Achieving Compliance With Influenza Immunization of Medical House Staff and Students

C. K. Ohrt

88 citations0/0 files storedJAMA

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Vaccine Coverage and Hesitancy Infection Control in Healthcare Intramuscular injections and effects

Abstract

OBJECTIVE: To determine the optimal method to increase influenza immunization rates of medical house staff and students. DESIGN: Prospective randomized trial and cross-sectional survey. STUDY GROUP: Four hundred forty-two internal medicine, obstetrics-gynecology, and general surgery residents and junior medical students. MEASUREMENTS: The four interventions employed were (1) an educational memorandum outlining vaccine indications sent to all study group members, (2) a personal letter mailed to a random sample of half of the remaining unimmunized persons, (3) a telephone call to half of the unimmunized letter recipients, and (4) vaccine offered directly to the remaining unimmunized persons in clinics and conferences. In addition, a questionnaire was administered to all persons requesting or offered vaccine. MAIN RESULTS: During the 3 weeks after the memorandum, 87 (20%) of 442 persons were immunized. Five weeks after the letter, 61 (34%) of persons receiving a letter and 30 (17%) of the no-letter controls (P = .0005) had been immunized. After the telephone call, there was a statistically insignificant trend toward increased compliance. In clinics and conferences, 90% of persons reached were immunized and 10% refused, largely extinguishing the effect of prior interventions. At completion of the study, 275 (62%) of 442 participants were immunized, 29 (7%) refused, and 138 (31%) were not reached. Questionnaire results revealed that only 32% had ever been previously immunized against influenza, yet 70% stated that they had worked despite having influenzalike symptoms. CONCLUSION: A high rate of immunization of house staff and medical students can be achieved most effectively by offering vaccine in clinics and conferences. Continued education about influenza immunization is necessary for physicians and medical students.

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References

1989Barriers to influenza vaccine acceptance A survey of physicians and nurses

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2007Attitudes of health care workers to influenza vaccination: Why are they not vaccinated?2010Knowledge, attitudes and beliefs regarding influenza vaccination among healthcare workers in a Saudi hospital 2023Behavioral interventions for vaccination uptake: A systematic review and meta-analysis 2008Determinants of Flu Vaccination among Nurses: The Effects of Group Identification and Professional Responsibility 2005Influenza Vaccination Among Healthcare Workers in a University Children's Hospital 1997Influenza Vaccination of Healthcare Workers 1994Prevention of Respiratory Infections in Adults 2002Predictors of influenza vaccine. Acceptance among healthy adult workers.

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