pneumococcal Vaccination during the COVID-19 Pandemic: An Online Survey in Patients at Risk of Infections. Vaccines (Basel). 2021 Nov 22;9(11):1372. doi: 10.3390/vaccines9111372.
PubMed Link - Launay O, Le Strat Y, Tosini W, Kara L, Quelet S, Levy S, Danan J, Reveillon J, Houdayer J, Bouvet E, Levy-Bruhl D; ANRS-FORMVAC Study Group. Impact of free on-site vaccine and/or healthcare workers training on hepatitis B vaccination acceptability in high-risk subjects: a pre-post cluster randomized study. Clin Microbiol Infect. 2014 Oct;20(10):1033-9. doi: 10.1111/1469-0691.12689. Epub 2014 Jul 25.
PubMed Link - Alessandrini V, Anselem O, Girault A, Mandelbrot L, Luton D, Launay O, Goffinet F. Does the availability of influenza vaccine at prenatal care visits and of immediate vaccination improve vaccination coverage of pregnant women? PLoS One. 2019 Aug 1;14(8):e0220705. doi: 10.1371/journal.pone.0220705. eCollection 2019.
PubMed Link - Mohammed H, McMillan M, Roberts CT, Marshall HS. A systematic review of interventions to improve uptake of pertussis vaccination in pregnancy. PLoS One. 2019 Mar 28;14(3):e0214538. doi: 10.1371/journal.pone.0214538. eCollection 2019.
PubMed Link - Du P, Jin S, Lu S, Wang L, Ma X, Wang J, Huang R, Luo Q, Yang S, Feng X. Strategies to increase the coverage of influenza and pneumonia vaccination in older adults: a systematic review and network meta-analysis. Age Ageing. 2024 Mar 1;53(3):afae035. doi: 10.1093/ageing/afae035.

Recruitment Information

Recruitment Status NOT_YET_RECRUITING
Enrollment 2920
Completion Date 2027-07
Primary Completion Date May 31, 2027 (Final data collection date for primary outcome measure)
Eligibility 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).
Sex/Gender Sexes Eligible for Study: ALL
Ages 18 years to
Accepts Healthy Volunteers t
Contacts Primary contact: Marie LACHATRE, MD, 0033158412093, [email protected]
Backup contact: Marie BENHAMMANI-GODARD, 0033158411190, [email protected]
Listed Location Countries France
Removed Location Countries

Administrative Information

NCT Number NCT07243236
Other Study ID Numbers 2025-A01886-43
APHP251228
Has Data Monitoring Committee Not Provided
U.S. FDA-regulated Product Not Provided
Plan to Share Data Not Provided
Plan to Share Data (IPD) Description Not Provided
Collaborators ⚬Agence regionale de sante Ile de France
⚬Institut de Recherche en Sante Publique, France
Investigators STUDY_DIRECTOR: Marie LACHATRE, MD, Hopital Cochin - APHP
STUDY_CHAIR: Muriel BELIAH-NAPPEZ, MD, Agence regionale de sante Ile de France
Information Provided By Assistance Publique - Hopitaux de Paris
Verification Date 2025-10

(Our reports deliver fact-based news of research and discoveries from around the world.)

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