Assessing Interventions To Improve Influenza Vaccine Uptake Among Health Care Workers

Abstract

Despite official recommendations for health care workers to receive the influenza vaccine, uptake remains low. This systematic review of randomized controlled trials was conducted to understand the evidence about interventions to improve influenza vaccine uptake among health care workers. We identified twelve randomized controlled trials that, collectively, assessed six major categories of interventions involving 193,924 health care workers in high-income countries. The categories were educational materials and training sessions, improved access to the vaccine, rewards following vaccination, organized efforts to raise vaccine awareness, reminders to get vaccinated, and the use of lead advocates for vaccination. Only one of the four studies that evaluated the effect of a single intervention in isolation demonstrated a significantly higher vaccine uptake rate in the intervention group, compared to controls. However, five of the eight studies that evaluated a combination of strategies showed significantly higher vaccine uptake. Despite the low quality of the studies identified, the data suggest that combined interventions can moderately increase vaccine uptake among health care workers. Further methodologically appropriate trials of combined interventions tailored to individual health care settings and incorporating less-studied strategies would enhance the evidence about interventions to improve immunization uptake among health care workers.

Üçüncü basamak sağlık hizmeti veren hastane çalışanlarının mevsimsel grip aşısına yönelik yaklaşımları

“…Since risk perception of vaccination rates is higher in pandemics periods, Sevencan et al found the rates 36.4% whereas Ormen et al detected the rates up to 40.0% [13,14]. The reason for lower rates of vaccination in similar studies conducted worldwide is similar to the reasons detected in our country [15,16,17]. The most common reasons for rejection of the vaccination include being afraid of side effects of the vaccine, not believing the effectiveness of the vaccine and not considering the vaccine safe [18].…”

Workplace interventions associated with influenza vaccination coverage among health care personnel in ambulatory care settings during the 2013-2014 and 2014-2015 influenza seasons

“…These results were similar to results from recent review articles on interventions to increase influenza vaccination coverage among HCP, which reported that vaccination uptake increases with an increasing number of intervention program components in hospital and non-hospital settings. 24,27,35 …”

Socialization, Indifference, and Convenience: Exploring the Uptake of Influenza Vaccine Among Medical Students and Early Career Doctors

“…However, there has been little qualitative research into these phenomena; thus, the relationship between these factors and why they arise remains unclear. Previous attempts to improve vaccine uptake have had limited success; however, studies which include a combination of interventions (focused around education, convenience, and leadership) appear slightly more effective ( Rashid et al, 2016 )—suggesting that some ambiguous complexities remain in current understanding.…”