Fan Jing, Song Ying, Cong Shu, Millman Alexander J, Wang Ning, Greene Carolyn, Zhang Ran, Zhou Suizan, Fang Liwen
National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Centers for Disease Control and Prevention, Atlanta, GA, USA.
Vaccine. 2024 Feb 6;42(4):879-890. doi: 10.1016/j.vaccine.2024.01.015. Epub 2024 Jan 16.
Influenza vaccination coverage is low among persons with non-communicable diseases (NCDs) in China. Chinese health workers (HWs) do not routinely recommend influenza vaccination despite evidence that recommendations increase vaccine uptake. This study aims to assess whether interventions increased primary care HWs' recommendation for influenza vaccination and measure their impact on influenza vaccine uptake in persons with NCDs.
We conducted a cluster randomized controlled study in public primary healthcare clinics in Hubei from November 2018 through April 2019. In the intervention clinics, primary care HWs received training on the benefits of influenza vaccination and were asked to recommend influenza vaccine in routine primary healthcare for persons with NCDs. In the control clinics, primary care HWs did not receive training and provided standard services. We conducted questionnaire surveys before and after the intervention to collect information about recommendations made and receipt of influenza vaccines.
A total of 896 primary care HWs and 4552 persons with NCDs were included. After intervention, a higher percentage of HWs recommended influenza vaccines in intervention clinics compared to control clinics. Vaccinated primary care HWs were more likely to recommend vaccination. Persons with NCDs reported higher influenza vaccination coverage in intervention than control clinics, and primary care HWs' recommendation increased vaccination uptake among persons with NCDs.
Vaccinated primary care HWs were more likely to recommend influenza vaccination than unvaccinated HWs. Promoting primary care HWs' vaccination and encouraging them to recommend influenza vaccination during routine primary healthcare could increase influenza vaccine receipt among persons with NCDs. Registration number ChiCTR2200067140.
在中国，非传染性疾病（NCDs）患者的流感疫苗接种率较低。尽管有证据表明推荐接种可提高疫苗接种率，但中国的医护人员（HWs）并未常规推荐流感疫苗接种。本研究旨在评估干预措施是否能增加基层医疗医护人员对流感疫苗接种的推荐，并衡量其对非传染性疾病患者流感疫苗接种率的影响。
我们于2018年11月至2019年4月在湖北的公立基层医疗诊所进行了一项整群随机对照研究。在干预诊所，基层医疗医护人员接受了流感疫苗接种益处的培训，并被要求在为非传染性疾病患者提供常规基层医疗服务时推荐接种流感疫苗。在对照诊所，基层医疗医护人员未接受培训，提供标准服务。我们在干预前后进行了问卷调查以收集有关推荐情况和流感疫苗接种情况的信息。
共纳入896名基层医疗医护人员和4552名非传染性疾病患者。干预后，与对照诊所相比，干预诊所中推荐流感疫苗的医护人员比例更高。接种过疫苗的基层医疗医护人员更有可能推荐接种。非传染性疾病患者报告称，干预诊所的流感疫苗接种率高于对照诊所，基层医疗医护人员的推荐提高了非传染性疾病患者的疫苗接种率。
接种过疫苗的基层医疗医护人员比未接种的医护人员更有可能推荐流感疫苗接种。推广基层医疗医护人员的疫苗接种并鼓励他们在常规基层医疗服务中推荐流感疫苗接种，可提高非传染性疾病患者的流感疫苗接种率。注册号：ChiCTR2200067140。
