Mandatory influenza vaccination of healthcare workers: a 5-year study. Rakita, M, R., Hagar, A, B., Crome, P., Lammert, & K, J. Infection control and hospital epidemiology: the official journal of the Society of Hospital Epidemiologists of America, 31(9):881--888, September, 2010.
doi  abstract   bibtex   
BACKGROUND: The rate of influenza vaccination among healthcare workers (HCWs) is low, despite a good rationale and strong recommendations for vaccination from many health organizations. OBJECTIVE: To increase influenza vaccination rates by instituting the first mandatory influenza vaccination program for HCWs. DESIGN AND SETTING: A 5-year study (from 2005 to 2010) at Virginia Mason Medical Center, a tertiary care, multispecialty medical center in Seattle, Washington, with approximately 5,000 employees. METHODS: All HCWs of the medical center were required to receive influenza vaccination. HCWs who were granted an accommodation for medical or religious reasons were required to wear a mask at work during influenza season. The main outcome measure was rate of influenza vaccination among HCWs. RESULTS: In the first year of the program, there were a total of 4,703 HCWs, of whom 4,588 (97.6%) were vaccinated, and influenza vaccination rates of more than 98% were sustained over the subsequent 4 years of our study. Less than 0.7% of HCWs were granted an accommodation for medical or religious reasons and were required to wear a mask at work during influenza season, and less than 0.2% of HCWs refused vaccination and left Virginia Mason Medical Center. CONCLUSION: A mandatory influenza vaccination program for HCWs is feasible, results in extremely high vaccination rates, and can be sustained over the course of several years.
@article{ rakita_mandatory_2010,
  title = {Mandatory influenza vaccination of healthcare workers: a 5-year study},
  volume = {31},
  issn = {1559-6834},
  shorttitle = {Mandatory influenza vaccination of healthcare workers},
  doi = {10.1086/656210},
  abstract = {{BACKGROUND}: The rate of influenza vaccination among healthcare workers ({HCWs}) is low, despite a good rationale and strong recommendations for vaccination from many health organizations.
{OBJECTIVE}: To increase influenza vaccination rates by instituting the first mandatory influenza vaccination program for {HCWs}.
{DESIGN} {AND} {SETTING}: A 5-year study (from 2005 to 2010) at Virginia Mason Medical Center, a tertiary care, multispecialty medical center in Seattle, Washington, with approximately 5,000 employees.
{METHODS}: All {HCWs} of the medical center were required to receive influenza vaccination. {HCWs} who were granted an accommodation for medical or religious reasons were required to wear a mask at work during influenza season. The main outcome measure was rate of influenza vaccination among {HCWs}.
{RESULTS}: In the first year of the program, there were a total of 4,703 {HCWs}, of whom 4,588 (97.6%) were vaccinated, and influenza vaccination rates of more than 98% were sustained over the subsequent 4 years of our study. Less than 0.7% of {HCWs} were granted an accommodation for medical or religious reasons and were required to wear a mask at work during influenza season, and less than 0.2% of {HCWs} refused vaccination and left Virginia Mason Medical Center.
{CONCLUSION}: A mandatory influenza vaccination program for {HCWs} is feasible, results in extremely high vaccination rates, and can be sustained over the course of several years.},
  language = {eng},
  number = {9},
  journal = {Infection control and hospital epidemiology: the official journal of the Society of Hospital Epidemiologists of America},
  author = {Rakita, Robert M and Hagar, Beverly A and Crome, Patricia and Lammert, Joyce K},
  month = {September},
  year = {2010},
  pmid = {20653445},
  keywords = {Attitude of Health Personnel, Female, Health Personnel, Hospitals, University, Humans, Immunization Programs, Influenza, Human, Influenza Vaccines, Male, Mandatory Programs, Occupational Health, Occupational Health Services, Vaccination, Washington},
  pages = {881--888}
}

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