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Access, Education and Policy Awareness: Predictors of Influenza Vaccine Acceptance Among VHA Healthcare Workers

Published online by Cambridge University Press:  23 June 2017

Jennifer Lipkowitz Eaton ,
David C. Mohr ,
Kathleen M. McPhaul ,
Richard A. Kaslow  and
Richard A. Martinello
Jennifer Lipkowitz Eaton*
Affiliation:
Department of Veterans Affairs, Office of Patient Care Services, Occupational Health Services, Washington, DC
David C. Mohr
Affiliation:
Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Boston, Massachusetts School of Public Health, Boston University, Boston, Massachusetts
Kathleen M. McPhaul
Affiliation:
Department of Veterans Affairs, Office of Patient Care Services, Occupational Health Services, Washington, DC
Richard A. Kaslow
Affiliation:
Department of Veterans Affairs, Office of Public Health, Washington, DC
Richard A. Martinello
Affiliation:
Departments of Internal Medicine and Pediatrics, Yale School of Medicine, New Haven, Connecticut
*
Address correspondence to Jennifer Lipkowitz Eaton MD, MPH, Medical Advisor for Analytics, VHA Office of Occupational Health Services, 1717 H Street NW, Washington DC 20006 (Jennifer.Lipkowitz-Eaton@va.gov).
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Abstract

OBJECTIVE

To identify predictors of influenza vaccine acceptance among VHA healthcare workers (HCWs), with emphasis on modifiable factors related to promotion campaigns.

DESIGN

Survey.

SETTING

National single-payer healthcare system with 140 hospitals and 321,000 HCWs.

PARTICIPANTS

National voluntary sample of HCWs in the Veterans Health Administration (VHA) system.

METHODS

We invited a random sample of 5% of all VHA HCWs to participate. An 18-item intranet-based survey inquired about occupation, vaccination status, employer policy, and local campaign efforts.

RESULTS

The response rate was 17.4%. Of 2,502 initial respondents, 2,406 (96.2%) provided usable data. This sample includes respondents from all 140 VA hospitals. Self-reported influenza vaccination rates were highest among physicians (95.6%) and licensed independent providers (88.3%). Nonclinical staff (80.7%) reported vaccine uptake similar to other certified but nonlicensed providers (81.2%). The strongest predictor of vaccine acceptance among VHA HCWs was individual awareness of organizational policy. Vaccine acceptance was also higher among HCWs who reported more options for access to vaccination and among those in facilities with more education activities.

CONCLUSIONS

Influenza vaccine acceptance varied significantly by employee awareness of employer policy and on-site access to vaccine. Employer-sponsored activities to increase access continue to show positive returns across occupations. Local influenza campaign efforts to educate HCWs may have reached saturation in this target group. These results suggest that focused communications to increase HCW awareness and understanding of employer policy can drive further increase in influenza vaccination acceptance.

Infect Control Hosp Epidemiol 2017;38:970–975

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 38 , Issue 8 , August 2017 , pp. 970 - 975
Copyright
© 2017 by The Society for Healthcare Epidemiology of America. All rights reserved 

