Effects of a multi-faceted program to increase influenza vaccine uptake among health care workers in nursing homes: A cluster randomised controlled trial

被引:42
作者
Looijmans-van den Akker, I. [2 ]
van Delden, J. J. M. [2 ]
Verheij, Th. J. M. [2 ]
van der Sande, M. A. B. [3 ]
van Essen, G. A. [2 ]
Riphagen-Dalhuisen, J. [1 ]
Hulscher, M. E. [4 ]
Hak, E. [1 ,2 ,5 ]
机构
[1] Univ Med Ctr Groningen, Dept Epidemiol, NL-9700 RB Groningen, Netherlands
[2] Univ Med Ctr Utrecht, Julius Ctr Hlth Sci & Primary Hlth Care, NL-3508 GA Utrecht, Netherlands
[3] Natl Inst Publ Hlth & Environm, Ctr Infect Dis Control, Epidemiol & Surveillance Unit, NL-3720 BA Bilthoven, Netherlands
[4] Radboud Univ Nijmegen, Med Ctr, Sci Inst Qual Healthcare IQ Healthcare, NL-6500 HB Nijmegen, Netherlands
[5] Univ Groningen, Dept Pharm, Unit Pharmacoepidemiol & Pharmacoecon, Groningen, Netherlands
关键词
Health care workers; Influenza vaccination; Intervention; LONG-TERM-CARE; IMMUNIZATION; INTERVENTION; QUALITY; RESIDENTS; MORTALITY; RATES; STAFF;
D O I
10.1016/j.vaccine.2010.05.003
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Despite the recommendation of the Dutch association of nursing home physicians (NVVA) to be immunized against influenza, vaccine uptake among HCWs in nursing homes remains unacceptably low. Therefore we conducted a cluster randomised controlled trial among 33 Dutch nursing homes to assess the effects of a systematically developed multi-faceted intervention program on influenza vaccine uptake among HCWs. The intervention program resulted in a significantly higher, though moderate, influenza vaccine uptake among HCWs in nursing homes. To take full advantage of this measure, either the program should be adjusted and implemented over a longer time period or mandatory influenza vaccination should be considered. (C) 2010 Elsevier Ltd. All rights reserved.
引用
收藏
页码:5086 / 5092
页数:7
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