Xu Lili, Zhao Jinhua, Peng Zhibin, Ding Xiaojin, Li Yonghong, Zhang Huayi, Feng Huaxiang, Zheng Jiandong, Cao Hailan, Ma Binzhong, Shi Yan, Ma Yongcheng, Feng Luzhao
Institute for Infectious Disease Control and Prevention, Qinghai Provincial Center for Disease Control and Prevention, Qinghai 810007, China.
Key Laboratory of Surveillance and Early-warning on Infectious Disease, Division of Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
Vaccines (Basel). 2020 Feb 19;8(1):92. doi: 10.3390/vaccines8010092.
To evaluate a policy-based intervention to increase seasonal-influenza-vaccination coverage in healthcare workers in Xining, a city in Western China. From October 2018 to March 2019, we implemented a free vaccination policy in healthcare workers in Xining. A face-to-face interview with the head of the infection control department and an online survey for medical staff in four tertiary medical facilities was conducted to understand both the implementation of the free policy and influenza vaccination coverage. Possible factors for influenza vaccination among healthcare workers (physician, nurses working on the front-line, HCWs) were investigated by multivariate-logistic regression. Coverage in two hospitals that implemented the free vaccination policy was 30.5% and 25.9%, respectively, which was statistically different to hospitals that did not implement the free policy (7.2% and 8.7%, respectively) (χ = 332.56, < 0.0001). Among vaccinated healthcare workers, 65.5% and 48.6% reported their main reasons for vaccination were a convenient vaccination service and awareness of the free vaccination policy. The reasons for not being vaccinated among the 3389 unvaccinated healthcare workers included: the inconvenient vaccination service (33.8%), believing vaccination was unnecessary (29.7%), concerns about adverse reactions to the vaccine (28.8%), and having to pay for the vaccine (25.6%). Implementing the free vaccination policy, combined with improving the accessibility of the vaccination service, increased seasonal-influenza vaccination-coverage in healthcare workers in Xining.
为评估一项基于政策的干预措施对提高中国西部城市西宁医护人员季节性流感疫苗接种覆盖率的效果。2018年10月至2019年3月，我们在西宁的医护人员中实施了免费接种疫苗政策。我们对感染控制部门负责人进行了面对面访谈，并对四家三级医疗机构的医务人员进行了在线调查，以了解免费政策的实施情况和流感疫苗接种覆盖率。通过多因素逻辑回归分析调查了医护人员（医生、一线护士、医护工作者）接种流感疫苗的可能因素。实施免费接种疫苗政策的两家医院的接种率分别为30.5%和25.9%，与未实施免费政策的医院（分别为7.2%和8.7%）相比有统计学差异（χ = 332.56，< 0.0001）。在接种疫苗的医护人员中，65.5%和48.6%报告称他们接种疫苗的主要原因是接种服务便捷以及知晓免费接种政策。在3389名未接种疫苗的医护人员中，未接种的原因包括：接种服务不便（33.8%）、认为接种不必要（29.7%）、担心疫苗不良反应（28.8%）以及疫苗需自费（25.6%）。实施免费接种疫苗政策，结合提高接种服务的可及性，提高了西宁医护人员的季节性流感疫苗接种覆盖率。
