增加医务人员流感疫苗接种率的相关因素（翻译有奖）

潮水

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
Objective.To ascertain which components of healthcare worker (HCW) influenza vaccination programs are associated with higher vaccination rates.

Design.Survey.

Setting.University-affiliated hospitals.

Methods.Participating hospitals were surveyed with regard to their institutional HCW influenza vaccination program for the 2007–2008 influenza season. Topics assessed included vaccination adherence and availability, use of declination statements, education methods, accountability, and data reporting. Factors associated with higher vaccination rates were ascertained.

Results.Fifty hospitals representing 368,696 HCWs participated in the project. The median vaccination rate was 55.0% (range, 25.6%–80.6%); however, the types of HCWs targeted by vaccination programs varied. Programs with the following components had significantly higher vaccination rates: weekend provision of vaccine (58.8% in those with this feature vs 43.9% in those without;  P=0.01), train-the-trainer programs (59.5% vs 46.5%;  P=0.005), report of vaccination rates to administrators (57.2% vs 48.1%;  P=0.04) or to the board of trustees (63.9% vs 53.4%;  P=0.01), a letter sent to employees emphasizing the importance of vaccination (59.3% vs 47%;  P=0.01), and any form of visible leadership support (57.9% vs 36.9%;P=0.01  ). Vaccination rates were not significantly different between facilities that did and those that did not require a signed declination form for HCWs who refused vaccination (56.9% vs 55.1%; P=0.68 ), although the precise content of such statements varied.

Conclusions.Vaccination programs that emphasized accountability to the highest levels of the organization, provided weekend access to vaccination, and used train-the-trainer programs had higher vaccination coverage. Of concern, the types of HCWs targeted by vaccination programs differed, and uniform definitions will be essential in the event of public reporting of vaccination rates.

gemao

目的：确定有高接种率的健康工作者（HCW）流感接种计划的组成。
调查设计
地点：大学附属医院
方法： 由多家医院参加的调查，根据他们在2007年-2008年流感季节期间，为 HCW制定的流感接种计划进行调查。评估题目包括接种的忠诚和有效，使用倾斜政策的说明，教育方法，责任性和数据报告。确定关于高接种率的相关因素。
结果： 50家医院368696位HCW参加此项计划。中位接种率是55%（范围25.6%—80.6%）；但是，针对HCW的接种计划类型却不尽相同。以下组成的计划有明显高的接种率：周末提供接种（58.8%以这种方式 vs 43.9% 没有采用此方式;  P=0.01），向管理者报告接种率(57.2% vs 48.1%;  P=0.04)；或托管董事会(63.9% vs 53.4%;  P=0.01),；向员工致信强调接种的重要性(59.3% vs 47%;  P=0.01)，以及任何可见形式的领导支持(57.9% vs 36.9%;P=0.01  )，在那些拒绝接种的HCW的员工确采取明显倾斜政策和没有采取者倾斜政策的接种率没有显著差别，(56.9% vs 55.1%; P=0.68 )，尽管这种声明的准确内容不尽相同。
结论：强调最高水平责任性的组织，提供周未接种，使用train-the-trainer 计划的接种计划有较高的接种覆盖率。值得关注的是，针对HCW的免疫计划的不同，统一的倾斜政策是接种率公共报告的必须。
部分词汇的意思理解有些困难，努力尝试中。