School of Public Health and Community Medicine, Faculty of Medicine, University of New South Wales, New South Wales, Australia.
BMC Health Serv Res. 2012 Sep 19;12:325. doi: 10.1186/1472-6963-12-325.
In Australia, whether to provide free influenza vaccine to health care workers (HCWs) is a policy decision for each hospital or jurisdiction, and is therefore not uniform across the country. This study explored hospital policies and practices regarding occupational influenza vaccination of HCWs in Australia.
A study using qualitative methodology, which included semi-structured interviews, was undertaken with hospital staff involved with the delivery of occupational influenza vaccination from three states in Australia.
The 29 participants were responsible for vaccinating staff in 82 hospitals. Major themes in the responses were the lack of resources and the difficulties participants faced in procuring any additional support or funding from their institutions. All study sites provided vaccine free of charge to employees via on-site clinics or mobile carts, and used multiple strategies to inform and educate their staff. In some instances, declination forms had been adopted, however their use was associated with resourcing issues, animosity, and other problems. Participants who were responsible for multiple sites were more likely to recount lower vaccination coverage figures at their hospitals.
From these interviews, it is clear that hospitals are implementing multiple strategies to educate, promote, and deliver the vaccine to staff. However, resources and support are not always available to assist with the vaccination campaign. The reality for many hospitals is that there is limited capacity to implement the vaccination campaigns at the levels high enough to raise compliance rates. Further research needs to be conducted to quantify the factors contributing to higher uptake in the Australian hospital setting.
在澳大利亚，是否向医护人员（HCWs）提供免费流感疫苗是每个医院或管辖区的政策决定，因此全国并不统一。本研究探讨了澳大利亚医院中有关 HCWs 职业性流感疫苗接种的政策和实践。
采用定性研究方法，对来自澳大利亚三个州参与职业性流感疫苗接种的医院工作人员进行了半结构式访谈。
29 名参与者负责为 82 家医院的员工接种疫苗。回应中的主要主题是缺乏资源，以及参与者在从其机构获得任何额外支持或资金方面所面临的困难。所有研究地点都通过现场诊所或流动车免费向员工提供疫苗，并使用多种策略为员工提供信息和教育。在某些情况下，已经采用了拒绝接种表格，但它们的使用与资源问题、敌意和其他问题有关。负责多个地点的参与者更有可能报告其医院的疫苗接种率较低。
从这些访谈中可以清楚地看出，医院正在实施多种策略来教育、宣传和向员工提供疫苗。然而，资源和支持并不总是可用于协助疫苗接种活动。许多医院的现实情况是，没有足够的能力在足以提高合规率的水平上实施疫苗接种活动。需要进一步研究，以量化在澳大利亚医院环境中导致更高接种率的因素。
