A Successful Strategy for Increasing the Influenza Vaccination Rate of Healthcare Workers without a Mandatory Policy Outside of the United States: A Multifaceted Intervention in a Japanese Tertiary Care Center

Honda, Hitoshi; Sato, Yumiko; Yamazaki, Akinori; Padival, Simi; Kumagai, Akira; Babcock, Hilary M.

doi:10.1086/673452

Cited by 27 publications

(24 citation statements)

References 29 publications

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“…Publication years ranged from 1992 to 2015. Most studies were BnA without a control group, [27][28][29][30][31][32][33][38][39][40][42][43][44][45][46]48 43,56 Five studies 35,41,54,58,71 evaluated separately more than one intervention on the same population or using the same controls, and 2 studies 27,28 were also performed on the same population. In two studies, 34,42 the same intervention was evaluated in independent populations or settings.…”

Section: Resultsmentioning

confidence: 99%

“…In five studies ascertainment of vaccination was via self-report, 29,44,46,61,62 and in 2 the method was unclear 59,67 ; the remaining studies used objective means to ascertain vaccination. Completeness or near-completeness of outcome data could be established for 6 studies, 27,28,39,45,62,69 while 3 studies used questionnaires and had a low (<50%) response rate, raising the possibility of selection bias. No study (including the controlled studies) had a reliable method of tracking participants that were vaccinated off-site or outside study arrangements.…”

Section: Resultsmentioning

confidence: 99%

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Interventions to increase seasonal influenza vaccine coverage in healthcare workers: A systematic review and meta-regression analysis

Lytras

Kopsachilis

Mouratidou

et al. 2015

Human Vaccines & Immunotherapeutics

105

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Influenza vaccination is recommended for healthcare workers (HCWs), but coverage is often low. We reviewed studies evaluating interventions to increase seasonal influenza vaccination coverage in HCWs, including a meta-regression analysis to quantify the effect of each component. Fourty-six eligible studies were identified. Domains conferring a high risk of bias were identified in most studies. Mandatory vaccination was the most effective intervention component (Risk Ratio of being unvaccinated [RR unvacc ] D 0.18, 95% CI: 0.08-0.45), followed by "soft" mandates such as declination statements (RR unvacc D 0.64, 95% CI: 0.45-0.92), increased awareness (RR unvacc D 0.83, 95% CI: 0.71-0.97) and increased access (RR unvacc D 0.88, 95% CI: 0.78-1.00). For incentives the difference was not significant, while for education no effect was observed. Heterogeneity was substantial (t 2 D 0.083). These results indicate that effective alternatives to mandatory HCWs influenza vaccination do exist, and need to be further explored in future studies.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Interventions to increase seasonal influenza vaccine coverage in healthcare workers: A systematic review and meta-regression analysis

Lytras

Kopsachilis

Mouratidou

et al. 2015

Human Vaccines & Immunotherapeutics

105

View full text Add to dashboard Cite

show abstract

“…79 Similar interventions in different settings, with the addition of manager accountability for coverage rates in some cases, have yielded good results. [80][81][82][83][84] One post-intervention survey established that employees explicitly cited the inconvenience and stigma of having to wear a mask as the strongest motivator to get vaccinated. 81 These multifaceted, sometimes logistically-challenging interventions have nevertheless been ascertained to be relatively inexpensive in industrialized countries, around US$ 20-30 per vaccine administered, 85 which is cost-effective when accounting for reduced employee absenteeism.…”

Section: Benefits and Risks In Healthcare Settingsmentioning

confidence: 99%

Vaccination of healthcare workers: A review

Haviari

Bénet

Saadatian‐Elahi

et al. 2015

Human Vaccines & Immunotherapeutics

141

119

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“…In previous studies, group education alone had limited effects in improving vaccination rates, and phone interviews and OC were found to result in a meaningful improvement in vaccination uptake [17][18][19].…”

Section: Discussionmentioning

confidence: 99%

Changes in the vaccination rate among healthcare workers in response to hospital policies

Lee

Park

Lee

et al. 2018

J Infect Dev Ctries

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Introduction: Vaccination is the most effective method of preventing infectious disease among healthcare workers (HCWs). Although HCWs are recommended to receive vaccination, the vaccination rates have been low. We sought to investigate the effect of HCWs’ vaccination recommendation program by the types of enforcement and influencing factors on compliance, with the aim of enhancing their immunity. Methodology: First and second interventions were carried out. During the first intervention, vaccinations were recommended through official documents. Hepatitis B vaccination was mandatory. Diphtheria toxoid, acellular pertussis (Tdap) and Hepatitis A vaccinations were recommended without financial support. MMR and varicella vaccinations were recommended with fees for the antibody test were covered by the hospital. One-to-one consultation (OC) regarding vaccination was held in the second intervention. Aside from the OC, the second intervention followed the same procedure as the first intervention for the antibody tests and vaccination, but differed in that pertussis vaccination fees were covered. Results: The immunization rates for infectious diseases were greater after the second intervention than the first intervention. The rate of immunized HCWs with hepatitis B virus was 100% at the end of the second intervention. The greatest increase in immunization rates from the first to the second intervention was that for pertussis, and the second greatest was that for hepatitis A. Age and working units were influencing factors on hepatitis A vaccine compliance. Conclusions: In order to increase vaccination rates, efforts must be made to deliver information to individual HCWs through OC as well as financial support including a mandatory policy.

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A Successful Strategy for Increasing the Influenza Vaccination Rate of Healthcare Workers without a Mandatory Policy Outside of the United States: A Multifaceted Intervention in a Japanese Tertiary Care Center

Abstract: "A successful strategy for increasing the influenza vaccination rate of healthcare workers without a mandatory policy outside of the United States: A multifaceted intervention in a Japanese tertiary care center

Cited by 27 publications

References 29 publications

Interventions to increase seasonal influenza vaccine coverage in healthcare workers: A systematic review and meta-regression analysis

Interventions to increase seasonal influenza vaccine coverage in healthcare workers: A systematic review and meta-regression analysis

Vaccination of healthcare workers: A review

Changes in the vaccination rate among healthcare workers in response to hospital policies

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