在医疗保健工作者中增加疫苗接种范围:积极呼吁和强制性法律. 来自意大利南部一家大型普通医院的数据
Pasquale Stefanizzi1, Antonio Di Lorenzo1, Luca Capodiferro2
1Bari Aldo Moro University, Interdisciplinary Department of Medicine, Italy.
Vaccine
|July 16, 2024
概括
一项积极的召回干预成功地提高了意大利南部卫生保健工作者流感疫苗接种率. 这一战略与强制性政策相结合,改善了疫苗接种率,强调了主动沟通和可访问服务的重要性.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 医疗保健管理的管理
背景情况:
- 流感和SARS-CoV-2对医疗保健系统和患者构成重大风险.
- 医疗保健工作者 (HCW) 的强制性疫苗接种政策存在,但通常不会达到最佳覆盖率.
- 在阿普利亚的高温病房中,以前的流感疫苗接种覆盖率为43.16%,SARS-CoV-2覆盖率为21.87%.
研究的目的:
- 评估主动召回干预对高职工流感和SARS-CoV-2疫苗接种覆盖率的有效性.
- 评估影响干预后接种疫苗的因素.
- 了解强制性政策和积极召回对疫苗接种率的综合影响.
主要方法:
- 在2023-2024赛季期间,针对未接种疫苗的HCW实施了积极的召回干预,包括电子邮件提醒和预约约.
- 该研究将2022-2023赛季的疫苗接种率与2023-2024赛季的疫苗接种率进行了比较.
- 用回归分析来确定与疫苗接种增加相关的因素.
主要成果:
- 在2023-2024赛季,流感疫苗接种覆盖率从43.16%增加到54.11%.
- 在同一时期,SARS-CoV-2疫苗接种覆盖率从21.87%下降到13.58%.
- 电子邮件接收和医生身份与流感疫苗接种增加有关,而SARS-CoV-2接种受到年龄,性别,职位和风险区域的影响.
结论:
- 积极召回干预,加上软委托方法,有效地增加了HCWs中流感疫苗接种率.
- 专门的约会和清晰的沟通可能会提高便利性和合规性.
- 强制性政策和积极召回策略的协同效应对于改善医疗保健机构的疫苗接种覆盖率至关重要.
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