Abstract:
OBJECTIVES:Notwithstanding decades of efforts to increase the uptake of seasonal influenza (flu) vaccination among European healthcare workers (HCWs), the immunisation rates are still unsatisfactory. In order to understand the reasons for the low adherence to flu vaccination, a study was carried out among HCWs of two healthcare organisations in Liguria, a region in northwest Italy. METHODS:A cross-sectional study based on anonymous self-administered web questionnaires was carried out between October 2013 and February 2014. Through univariate and multivariate regression analysis, the study investigated the association between demographic and professional characteristics, knowledge, beliefs and attitudes of the study participants and (i) the seasonal flu vaccination uptake in the 2013/2014 season and (ii) the self-reported number of flu vaccination uptakes in the six consecutive seasons from 2008/2009 to 2013/2014. RESULTS:A total of 830 HCWs completed the survey. Factors statistically associated with flu vaccination uptake in the 2013/2014 season were: being a medical doctor and agreeing with the statements 'flu vaccine is safe', 'HCWs have a higher risk of getting flu' and 'HCWs should receive flu vaccination every year'. A barrier to vaccination was the belief that pharmaceutical companies influence decisions about vaccination strategies. DISCUSSION:All the above-mentioned factors, except the last one, were (significantly) associated with the number of flu vaccination uptakes self-reported by the respondents between season 2008/2009 and season 2013/2014. Other significantly associated factors appeared to be level of education, being affected by at least one chronic disease, and agreeing with mandatory flu vaccination in healthcare settings. CONCLUSIONS:This survey allows us to better understand the determinants of adherence to vaccination as a fundamental preventive strategy against flu among Italian HCWs. These findings should be used to improve and customise any future promotion campaigns to overcome identified barriers to immunisation.
journal_name
BMJ Openjournal_title
BMJ openauthors
Durando P,Alicino C,Dini G,Barberis I,Bagnasco AM,Iudici R,Zanini M,Martini M,Toletone A,Paganino C,Massa E,Orsi A,Sasso Ldoi
10.1136/bmjopen-2015-010779subject
Has Abstractpub_date
2016-05-17 00:00:00pages
e010779issue
5issn
2044-6055pii
bmjopen-2015-010779journal_volume
6pub_type
杂志文章,多中心研究相关文献
BMJ Open文献大全abstract:INTRODUCTION:Depressive disorders are very common diseases entailing a great burden on affected people. However, comprehensive information on long-term disease course in patients with severe depression is lacking so far. The objectives of the DELTA study are to examine long-term outcomes and their predicting factors, t...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032507
更新日期:2019-12-23 00:00:00
abstract:INTRODUCTION:In the context of a population that is growing older, and a number of high-profile scandals about care standards in hospital and community settings, having a skilled and knowledgeable workforce caring for older people is an ethical and policy imperative. Support workers make up the majority of the workforc...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2014-005356
更新日期:2014-05-30 00:00:00
abstract:INTRODUCTION:Recent studies suggest that endoplasmic reticulum stress may play a critical role in the pathogenesis of amyotrophic lateral sclerosis (ALS) through an altered regulation of the proteostasis, the cellular pathway-balancing protein synthesis and degradation. A key mechanism is thought to be the dephosphoryl...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2016-015434
更新日期:2017-08-11 00:00:00
abstract:OBJECTIVES:To investigate if centre-specific levels of perinatal interventional activity were associated with neonatal and neurodevelopmental outcome at 2 years of age in two separately analysed cohorts of infants: cohort A born at 22-25 and cohort B born at 26-27 gestational weeks, respectively. DESIGN:Geographically...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-024560
更新日期:2019-03-15 00:00:00
abstract:OBJECTIVES:The study analysed medical malpractice claims to assess patient safety in hospitals. The information derived from malpractice claims reflects potential risks and could help lead to reducing medical errors and improving patient safety. DESIGN, SETTING:We analysed 4380 medical malpractice claims from 351 grad...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034681
更新日期:2020-09-24 00:00:00
abstract:OBJECTIVE:To determine the effect of preoperative patient and hospital factors on resource use, cost and length of stay (LOS) among patients undergoing off-pump coronary artery bypass grafting (OPCAB). DESIGN:Observational retrospective study. SETTINGS:Data from the Japanese Administrative Database. PARTICIPANTS:Pat...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-008750
更新日期:2015-11-17 00:00:00
