Mandatory seasonal influenza vaccination or masking of British Columbia health care workers: Year 1.
Identifieur interne : 000263 ( Main/Exploration ); précédent : 000262; suivant : 000264Mandatory seasonal influenza vaccination or masking of British Columbia health care workers: Year 1.
Auteurs : Doran S. Ksienski [Canada]Source :
- Canadian journal of public health = Revue canadienne de sante publique [ 1920-7476 ] ; 2014.
Descripteurs français
- KwdFr :
- MESH :
- administration et posologie : Vaccins antigrippaux.
- Colombie-Britannique, Grippe humaine, Humains, Masques, Personnel de santé, Politique de santé, Programmes obligatoires, Saisons, Vaccination.
English descriptors
- KwdEn :
- MESH :
- chemical , administration & dosage : Influenza Vaccines.
- prevention & control : Influenza, Human.
- statistics & numerical data : Health Personnel, Masks, Vaccination.
- British Columbia, Health Policy, Humans, Mandatory Programs, Seasons.
Abstract
OBJECTIVE
The Influenza Prevention Policy ("the Policy") aims to increase seasonal influenza vaccination coverage among British Columbia (BC) health care workers (HCWs).
PARTICIPANTS
HCWs who work in publicly funded facilities and attend patient care areas.
SETTING
The Policy was announced in August 2012 and took effect province-wide during the 2012/13 flu season.
INTERVENTION
BC HCWs are required to receive seasonal influenza vaccination by the start of the flu season (December 1) or wear a mask while at work until the flu season ends (March 30). Vaccinated HCWs need to wear a green dot on their identification tag. HCWs are expected to report noncompliant coworkers. As initially proposed, continued noncompliance with the Policy could result in termination of employment (ultimately this component was put in abeyance).
OUTCOME
For the 2012/13 flu season, 74% of HCWs (35,889/48,818) at acute care facilities received influenza vaccination compared with 40% (23,375/58,212) in 2011/12 (difference in proportion=0.33, 95% confidence interval [CI]: 0.33-0.34, p<0.001). Similarly, staff vaccination rates at residential care facilities increased from 57% (21,535/37,700) for the 2011/12 flu season to 75% (27,617/36,620) in 2012/13 (difference in proportion=0.18, 95% CI: 0.18-0.19, p<0.001). Health care unions claimed that the Policy was coercive, and they launched an unsuccessful grievance with the BC Labour Relations Board.
CONCLUSION
Implementation of the Policy was associated with increased HCW vaccination; the Policy was upheld by an independent arbitrator. Further research is required to correlate HCW vaccination coverage rates with changes in influenza incidence and its complications. Continued stakeholder engagement is vital to achieve a collaborative decision-making process.
DOI: 10.17269/cjph.105.4346
PubMed: 25166135
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Ksienski</name><affiliation wicri:level="1"><nlm:affiliation>British Columbia Cancer Agency. dksienski@bccancer.bc.ca.</nlm:affiliation><country wicri:rule="url">Canada</country></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:25166135</idno><idno type="pmid">25166135</idno><idno type="doi">10.17269/cjph.105.4346</idno><idno type="wicri:Area/Main/Corpus">000257</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000257</idno><idno type="wicri:Area/Main/Curation">000257</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000257</idno><idno type="wicri:Area/Main/Exploration">000257</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Mandatory seasonal influenza vaccination or masking of British Columbia health care workers: Year 1.</title><author><name sortKey="Ksienski, Doran S" sort="Ksienski, Doran S" uniqKey="Ksienski D" first="Doran S" last="Ksienski">Doran S. Ksienski</name><affiliation wicri:level="1"><nlm:affiliation>British Columbia Cancer Agency. dksienski@bccancer.bc.ca.</nlm:affiliation><country wicri:rule="url">Canada</country></affiliation></author></analytic><series><title level="j">Canadian journal of public health = Revue canadienne de sante publique</title><idno type="eISSN">1920-7476</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>British Columbia</term><term>Health Personnel (statistics & numerical data)</term><term>Health Policy</term><term>Humans</term><term>Influenza Vaccines (administration & dosage)</term><term>Influenza, Human (prevention & control)</term><term>Mandatory Programs</term><term>Masks (statistics & numerical data)</term><term>Seasons</term><term>Vaccination (statistics & numerical data)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Colombie-Britannique</term><term>Grippe humaine ()</term><term>Humains</term><term>Masques ()</term><term>Personnel de santé ()</term><term>Politique de santé</term><term>Programmes obligatoires</term><term>Saisons</term><term>Vaccination ()</term><term>Vaccins antigrippaux (administration et posologie)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Influenza Vaccines</term></keywords><keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Vaccins antigrippaux</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Health Personnel</term><term>Masks</term><term>Vaccination</term></keywords><keywords scheme="MESH" xml:lang="en"><term>British Columbia</term><term>Health Policy</term><term>Humans</term><term>Mandatory Programs</term><term>Seasons</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Colombie-Britannique</term><term>Grippe humaine</term><term>Humains</term><term>Masques</term><term>Personnel de santé</term><term>Politique de santé</term><term>Programmes obligatoires</term><term>Saisons</term><term>Vaccination</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>The Influenza Prevention Policy ("the Policy") aims to increase seasonal influenza vaccination coverage among British Columbia (BC) health care workers (HCWs).