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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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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container_issue 4
container_start_page 293
container_title Annals of family medicine
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creator Abramson, Zvi Howard, MD, MPH
Avni, Ohad, MD
Levi, Orit, MA
Miskin, Ian Nigel, MD
description 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
doi_str_mv 10.1370/afm.1132
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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 &lt;.001). When compared with the rate of immunization for the previous season, the absolute increase in immunization rate was 25.8% in the intervention clinics and 6.6% in the control clinics. Multivariate analysis showed a highly significant ( P &lt;.001) independent association between intervention and immunization, with an odds ratio of 3.51 (95% confidence interval, 2.03-6.09). Conclusion We have developed an effective intervention program to increase previously low vaccination rates among primary health care workers. This simple intervention could be reproduced easily in other clinics and organizations with an expected substantial increase in influenza immunization rates.</description><identifier>ISSN: 1544-1709</identifier><identifier>EISSN: 1544-1717</identifier><identifier>DOI: 10.1370/afm.1132</identifier><identifier>PMID: 20644183</identifier><language>eng</language><publisher>United States: American Academy of Family Physicians</publisher><subject>Adult ; Aged ; Ambulatory Care Facilities - organization &amp; administration ; Confidence Intervals ; Female ; Health Knowledge, Attitudes, Practice ; Health Maintenance Organizations ; Health Policy ; Humans ; Influenza Vaccines ; Influenza, Human - prevention &amp; control ; Internal Medicine ; Israel ; Logistic Models ; Male ; Medical Staff - organization &amp; administration ; Middle Aged ; Multivariate Analysis ; Odds Ratio ; Original Research ; Patient Acceptance of Health Care - statistics &amp; numerical data ; Patient Education as Topic ; Primary Health Care - organization &amp; administration ; Statistics as Topic ; Surveys and Questionnaires ; Young Adult</subject><ispartof>Annals of family medicine, 2010-07, Vol.8 (4), p.293-298</ispartof><rights>Annals of Family Medicine, Inc.</rights><rights>Copyright © Copyright 2010 Annals of Family Medicine, Inc. 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-d80f20c554c89f6005b9595e4b9aae8e610bd811705ecc1cd661cca3638e25b3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2906523/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2906523/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20644183$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Abramson, Zvi Howard, MD, MPH</creatorcontrib><creatorcontrib>Avni, Ohad, MD</creatorcontrib><creatorcontrib>Levi, Orit, MA</creatorcontrib><creatorcontrib>Miskin, Ian Nigel, MD</creatorcontrib><title>Randomized Trial of a Program to Increase Staff Influenza Vaccination in Primary Care Clinics</title><title>Annals of family medicine</title><addtitle>Ann Fam Med</addtitle><description>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 &lt;.001). When compared with the rate of immunization for the previous season, the absolute increase in immunization rate was 25.8% in the intervention clinics and 6.6% in the control clinics. Multivariate analysis showed a highly significant ( P &lt;.001) independent association between intervention and immunization, with an odds ratio of 3.51 (95% confidence interval, 2.03-6.09). Conclusion We have developed an effective intervention program to increase previously low vaccination rates among primary health care workers. This simple intervention could be reproduced easily in other clinics and organizations with an expected substantial increase in influenza immunization rates.</description><subject>Adult</subject><subject>Aged</subject><subject>Ambulatory Care Facilities - organization &amp; administration</subject><subject>Confidence Intervals</subject><subject>Female</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Maintenance Organizations</subject><subject>Health Policy</subject><subject>Humans</subject><subject>Influenza Vaccines</subject><subject>Influenza, Human - prevention &amp; control</subject><subject>Internal Medicine</subject><subject>Israel</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical Staff - organization &amp; administration</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Odds Ratio</subject><subject>Original Research</subject><subject>Patient Acceptance of Health Care - statistics &amp; 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When compared with the rate of immunization for the previous season, the absolute increase in immunization rate was 25.8% in the intervention clinics and 6.6% in the control clinics. Multivariate analysis showed a highly significant ( P &lt;.001) independent association between intervention and immunization, with an odds ratio of 3.51 (95% confidence interval, 2.03-6.09). Conclusion We have developed an effective intervention program to increase previously low vaccination rates among primary health care workers. This simple intervention could be reproduced easily in other clinics and organizations with an expected substantial increase in influenza immunization rates.</abstract><cop>United States</cop><pub>American Academy of Family Physicians</pub><pmid>20644183</pmid><doi>10.1370/afm.1132</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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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
title Randomized Trial of a Program to Increase Staff Influenza Vaccination in Primary Care Clinics
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