abstract:OBJECTIVES:To understand how the uptake of an extended primary care service in the evenings and weekend varied by day of week and over time. Secondary objectives were to understand patient demographics of users of the service and how these varied by type of appointment and to core hour users. DESIGN:Observational stud...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028138
更新日期:2019-09-05 00:00:00
abstract:INTRODUCTION:Over 5 billion people in the world do not have access to safe, affordable surgical and anaesthesia care when needed. In order to improve health outcomes in patients with surgical conditions, both access to care and the quality of care need to be improved. A recent commission on high-quality health systems ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036615
更新日期:2020-05-30 00:00:00
abstract:OBJECTIVES:Cost-efficient active case finding (ACF) approaches are needed for their large-scale adoption in national tuberculosis (TB) programmes. Our aim was to assess if community health workers' (CHW) knowledge about families' health status can improve the cost efficiency of the ACF programme without adversely affec...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036625
更新日期:2020-10-01 00:00:00
abstract:OBJECTIVES:To determine the availability of continuous positive airway pressure (CPAP) and to provide an overview of its use in neonatal units in government hospitals across India. SETTING:Cross-sectional cluster survey of a nationally representative sample of government hospitals from across India. PRIMARY OUTCOMES:...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031128
更新日期:2020-02-28 00:00:00
abstract:OBJECTIVE:Both pregestational and gestational diabetes mellitus (PGDM, GDM) occur more frequently in First Nations (North American Indians) pregnant women than their non-Indigenous counterparts in Canada. We assessed whether the impacts of PGDM and GDM on perinatal and postneonatal mortality may differ in First Nations...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-025084
更新日期:2019-04-15 00:00:00
abstract:OBJECTIVES:To investigate whether gestational age modifies the association of airway infections that result in hospital admission during the first year after birth, with subsequent asthma risk after age 5 years. SETTING:Hospital inpatients and a general population comparison group in Sweden followed for subsequent dia...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-004034
更新日期:2013-10-29 00:00:00
abstract:OBJECTIVES:The COVID-19 pandemic has required drastic safety measures to control virus spread, including an extended self-isolation period. Stressful situations increase alcohol craving and consumption in alcohol use disorder (AUD) and non-AUD drinkers. Thus, we assessed how COVID-19 related stress may have affected dr...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2020-044276
更新日期:2020-11-26 00:00:00
abstract:OBJECTIVES:This study aimed to determine the seroprevalence of Toxoplasma gondii (T. gondii) infection in pregnant women in Matehuala City, Mexico; and the associated risk factors. DESIGN:A cross-sectional study. SETTING:Matehuala City, Mexico. PARTICIPANTS:311 pregnant women. PRIMARY AND SECONDARY OUTCOME MEASURES...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033995
更新日期:2020-08-06 00:00:00
abstract:OBJECTIVES:While increasing attention is paid to the rising prevalence of chronic diseases in Africa, there is little focus on chronic kidney disease (CKD). This systematic review assesses CKD burden among the general population and high-risk groups on the entire African continent. DESIGN, SETTING AND PARTICIPANTS:We ...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2016-015069
更新日期:2018-01-10 00:00:00
abstract:INTRODUCTION:Surgery is the standard curative treatment for lung cancer but is only possible in patients with local tumour and preserved exercise capacity. Improving fitness before surgery can reduce postoperative complications and mortality. However, preoperative rehabilitation remains difficult to implement for sever...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2017-017307
更新日期:2017-11-12 00:00:00
abstract:OBJECTIVE:To assess the seroprevalence of recent/acute and past exposure to rubella virus infection and associated risk factors among pregnant women. DESIGN:A hospital-based cross-sectional study. SETTING:The study was conducted in two public hospitals in Hawassa City, Southern Ethiopia. PARTICIPANTS:A total of 422 ...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2017-016824
更新日期:2017-10-05 00:00:00
abstract:OBJECTIVE:Outpatient parenteral antimicrobial therapy (OPAT) provides opportunities for improved cost savings, but in the UK, implementation is patchy and a variety of service models are in use. The slow uptake in the UK and Europe is due to a number of clinical, financial and logistical issues, including concern about...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-019099
更新日期:2018-01-10 00:00:00
