Columbia University, Mailman School of Public Health, New York, USA.
Disaster Med Public Health Prep. 2013 Aug;7(4):424-30. doi: 10.1017/dmp.2013.72.
Developing and implementing effective strategies to increase influenza vaccination rates among health care personnel is an ongoing challenge, especially during a pandemic. We used participatory action research (PAR) methodology to identify targeted vaccination interventions that could potentially improve vaccine uptake in a medical center.
Front-line medical center personnel were recruited to participate in 2 PAR teams (clinical and nonclinical staff). Data from a recent medical center survey on barriers and facilitators to influenza (seasonal, pandemic, and combination) vaccine uptake were reviewed, and strategies to increase vaccination rates among medical center personnel were identified.
Feasible, creative, and low-cost interventions were identified, including organizational strategies that differed from investigator-identified interventions. The recommended strategies also differed by team. The nonclinical team suggested programs focused on dispelling vaccination-related myths, and the clinical team suggested campaigns emphasizing the importance of vaccination to protect patients.
PAR methodology was useful to identify innovative and targeted recommendations for increasing vaccine uptake. By involving representative front-line workers, PAR may help medical centers improve influenza vaccination rates across all work groups.
制定和实施有效的策略来提高医务人员的流感疫苗接种率是一项持续的挑战，尤其是在大流行期间。我们使用参与式行动研究 (PAR) 方法来确定有针对性的疫苗接种干预措施，这些措施有可能提高医疗中心的疫苗接种率。
招募一线医疗中心人员参加 2 个 PAR 团队（临床和非临床工作人员）。审查了最近关于流感（季节性、大流行和组合）疫苗接种障碍和促进因素的医疗中心调查数据，并确定了提高医疗中心人员疫苗接种率的策略。
确定了可行、有创意且低成本的干预措施，包括与研究人员确定的干预措施不同的组织策略。建议的策略也因团队而异。非临床团队建议开展消除与疫苗接种相关的误解的项目，而临床团队则建议开展强调接种疫苗以保护患者的重要性的活动。
PAR 方法对于确定提高疫苗接种率的创新和有针对性的建议非常有用。通过让有代表性的一线工作人员参与进来，PAR 可能有助于医疗中心提高所有工作群体的流感疫苗接种率。
