The ethics of mandatory vaccination against influenza for health care workers

The ethics of mandatory vaccination against influenza for health care workers
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DOI:
10.1016/j.vaccine.2008.08.002
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发表时间:
2008-10-16
期刊:
影响因子:
5.5
通讯作者:
Verweij, M. F.
Verweij, M. F.
中科院分区:
医学3区
文献类型:
--
作者:
van Delden, J. J. M.;Ashcroft, R.;Verweij, M. F.

文献摘要

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长期护理中的卫生保健工作者(HCW)接种疫苗可间接保护流感高危患者。医护人员自愿接种流感疫苗的比例普遍较低。我们认为照顾体弱长者的机构有责任推行自愿计划,为长者提供流感疫苗。当吸收福尔斯不足时,强制性方案可能是合理的。其主要理由是,护理人员有义务在知道存在重大伤害风险时不伤害病人,而减少这种可能性的干预措施在利益与负担和风险之间取得了有利的平衡。(C)2008爱思唯尔有限公司保留所有权利。
Vaccination of health care workers (HCW) in long-term care results in indirect protection of patients who are at high-risk for influenza. The voluntary uptake of influenza vaccination among HCW is generally low. We argue that institutions caring for frail elderly have the responsibility to implement voluntary programmes for vaccination against influenza of HCW. When uptake falls short a mandatory programme may be justified. The main justification stems from the duty of care givers not to harm one's patient when one knows there is a significant risk of harm and the intervention to reduce this chance has a favourable balance of benefit over burdens and risks. (C) 2008 Elsevier Ltd. All rights reserved.