Potential influence of seasonal influenza vaccination requirement versus traditional vaccine promotion strategies on unvaccinated healthcare personnel

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• 作者：Mark G. Thompson ; Anne F. McIntyre ; Allison L. Naleway ; Carla Black ; Erin D. Kennedy ; Sarah Ball ; Deborah Klein Walker ; Emily M. Henkle ; Manjusha J. Gaglani
• 关键词：Health care personnel ; Influenza vaccination ; Mandate ; Intervention
• 刊名：Vaccine
• 出版年：2013
• 出版时间：20 August, 2013
• 年：2013
• 卷：31
• 期：37
• 页码：3915-3921
• 全文大小：530 K

文摘

In a prospective cohort study of 1670 healthcare personnel (HCP) providing direct patient care at Scott & White Healthcare in Texas and Kaiser Permanente Northwest in Oregon and Washington, we examined the potential impact of twelve vaccine promotion strategies on the likelihood of being vaccinated. Internet-based surveys were conducted at enrollment (Fall, 2010) and at post-season (Spring, 2011), which asked HCP whether twelve vaccination promotion strategies would make them ¡°much less¡± to ¡°much more¡± likely to be vaccinated next season (on a 5-point Likert scale). Overall, 366 of 1670 HCP (22 % ) were unvaccinated. Half (50 % ) of unvaccinated HCP self-reported that a vaccination requirement would make them more likely to be vaccinated and most (62 % ) identified at least one strategy other than a vaccination requirement that would make them more likely to be vaccinated. In sub-groups of unvaccinated HCPs with specific barriers to vaccination, about one in three (range = 27-35 % ) indicated that interventions targeting specific vaccination barrier would increase the likelihood they would be vaccinated. However, in all cases, significantly more unvaccinated HCP reported that a vaccination requirement would increase the likelihood of vaccination than reported a targeted intervention would have this effect (range in difference scores = +11-23 % ).