Anikeeva Olga, Braunack-Mayer Annette, Rogers Wendy
Discipline of Public Health, School of Population Health and Clinical Practice, Mail Drop 207, The University of Adelaide, Adelaide SA 5005, Australia.
Am J Public Health. 2009 Jan;99(1):24-9. doi: 10.2105/AJPH.2008.136440. Epub 2008 Nov 13.
Annual influenza vaccination for health care workers has the potential to benefit health care professionals, their patients, and their families by reducing the transmission of influenza in the health care setting. Furthermore, staff vaccination programs are cost-effective for health care institutions because of reduced staff illness and absenteeism. Despite international recommendations and strong ethical arguments for annual influenza immunization for health care professionals, staff utilization of vaccination remains low. We have analyzed the ethical implications of a variety of efforts to increase vaccination rates, including mandatory influenza vaccination. A program of incentives and sanctions may increase health care worker compliance with fewer ethical impediments than mandatory vaccination.
医护人员每年接种流感疫苗有可能通过减少医疗环境中流感的传播,使医护专业人员、他们的患者及其家人受益。此外,由于员工疾病和缺勤率降低,员工疫苗接种计划对医疗机构具有成本效益。尽管有国际建议以及为医护专业人员每年进行流感免疫接种的有力伦理依据,但疫苗接种的员工利用率仍然很低。我们分析了包括强制接种流感疫苗在内的各种提高接种率措施的伦理影响。与强制接种疫苗相比,激励和制裁计划可能会提高医护人员的依从性,且伦理障碍更少。