Influenza Vaccination among Healthcare Workers: Ten-Year Experience of a Large Healthcare Organization
Influenza Vaccination among Healthcare Workers: Ten-Year Experience of a Large Healthcare Organization
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DOI：
10.1086/650449
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发表时间：
2010-03-01
影响因子：
4.5
通讯作者：
Fraser, Victoria J.
中科院分区：
文献类型：
--
作者：
Cristina Ajenjo, M.;Woeltje, Keith F.;Fraser, Victoria J.
目标。描述1997至2007年间为提高北京医疗中心医护人员(HCW)流感疫苗接种计划的依从性而实施的不同措施的结果。设计描述性回顾研究。集合。北京医疗保健是一家由13家医院组成的中西部非营利性医疗机构。方法：我们回顾和分析了1997至2007年间所有北京医疗保健职业卫生服务机构和医院的HCW流感疫苗接种数据。在研究期间，职业卫生人员、感染预防人员和主要流感疫苗接种活动负责人也接受了关于实施措施的访谈。结果：截至2007年底，北京医疗保健公司约有26,000名员工。随着多种渐进式干预措施的使用，北京赛马会员工的流感疫苗接种率从1997年的45%上升到2007年的72%(P<；.001)。2007年的流感疫苗接种率明显高于2006年：72%，而2006年为54%(P<；.001)。2007年，有五家医院的流感疫苗接种率超过了80%的目标。最成功的干预措施是将流感疫苗接种率添加到质量记分卡激励计划和使用下降报表，这两项措施都于2007年实施。受访者发现的最重要的成功障碍是卫生工作者对流感疫苗接种的误解和缺乏领导支持。结论多年来，通过多种干预措施，卫生工作者的流感疫苗接种率显著提高。然而，通过这些措施，并未在所有医院实现北京医疗中心流感疫苗接种80%的目标。需要更积极的干预措施，如实施强制性流感疫苗接种政策，以实现更高的疫苗接种率。《感染控制与流行病学》2010；31：233-240
OBJECTIVE. To describe the results of different measures implemented to improve adherence to the healthcare worker (HCW) influenza immunization program at BJC HealthCare during the period from 1997 through 2007.DESIGN. Descriptive retrospective study.SETTING. BJC HealthCare, a 13-hospital nonprofit healthcare organization in the Midwest.METHODS. We reviewed and analyzed HCW influenza vaccination data from all BJC HealthCare Occupational Health Services and hospitals during the period from 1997 through 2007. Occupational health staff, infection prevention personnel, and key influenza vaccination campaign leaders were also interviewed regarding implementation measures during the study years.RESULTS. At the end of 2007, BJC HealthCare had approximately 26,000 employees. With the use of multiple progressive interventions, influenza vaccination rates among BJC employees increased from 45% in 1997 to 72% in 2007 (P < .001). The influenza vaccination rate in 2007 was significantly higher than in 2006: 72%, compared with 54% (P < .001). Five hospitals had influenza vaccination rates that exceeded the target goal of 80% in 2007. The most successful interventions were adding influenza vaccination rates to the quality scorecard incentive program and the use of declination statements, both of which were implemented in 2007. The most important barriers to success identified by interview respondents were HCWs' misconceptions about influenza vaccination and a perceived lack of leadership support.CONCLUSIONS. Influenza vaccination rates among HCWs significantly improved with multiple interventions over the years. However, the BJC HealthCare influenza vaccination target of 80% was not attained at all hospitals with these measures. More aggressive interventions, such as implementing mandatory influenza vaccination policies, are needed to achieve higher vaccination rates. Infect Control Hosp Epidemiol 2010;31:233-240