</p></div><div type="abstract" xml:lang="en"><p><b>PARTICIPANTS</b></p><p>HCWs who work in publicly funded facilities and attend patient care areas.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>The Policy was announced in August 2012 and took effect province-wide during the 2012/13 flu season.</p></div><div type="abstract" xml:lang="en"><p><b>INTERVENTION</b></p><p>BC HCWs are required to receive seasonal influenza vaccination by the start of the flu season (December 1) or wear a mask while at work until the flu season ends (March 30). Vaccinated HCWs need to wear a green dot on their identification tag. HCWs are expected to report noncompliant coworkers. As initially proposed, continued noncompliance with the Policy could result in termination of employment (ultimately this component was put in abeyance).</p></div><div type="abstract" xml:lang="en"><p><b>OUTCOME</b></p><p>For the 2012/13 flu season, 74% of HCWs (35,889/48,818) at acute care facilities received influenza vaccination compared with 40% (23,375/58,212) in 2011/12 (difference in proportion=0.33, 95% confidence interval [CI]: 0.33-0.34, p<0.001). Similarly, staff vaccination rates at residential care facilities increased from 57% (21,535/37,700) for the 2011/12 flu season to 75% (27,617/36,620) in 2012/13 (difference in proportion=0.18, 95% CI: 0.18-0.19, p<0.001). Health care unions claimed that the Policy was coercive, and they launched an unsuccessful grievance with the BC Labour Relations Board.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Implementation of the Policy was associated with increased HCW vaccination; the Policy was upheld by an independent arbitrator. Further research is required to correlate HCW vaccination coverage rates with changes in influenza incidence and its complications. Continued stakeholder engagement is vital to achieve a collaborative decision-making process.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25166135</PMID><DateCompleted><Year>2015</Year><Month>04</Month><Day>07</Day></DateCompleted><DateRevised><Year>2020</Year><Month>02</Month><Day>05</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1920-7476</ISSN><JournalIssue CitedMedium="Internet"><Volume>105</Volume><Issue>4</Issue><PubDate><Year>2014</Year><Month>Jul</Month><Day>11</Day></PubDate></JournalIssue><Title>Canadian journal of public health = Revue canadienne de sante publique</Title><ISOAbbreviation>Can J Public Health</ISOAbbreviation></Journal><ArticleTitle>Mandatory seasonal influenza vaccination or masking of British Columbia health care workers: Year 1.</ArticleTitle><Pagination><MedlinePgn>e312-6</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The Influenza Prevention Policy ("the Policy") aims to increase seasonal influenza vaccination coverage among British Columbia (BC) health care workers (HCWs).</AbstractText><AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">HCWs who work in publicly funded facilities and attend patient care areas.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">The Policy was announced in August 2012 and took effect province-wide during the 2012/13 flu season.</AbstractText><AbstractText Label="INTERVENTION" NlmCategory="METHODS">BC HCWs are required to receive seasonal influenza vaccination by the start of the flu season (December 1) or wear a mask while at work until the flu season ends (March 30). Vaccinated HCWs need to wear a green dot on their identification tag. HCWs are expected to report noncompliant coworkers. As initially proposed, continued noncompliance with the Policy could result in termination of employment (ultimately this component was put in abeyance).</AbstractText><AbstractText Label="OUTCOME" NlmCategory="RESULTS">For the 2012/13 flu season, 74% of HCWs (35,889/48,818) at acute care facilities received influenza vaccination compared with 40% (23,375/58,212) in 2011/12 (difference in proportion=0.33, 95% confidence interval [CI]: 0.33-0.34, p<0.001). Similarly, staff vaccination rates at residential care facilities increased from 57% (21,535/37,700) for the 2011/12 flu season to 75% (27,617/36,620) in 2012/13 (difference in proportion=0.18, 95% CI: 0.18-0.19, p<0.001). Health care unions claimed that the Policy was coercive, and they launched an unsuccessful grievance with the BC Labour Relations Board.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Implementation of the Policy was associated with increased HCW vaccination; the Policy was upheld by an independent arbitrator. Further research is required to correlate HCW vaccination coverage rates with changes in influenza incidence and its complications. 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