We appreciate the comments by Dr Sim and Dr Wiwanitkit on our article,
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where they raised some important issues regarding mandatory health care worker influenza
vaccination programs. Although evidence suggests that mandatory vaccination policies
increase health care worker vaccination rates in acute care settings,
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we note that there is a lack of evidence regarding the effectiveness of mandatory
policies in long-term care settings and that there are legal and ethical challenges
to mandatory vaccination.To read this article in full you will need to make a payment
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References
- Health care worker influenza vaccination in Oregon nursing homes: Correlates of facility characteristics.J Am Med Dir Assoc. 2014 Jul 20; (pii: S1525-8610(14)00346-6. http://dx.doi.org/10.1016/j.jamda.2014.06.005. [Epub ahead of print])
- Mandatory influenza vaccination of health care workers: Translating policy to practice.Clin Infect Dis. 2010; 50: 459-464
- Mandatory influenza vaccination of healthcare workers: A 5-year study.Infect Control Hosp Epidemiol. 2010; 31: 881-888
- Healthcare workers under a mandated H1N1 vaccination policy with employment termination penalty: A survey to assess employee perception.Vaccine. 2014; 32: 4786-4790
- Barriers and facilitators to influenza vaccination and vaccine coverage in a cohort of health care personnel.Am J Infect Control. 2014; 42: 371-375
- Mandatory vaccination of health care workers.N Engl J Med. 2009; 361: 2015-2017
- Requiring influenza vaccination for health care workers.Am J Public Health. 2009; 99: 24-29
- Should RNs be forced to get the flu vaccine? Some facilities are mandating it, in an effort to protect patients.AJN Am J Nurs. 2006; 106: 76-79
- Point: Mandatory influenza vaccination for all heath care workers? Seven reasons to say “no.”.Clin Infect Dis. 2006; 42: 1141-1143
- The effectiveness of vaccine day and educational interventions on influenza vaccine coverage among health care workers at long-term care facilities.Am J Public Health. 2007; 97: 684-690
- Influenza vaccination among healthcare workers: Ten-year experience of a large healthcare organization.Infect Control Hosp Epidemiol. 2010; 31: 233-240
Article info
Publication history
Published online: October 02, 2014
Identification
Copyright
© 2014 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.
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- Healthcare Worker Influenza Vaccination in Nursing HomesJournal of the American Medical Directors AssociationVol. 15Issue 11
- PreviewThe report on “Healthcare Worker Influenza Vaccination in Nursing Homes”1 is very interesting. Campbell et al1 reported that “Given that [nursing homes] generally have low employee influenza vaccination rates, it may be necessary to target low-performing facilities to achieve substantial improvements.” In fact, the problem of prevention for influenza among paramedical personnel and students is an important issue that is usually forgotten.2,3 To increase influenza vaccination is the aim of present infection control.
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