关键词: Health workforce Influenza vaccination Prevention Public health Vaccine uptake

来  源:   DOI:10.1016/j.jvacx.2024.100519   PDF(Pubmed)

Abstract:
UNASSIGNED: Vaccination is one of the most effective available public health tools, preventing infectious diseases to safeguard public health and save millions of lives annually. However, in recent years vaccine hesitancy has increased among all populations, including healthcare workers. Healthcare providers are central to vaccination efforts due to their increased exposure to disease and vulnerable patients, and their role in patient confidence and decision-making. These decreasing uptake rates highlight a critical need to address specific barriers within this target group. This systematic review aims to explore the strategies used to improve vaccine uptake among healthcare providers.
UNASSIGNED: A literature search was conducted in PubMed, EMBASE, and MEDLINE databases, alongside a grey literature search, to identify studies describing interventions to improve vaccine uptake among healthcare providers. This was followed by de-duplication and double-blinded screening processes using Rayyan. Data extraction and thematic analysis focused on categorising interventions and identifying frequencies of use, to develop recommendations for further interventions tailored to target regions.
UNASSIGNED: 60 studies were identified, predominantly concerning influenza vaccination. Interventions included educational initiatives, reminders, incentives, access solutions, feedback, and policy implementation. Key strategies included targeted educational lectures, posters, and pamphlets; mobile vaccination units; extended vaccination hours; and leadership engagement. The findings underscore the importance of a multifaceted approach combining educational efforts, enhanced accessibility, and motivational incentives to improve vaccination rates within the healthcare providers, especially where mandatory vaccination is controversial.
UNASSIGNED: This review evaluates tailored strategies to enhance vaccine confidence and uptake among healthcare providers, advocating for a holistic approach that includes educational initiatives, reminder systems, incentives, improved access, feedback mechanisms, and policy enactment to effectively address hesitancy and promote public health.
摘要:
疫苗接种是最有效的公共卫生工具之一,预防传染病,以维护公众健康,每年挽救数百万人的生命。然而,近年来,所有人群对疫苗的犹豫有所增加,包括医护人员。医疗保健提供者是疫苗接种工作的核心,因为他们对疾病和脆弱患者的接触增加,以及它们在患者信心和决策中的作用。这些不断下降的摄取率凸显了解决该目标群体中特定障碍的迫切需要。本系统综述旨在探索用于提高医疗保健提供者疫苗吸收的策略。
在PubMed进行了文献检索,EMBASE,和MEDLINE数据库,在灰色文献搜索的同时,确定描述干预措施的研究,以提高医疗保健提供者的疫苗摄入量。随后是使用Rayyan的去重复和双盲筛选过程。数据提取和专题分析侧重于对干预措施进行分类和确定使用频率,制定针对目标区域的进一步干预措施的建议。
确定了60项研究,主要涉及流感疫苗接种。干预措施包括教育举措,提醒,激励机制,接入解决方案,反馈,和政策执行。关键策略包括有针对性的教育讲座,海报,和小册子;流动疫苗接种单位;延长疫苗接种时间;和领导参与。调查结果强调了结合教育努力的多方面方法的重要性,增强的可访问性,和激励措施,以提高医疗保健提供者的疫苗接种率,尤其是强制接种疫苗有争议的地方。
这篇综述评估了定制的策略,以提高医疗保健提供者对疫苗的信心和吸收,倡导包括教育举措在内的整体方法,提醒系统,激励机制,改善访问,反馈机制,和政策颁布,以有效解决犹豫和促进公共卫生。
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