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Hospital Policies, State Laws, and Healthcare Worker Influenza Vaccination Rates

Published online by Cambridge University Press:  02 January 2015

Richard K. Zimmerman
Affiliation:
Department of Family Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania Department of Behavioral and Community Health Sciences, University of Pittsburgh Graduate School of Public Health, Pittsburgh, Pennsylvania
Chyongchiou Jeng Lin
Affiliation:
Department of Family Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania Department of Health Policy and Management, University of Pittsburgh Graduate School of Public Health, Pittsburgh, Pennsylvania
Mahlon Raymund
Affiliation:
Department of Family Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
Jamie Bialor
Affiliation:
Department of Health Policy and Management, University of Pittsburgh Graduate School of Public Health, Pittsburgh, Pennsylvania
Patricia M. Sweeney
Affiliation:
Department of Health Policy and Management, University of Pittsburgh Graduate School of Public Health, Pittsburgh, Pennsylvania
Mary Patricia Nowalk*
Affiliation:
Department of Family Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
*
Department of Family Medicine, University of Pittsburgh School of Medicine, 3518 5th Avenue, Pittsburgh, PA 15213 (tnowalk@pitt.edu)

Abstract

This study used hierarchical linear modeling to determine the relative contribution of hospital policies and state laws to healthcare worker (HCW) influenza vaccination rates. Hospital mandates with consequences for noncompliance and race were associated with 3%-12% increases in HCW vaccination; state laws were not significantly related to vaccination rates.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2013

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References

1.Centers for Disease Control and Prevention. Influenza vaccination coverage among health-care personnel-2011-12 influenza season, United States. MMWR Morb Mortal Wkly Rep 2012; 61:753757.Google Scholar
2.Rakita, RM, Hagar, BA, Crome, P, Lammert, JK. Mandatory influenza vaccination of healthcare workers: a 5-year study. Infect Control Hosp Epidemiol 2010;31(9):881888.CrossRefGoogle Scholar
3.Esolen, LM, Kilheeney, KL, Merkle, RE, Bothe, A. An alternate approach to improving healthcare worker influenza vaccination rates. Infect Control Hosp Epidemiol 2011;32(7):703705.Google Scholar
4.US Census Bureau. American FactFinder website, http://factfinder2.census.gov/faces/nav/jsf/pages/index.xhtml. Accessed December 19, 2012.Google Scholar
5.Stewart, AM, Cox, MA. State law and influenza vaccination of health care personnel. Vacane 2013;31(5):827832.Google Scholar
6.Miller, BL, Ahmed, F, Lindley, MC, Wortley, PM. Institutional requirements for influenza vaccination of healthcare personnel: results from a nationally representative survey of acute care hospitals-United States, 2011. Clin Infect Dis 2011;53(11): 10511059.CrossRefGoogle Scholar
7.Nowalk, MP, Lin, CJ, Raymund, M, Bialor, J, Zimmerman, RK. Impact of hospital policy on healthcare workers' influenza vaccination rates. Am J Infect Control doi:10.1016/j.ajic.2012.11.011. Electronically published February 16, 2013.Google Scholar
8. Final state-level influenza vaccination coverage estimates for the 2010-11 season-United States, National Immunization Survey and Behavioral Risk Factor Surveillance System, August 2010 through May 2011. Centers for Disease Control and Prevention website, http://www.cdc.gov/flu/professionals/vaccination/coverage_1011estimates.htm. Accessed May 10, 2012.Google Scholar
9.Poland, GA. Mandating influenza vaccination for health care workers: putting patients and professional ethics over personal preference. Vacane 2010;28(36):57575759.Google ScholarPubMed
10.Ottenberg, AL, Wu, JT, Poland, GA, Jacobson, RM, Koenig, BA, Tilburt, JC. Vaccinating health care workers against influenza: the ethical and legal rationale for a mandate. Am J Public Health 2011;101(2):212216.CrossRefGoogle ScholarPubMed