MMWR Morb Mortal Wkly Rep. 2014 Sep 19;63(37):812-5.
Annual influenza vaccination is recommended for all health care personnel (HCP). In August 2011, the Centers for Medicare and Medicaid Services (CMS) published a final rule requiring acute care hospitals that participate in its Hospital Inpatient Quality Reporting Program to report HCP influenza vaccination data through the National Healthcare Safety Network (NHSN) beginning January 1, 2013. Data reported by 4,254 acute care hospitals, covering the period October 1, 2013, through March 31, 2014, were analyzed to collect estimates of the proportion of HCP vaccinated nationally and by state for three groups: (1) employees, (2) licensed independent practitioners (LIPs), and (3) adult students/trainees and volunteers. Overall in the United States, 81.8% of hospital-based HCP were reported vaccinated, with the highest proportion (86.1%) among employees and the lowest (61.9%) among LIPs. The proportion reported vaccinated varied widely by state, with ranges of 69.0%-97.6% for employees, 33.8%-93.6% for LIPs, and 50.3%-96.3% for adult students/trainees and volunteers. Public reporting of vaccination data has been shown to increase HCP influenza vaccination coverage. These new NHSN data provide a baseline for measuring changes in future hospital-based reporting of HCP influenza vaccination.
每年都建议所有医护人员（HCP）接种流感疫苗。2011 年 8 月，医疗保险和医疗补助服务中心（CMS）发布了一项最终规定，要求参与其医院住院患者质量报告计划的急症护理医院从 2013 年 1 月 1 日起通过国家医疗保健安全网络（NHSN）报告 HCP 流感疫苗接种数据。对 4254 家急症护理医院报告的数据进行了分析，这些数据涵盖了 2013 年 10 月 1 日至 2014 年 3 月 31 日的时间段，以收集全国和各州 HCP 接种疫苗的比例估计值，分为三组：（1）员工，（2）持照独立从业者（LIPs），和（3）成年学生/受训人员和志愿者。总体而言，美国有 81.8%的医院为 HCP 接种了疫苗，其中员工的比例最高（86.1%），LIPs 的比例最低（61.9%）。报告接种疫苗的比例因州而异，员工的比例范围为 69.0%-97.6%，LIPs 的比例范围为 33.8%-93.6%，成年学生/受训人员和志愿者的比例范围为 50.3%-96.3%。疫苗接种数据的公开报告已被证明可以提高 HCP 流感疫苗接种率。这些新的 NHSN 数据为衡量未来医院报告 HCP 流感疫苗接种情况的变化提供了基准。