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References

REFERENCES

1. Koh, HK, Gordon, JL. Breaking through the status quo: improving influenza vaccination coverage among health-care personnel. Public Health Rep 2013;128:26–28.CrossRefGoogle ScholarPubMed
2. R3 report/requirement, rationale, reference—influenza vaccination for licensed independent practitioners and staff. The Joint Commission website. http://www.jointcommission.org/assets/1/18/R3_Report_Issue_3_5_18_12_final.pdf. Published 2012. Accessed December 9, 2016.Google Scholar
3. Black, CL, Yue, X, Ball, SW, et al. Influenza vaccination coverage among health care personnel—United States, 2015–16 influenza season. Morb Mortal Wkly Rep 2016;65:1026–1031.CrossRefGoogle ScholarPubMed
4. Lam, PP, Chambers, LW, MacDougall, DM, McCarthy, AE. Seasonal influenza vaccination campaigns for health care personnel: systematic review. CMAJ 2010;182:E542–E548.CrossRefGoogle ScholarPubMed
5. Greene, MT, Fowler, KE, Krein, SL, et al. Influenza vaccination requirements for healthcare personnel in US hospitals: results of a national survey. Infect Control Hosp Epidemiol 2016;37:485–487.CrossRefGoogle ScholarPubMed
6. Shrikrishna, D, Williams, S, Restrick, L, Hopkinson, NS. Influenza vaccination for NHS staff: attitudes and uptake. BMJ Open Respir Res 2015;2:e000079.CrossRefGoogle ScholarPubMed
7. Riphagen-Dalhuisen, J, Gefenaite, G, Hak, E. Predictors of seasonal influenza vaccination among healthcare workers in hospitals: a descriptive meta-analysis. Occup Environ Med 2012;69:230–235.Google Scholar
8. Osatuke, K, Draime, J, Moore, SC, et al. Organization development in the Department of Veterans Affairs. In: Miller T, ed. The Praeger handbook of veterans health: history, challenges, issues and developments, Volume IV: Future directions in veterans healthcare. Santa Barbara, CA: Praeger; 2012:21–76.Google Scholar
9. VHA directive 2012-30: credentialing of health care professionals. Veterans Health Administration website. http://vaww.va.gov/vhapublications/publications.cfm?pub=1&order=desc&orderby=pub_Number. Published 2012. Accessed August 12, 2016.Google Scholar
10. Talbot, T, Dellit, TH, Hebden, J, Sama, D, Cuny, J. Factors associated with increased healthcare worker influenza vaccination rates: results from a national survey of university hospitals and medical centers. Infect Control Hosp Epidemiol 2010;31:456–462.CrossRefGoogle ScholarPubMed
11. Rakita, RM, Hagar, BA, Crome, P, Lammert, JK. Mandatory influenza vaccination of healthcare workers: a 5-year study. Infect Control Hosp Epidemiol 2010;31:881–888.CrossRefGoogle Scholar
12. Hirsch, P, Hodgson, M, Davey, V. Seasonal influenza vaccination of healthcare employees: results of a 4-year campaign. Infect Control Hosp Epidemiol 2011;32:444–448.CrossRefGoogle ScholarPubMed
13. Chambers, LW, Crowe, L, Lam, PP, et al. A new approach to improving healthcare personnel influenza immunization programs: a randomized controlled trial. PLoS One 2015;10:e0118368.CrossRefGoogle ScholarPubMed
14. Seale, H, Leask, J, MacIntye, RC. Awareness, attitudes and behavior of hospital healthcare workers toward a mandatory vaccination directive. Vaccine 2011;29:3734–3737.CrossRefGoogle Scholar
15. Harris, KM, Uscher-Pines, L, Han, B, Lindley, MC, Lorick, SA. The impact of influenza vaccination requirements for hospital personnel in California: knowledge, attitudes, and vaccine uptake. Am J Infect Control 2014;42:288–293.CrossRefGoogle ScholarPubMed
16. Maurer, J, Harris, JM, Black, CL, Euler, GL. Support for seasonal influenza vaccination requirements among US Healthcare Personnel. Infect Control Hosp Epidemiol 2012;35:213–221.CrossRefGoogle Scholar
17. 2020 Topics and Objectives: Immunizations and Infectious Diseases; Objective IID-12.13. HealthyPeople2020. Office of Disease Prevention and Health Promotion website. http://www.healthypeople.gov/2020/topics-objectives/topic/immunization-and-infectious-diseases/objectives#4658. Published 2014, Accessed May 11, 2017.Google Scholar
18. Hollmeyer, HG, Hayden, F, Poland, G, Buchholz, U. Influenza vaccination of health care workers in hospitals—a review of studies on attitudes and predictors. Vaccine 2009;27:3935–3944.CrossRefGoogle ScholarPubMed
19. Modak, RM, Parris, SM, Dilisi, JP, Premkumar, A. Increasing influenza vaccination rates among hospital employees without a mandatory policy. Infect Control Hosp Epidemiol 2012;33:1288–1289.CrossRefGoogle ScholarPubMed
20. Llupià, A, Mena, G, Olivé, V, Quesada, S, et al. Evaluating influenza vaccination campaigns beyond coverage: a before-after study among health care workers. Am J Infect Control 2013;41:674–678.CrossRefGoogle ScholarPubMed
21. Razouki, Z, Knighton, T, Martinello, RA, et al. Organizational factors associated with health care provider (HCP) influenza campaigns in the veterans health care system: a qualitative study. BMC Health Serv Res 2016;16. doi: 10.1186/s12913-016-1462-y.Google ScholarPubMed
22. Schult, TM, Awosika, ER, Hodgson, MJ, et al. Innovative approaches for understanding seasonal influenza vaccine declination in healthcare personnel support development of new campaign strategies. Infect Control Hosp Epidemiol 2012;33:924–931.CrossRefGoogle ScholarPubMed
23. Ajenjo, MC, Woeltje, KF, Babcock, HM, Gemeinhart, N, Jones, M, Fraser, VJ. Influenza vaccination among healthcare workers: ten-year experience of a large healthcare organization. Infect Control Hosp Epidemiol 2010;31:233–240.CrossRefGoogle ScholarPubMed
24. Sartor, C, Tissot-Dupont, H, Zandotti, C, Martin, F, Roques, P, Drancourt, M. Use of a mobile cart influenza program for vaccination of hospital employees. Infect Control Hosp Epidemiol 2004;25:918–922.CrossRefGoogle ScholarPubMed