在COVID-19大流行期间,长期护理人员的疫苗接种率
Linette N Leng1, Cassandra L Hua2, David M Dosa3
1Warren Alpert Medical School, Brown University, Providence, RI, USA.
Journal of the American Medical Directors Association
|October 11, 2025
概括
辅助生活工作人员的COVID-19疫苗接种率低于养老院,但较小的社区有所改善. 组织因素,如营利性地位和位置,影响了员工接种疫苗.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 医疗保健管理的管理
背景情况:
- COVID-19 流行病严重影响了长期护理设施,导致高死亡率.
- 疫苗接种工作旨在减轻在养老院和辅助生活社区 (ALCs) 中的病毒传播.
- 关于疫苗接种的数据有限,特别是与养老院工作人员相比,ALC工作人员接种疫苗的数据有限.
研究的目的:
- 为了比较辅助生活工作人员与养老院工作人员之间的COVID-19疫苗接种情况.
- 确定影响在辅助生活设施中疫苗接种率的组织因素.
主要方法:
- 一项横截面研究分析了佛罗里达州紧急报告系统的数据.
- 数据包括2021年2月8日2585个设施的员工接种疫苗数量,2021年2月15日2731个设施的员工接种疫苗数量.
- 后勤回归模型检查了与ALC员工疫苗接种相关的组织因素 (规模,农村,所有权).
主要成果:
- 辅助生活社区,特别是较小的社区,最初的疫苗接种率较低.
- 到2021年2月15日,较小的ALC (<25张床位) 的疫苗接种率显著增加.
- 营利性地位和农村位置与较低的疫苗接种率有关;获得国家资助的较小的城市ALC的疫苗接种率更高.
结论:
- 在辅助生活中,未来的流行病准备必须解决组织障碍和促进者的问题.
- 战略应考虑设施的大小,位置和利状况,以改善疫苗接种率.
- 了解这些因素对于在长期护理机构有效应对紧急情况至关重要.
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