Strategies associated with COVID-19 vaccine coverage among nursing home staff
| Autor: | Rosa R. Baier, Michael Leitson, Nimalie D. Stone, Courtney Bishnoi, Sarah D. Berry, Radhika Gharpure, Maggie Syme, Natalia Gouskova, Ruth Link-Gelles, David R. Gifford, Urvi Patel |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty COVID-19 Vaccines Coronavirus disease 2019 (COVID-19) Clinical Investigations coronavirus Pharmacy Logistic regression staff Reward Medicine Humans Clinical Investigation Motivation business.industry Vaccination COVID-19 Odds ratio Middle Aged United States Stratified sampling Nursing Homes nursing home Incentive Family medicine Case-Control Studies vaccine hesitancy Female Nursing Staff Geriatrics and Gerontology Vaccination Hesitancy business Nursing homes long‐term care facility |
| Zdroj: | Journal of the American Geriatrics Society |
| ISSN: | 1532-5415 |
| Popis: | BACKGROUND: After the first of three COVID-19 vaccination clinics in U.S. nursing homes (NHs), the median vaccination coverage of staff was 37.5%, indicating the need to identify strategies to increase staff coverage. We aimed to compare the facility-level activities, policies, incentives, and communication methods associated with higher staff COVID-19 vaccination coverage. METHODS: Design Case-control analysis. Setting Nationally stratified random sample of 1,338 U.S. NHs participating in the Pharmacy Partnership for Long-Term Care Program. Participants Nursing home leadership Measurement During February 4-March 2, 2021, we surveyed NHs with low ( 75%) staff vaccination coverage, to collect information on facility strategies used to encourage staff vaccination. Cases were respondents with medium and high vaccination coverage, whereas controls were respondents with low coverage. We used logistic regression modeling, adjusted for county and NH characteristics, to identify strategies associated with facility-level vaccination coverage. RESULTS: We obtained responses from 413 of 1,338 NHs (30.9%). Compared with facilities with lower staff vaccination coverage, facilities with medium or high coverage were more likely to have designated frontline staff champions (medium: adjusted odds ratio [aOR] 3.6, 95% CI 1.3-10.3; high: aOR 2.9, 95% CI 1.1-7.7) and set vaccination goals (medium: aOR 2.4, 95% 1.0-5.5; high: aOR 3.7, 95% CI 1.6-8.3). NHs with high vaccination coverage were more likely to have given vaccinated staff rewards such as T-shirts compared with NHs with low coverage (aOR 3.8, 95% CI 1.3-11.0). Use of multiple strategies was associated with greater likelihood of facilities having medium or high vaccination coverage: for example, facilities that used ≥9 strategies were three times more likely to have high staff vaccination coverage than facilities using |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text