Mandatory seasonal influenza vaccination or masking of British Columbia health care workers: Year 1
Mandatory seasonal influenza vaccination or masking of British Columbia health care workers: Year 1
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DOI：
10.17269/cjph.105.4346
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发表时间：
2014-07-01
影响因子：
4.3
通讯作者：
Ksienski, Doran S.
中科院分区：
文献类型：
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作者：
Ksienski, Doran S.
目的：流感预防政策（“该政策”）旨在增加不列颠哥伦比亚省（BC）卫生保健工作者（HCWs）的季节性流感疫苗接种覆盖率。参与者：在公共资助机构工作并在病人护理领域工作的卫生保健员。环境：该政策于2012年8月公布，并于2012/13年流感季节在全省范围内实施。干预措施：BC省卫生保健工作者必须在流感季节开始前（12月1日）接种季节性流感疫苗，或者在流感季节结束前（3月30日）上班时戴口罩。接种疫苗的卫生保健员需要在他们的识别标签上佩戴一个绿点。医护人员应该举报不合规的同事。正如最初提议的那样，继续不遵守政策可能导致雇佣关系的终止（最终这部分被搁置）。结果：在2012/13流感季节，74%的急症护理机构卫生保健员（35,889/48,818）接种了流感疫苗，而2011/12年度为40%(23,375/58,212)(比例差异=0.33,95%可信区间[CI]: 0.33-0.34, p
OBJECTIVE: The Influenza Prevention Policy ("the Policy") aims to increase seasonal influenza vaccination coverage among British Columbia (BC) health care workers (HCWs).PARTICIPANTS: HCWs who work in publicly funded facilities and attend patient care areas.SETTING: The Policy was announced in August 2012 and took effect province-wide during the 2012/13 flu season.INTERVENTION: BC HCWs are required to receive seasonal influenza vaccination by the start of the flu season (December 1) or wear a mask while at work until the flu season ends (March 30). Vaccinated HCWs need to wear a green dot on their identification tag. HCWs are expected to report noncompliant coworkers. As initially proposed, continued noncompliance with the Policy could result in termination of employment (ultimately this component was put in abeyance).OUTCOME: For the 2012/13 flu season, 74% of HCWs (35,889/48,818) at acute care facilities received influenza vaccination compared with 40% (23,375/58,212) in 2011/12 (difference in proportion=0.33, 95% confidence interval [CI]: 0.33-0.34, p