Background/Objectives: Vaccination represents a significant achievement of public health and should be regarded not only as a protective measure against infectious diseases but also an active preventive intervention and a component of health promotion. Methods: This cross-sectional study assessed vaccination coverage among adults aged ≥60 years who attended a Primary Health Care Center during a predefined period of at least two months (November–December 2025) in a rural area of Crete, Greece, and examined determinants of immunization, including demographic, clinical, psychosocial, and health service utilization factors. The sample comprised 366 participants who consented to complete a structured questionnaire, primarily via interview, followed by verification of vaccination status through medical records. Results: High vaccination coverage was observed for influenza (82.5%), moderate coverage for pneumococcal (68.3%) and herpes zoster (56.0%) vaccines, and very low coverage for tetanus–diphtheria–pertussis booster doses (≈13%) and RSV vaccination (5.2%). For SARS-CoV-2, 96.2% received the three doses which were mandatory during the pandemic years. The overall Vaccination Coverage Score (VCS) averaged 43.1/100, while only 10.1% of participants achieved high coverage. Regression analysis showed that higher educational level, multimorbidity, and extensive use of health services were independently associated with better vaccination coverage (p < 0.05). Conclusions: The findings reveal fragmented vaccination patterns and underscore the need for systematic assessment of adult vaccination status within routine Primary Health Care. Targeted counseling, promotion of health literacy, and preventive vaccination strategies are expected to reduce vaccine-preventable morbidity and support healthy aging.

This study aimed to assess and compare the utilization of preventive and other health services and the cost or availability in different regions of Europe, before and during the economic crisis. The data used in the study were obtained from Wave 8 of the Survey of Health, Ageing and Retirement in Europe (2019/2020) and Wave 1 data (2004/5), with a sample size of 46,106 individuals aged ≥50 across 27 countries, adjusted to represent a population of N = 180,886,962. Composite scores were derived for preventive health services utilization (PHSU), health care services utilization (HCSU), and lack of accessibility/availability in health care services (LAAHCS). Southern countries had lower utilization of preventive services and higher utilization of other health services compared to northern countries, with a significant lack of convergence. Moreover, the utilization of preventive health services decreased, whereas the utilization of secondary care services increased during the austerity period. Southern European countries had a significantly higher prevalence of lack of accessibility. An increase in the frequency of lack of accessibility/availability in health care services was observed from 2004/5 to 2019/20. In conclusion, our findings suggest that health inequalities increase during crisis periods. Therefore, policy interventions could prioritize accessibility and expand health coverage and prevention services.

Background/Objectives: Quiet quitting and reduced professional quality of life pose risks to organizations, as employee performance may be reduced. This study assessed quiet quitting and professional quality of life among nurses at a public general hospital in Greece. Methods: A single-site cross-sectional study recruited 119 nursing staff from a public general hospital in Greece between January and March 2025. Statistical analysis was performed using SPSS version 25.0. Demographic and work characteristics were analyzed using absolute and relative frequency distributions. Comparisons among subscale scores were made using the Kruskal–Wallis test, and associations with participant characteristics were examined using Pearson’s correlation coefficient. Multiple linear regression analyzed the relationships between the three ProQOL-30 subscales, the Quiet Quitting Scale, and nursing staff characteristics, with p < 0.05. Results: Of the 119 nursing staff, 84.9% were women, and 49.6% were 50 or older. Quiet quitting was moderate to low, with lack of motivation significantly higher than lack of initiative and detachment-indifference (p < 0.001). Compassion satisfaction was higher than burnout and secondary traumatic stress (p < 0.001). Lack of motivation was higher among nurses with children, more years of experience, or managerial responsibilities (p < 0.05). Compassion satisfaction was associated with lower total quiet quitting (unstandardized β = −6.23, p < 0.001), while burnout was associated with higher total quiet quitting (β = 4.54, p < 0.001). Neither compassion satisfaction nor burnout was related to staff characteristics. Secondary traumatic stress was associated with female gender (β = 4.92, p = 0.004) and higher total quiet quitting (β = 3.40, p = 0.001). Conclusions: Reducing workload, improving organizational support, and enhancing working conditions may represent promising strategies for supporting nurses’ professional quality of life and reducing occupational disengagement.