title: Determination of factors required to increase uptake of influenza vaccination among hospital-based healthcare workers.
abstract: A questionnaire study was performed in all eight University Medical Centers in The Netherlands to determine the predictors of influenza vaccination compliance in hospital-based healthcare workers (HCWs). Demographical, behavioural and organisational determinants were assessed based on behavioural and implementation models. Multivariable regression analysis was applied to assess the independent predictors for influenza vaccine uptake. Age >40 years, the presence of a chronic illness, awareness of personal risk and awareness of risk of infecting patients, trust in the effectiveness of the vaccine to reduce the risk of infecting patients, the HCWs' duty to do no harm and their duty to ensure continuity of care, finding vaccination useful despite the constant flow of visitors and having knowledge of the Health Council's advice, social influence and convenient time for vaccination were all independently associated with vaccine uptake. The accuracy of the prediction model was very high (area under the receiver operating curve: 0.95). Intervention programmes to increase influenza vaccine uptake among HCWs should target the relevant determinants identified in this study.
authors.affiliation: University of Groningen, Groningen Research Institute of Pharmacy, Unit Pharmacoepidemiology and Pharmacoeconomics, Groningen, The Netherlands.
authors.forename: C E
authors.initials: CE
authors.lastname: Hopman
authors.forename: J
authors.initials: J
authors.lastname: Riphagen-Dalhuisen
authors.forename: I
authors.initials: I
authors.lastname: Looijmans-van den Akker
authors.forename: G
authors.initials: G
authors.lastname: Frijstein
authors.forename: A D J
authors.initials: AD
authors.lastname: Van der Geest-Blankert
authors.forename: M B
authors.initials: MB
authors.lastname: Danhof-Pont
authors.forename: H J
authors.initials: HJ
authors.lastname: De Jager
authors.forename: A A
authors.initials: AA
authors.lastname: Bos
authors.forename: E
authors.initials: E
authors.lastname: Smeets
authors.forename: M J T
authors.initials: MJ
authors.lastname: De Vries
authors.forename: P M M
authors.initials: PM
authors.lastname: Gallee
authors.forename: A F
authors.initials: AF
authors.lastname: Lenderink
authors.forename: E
authors.initials: E
authors.lastname: Hak
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D003428:Cross Infection / Q000517:prevention & control*; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data; D006282:Health Personnel; D006761:Hospitals; D006801:Humans; D007252:Influenza Vaccines / Q000008:administration & dosage*; D007251:Influenza, Human / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D015233:Models, Statistical; D009426:Netherlands; D011795:Surveys and Questionnaires; D014611:Vaccination / Q000706:statistics & numerical data*
chemical_list: D007252:Influenza Vaccines