Randomized Trial of a Program to Increase Staff Influenza Vaccination in Primary Care Clinics

Abstract Purpose Although vaccination of health care workers against influenza is widely recommended, vaccination uptake is low. Data on interventions to increase staff immunization in primary care are lacking. We examine the effect of a promotional and educational intervention program, not addressi...

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Bibliographic Details
Published in:Annals of family medicine 2010-07, Vol.8 (4), p.293-298
Main Authors: Abramson, Zvi Howard, MD, MPH, Avni, Ohad, MD, Levi, Orit, MA, Miskin, Ian Nigel, MD
Format: Article
Language:English
Subjects:
Adult
Aged
Ambulatory Care Facilities - organization & administration
Confidence Intervals
Female
Health Knowledge, Attitudes, Practice
Health Maintenance Organizations
Health Policy
Humans
Influenza Vaccines
Influenza, Human - prevention & control
Internal Medicine
Israel
Logistic Models
Male
Medical Staff - organization & administration
Middle Aged
Multivariate Analysis
Odds Ratio
Original Research
Patient Acceptance of Health Care - statistics & numerical data
Patient Education as Topic
Primary Health Care - organization & administration
Statistics as Topic
Surveys and Questionnaires
Young Adult
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Summary:Abstract Purpose Although vaccination of health care workers against influenza is widely recommended, vaccination uptake is low. Data on interventions to increase staff immunization in primary care are lacking. We examine the effect of a promotional and educational intervention program, not addressing vaccine availability, to raise the influenza vaccination rate among staff in primary care clinics. Methods The study included all 344 staff members with direct patient contact (physicians, nurses, pharmacists, and administrative and ancillary staff) in 27 primary care community clinics in the Jerusalem area during the 2007-2008 influenza season. Thirteen clinics were randomly selected for an intervention that consisted of a lecture session given by a family physician, e-mail-distributed literature and reminders, and a key figure from the local staff who personally approached each staff member. Results Influenza immunization rate was 52.8% (86 of 163) in the intervention group compared with 26.5% (48 of 181) in the control group ( P
ISSN:1544-1709
1544-1717
DOI:10.1370/afm.1132