abstract:OBJECTIVES:To gather knowledge on the current debate, opinions and attitudes of Italian patient and citizen groups on individual participant data (IPD) sharing from clinical studies. DESIGN:Cross-sectional online survey. SETTING AND PARTICIPANTS:A 22-item online questionnaire was sent by email to 2003 contacts of pat...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-024863
更新日期:2019-02-19 00:00:00
abstract:INTRODUCTION:There are several local treatment methods for cervical intraepithelial neoplasia that remove or ablate a cone-shaped part of the uterine cervix. There is evidence to suggest that these increase the risk of preterm birth (PTB) and that this is higher for techniques that remove larger parts of the cervix, al...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028009
更新日期:2019-10-21 00:00:00
abstract:OBJECTIVES:In Taiwan, peritoneal dialysis (PD) and haemodialysis are fully accessible to patients with end-stage renal disease. However, the usage of PD is considered low in Taiwan. Since 2005, 4 major policies have been implemented by Taiwan's Ministry of Health and Welfare, namely a multidisciplinary predialysis care...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-013007
更新日期:2017-01-11 00:00:00
abstract:OBJECTIVE:The COVID-19 pandemic has set unprecedented demand on the healthcare workforce around the world. The UK has been one of the most affected countries in Europe. The aim of this study was to explore the perceptions and experiences of healthcare workers (HCWs) in relation to COVID-19 and care delivery models impl...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-040503
更新日期:2020-11-05 00:00:00
abstract:INTRODUCTION:Patients presenting with acute intracerebral haemorrhage are at a high risk of exhibiting haematoma expansion, a phenomenon that can significantly worsen long-term functioning. Numerous clinical and radiological factors are associated with expansion. In a bid to better select patients at increased risk of ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-024744
更新日期:2019-01-21 00:00:00
abstract:OBJECTIVE:To explore how patients who are wait-listed for or who have received a kidney transplant understand the current UK kidney allocation system, and their views on ways to allocate kidneys in the future. DESIGN:Qualitative study using semistructured interviews and thematic analysis based on a pragmatic approach....
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-013896
更新日期:2017-01-27 00:00:00
abstract:OBJECTIVES:The difference between income quintiles in health is relatively well accepted by the general public as a measure of health inequality. However, the slope index of inequality (SII) in health reflects the patterns of all social groups, including the middle 60%, and it could therefore be considered more academi...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028687
更新日期:2019-06-27 00:00:00
abstract:INTRODUCTION:Given that polypharmacy and potentially inappropriate prescribing are common in elderly orthopaedic patients, pharmacist interventions to improve medication practices among this population are important. However, past studies have reported mixed results regarding the effectiveness of pharmacist-led interve...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-021924
更新日期:2018-07-30 00:00:00
abstract:OBJECTIVE:To evaluate the impact of the community-based newborn care package (CBNCP) on six essential practices to improve neonatal health. METHODS:CBNCP pilot districts were matched to comparison districts using propensity scores. Impact on birth preparedness, antenatal care seeking, antenatal care quality, delivery ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-015285
更新日期:2017-10-05 00:00:00
abstract:OBJECTIVES:The objective of this study was to explore whether reducing the material supplied to external experts during peer review and decreasing the burden of response would maintain review quality into prioritising research questions for a major research funder. METHODS AND ANALYSIS:Clinical experts who agreed to r...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2017-016104
更新日期:2017-08-21 00:00:00
abstract:OBJECTIVE:We aimed to estimate the gender-specific prevalence and associated factors of hypertension among elderly people in Bangladesh. DESIGN AND METHOD:We analysed data from the food security and nutrition surveillance round 2018-2019. The multistage cluster sampling method was used to select the study population. ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038326
更新日期:2021-01-21 00:00:00
abstract:OBJECTIVES:To assess the impact of both the Committee on Safety of Medicines (CSM) warning (December 2003) and the National Institute for Health and Care Excellence (NICE) guidance (September 2005) on antidepressant prescription rates in children and adolescents within the UK primary care service. SETTING:Population b...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028201
更新日期:2019-08-07 00:00:00