ArticleAmerican journal of infection control2015
Employee influenza vaccination in a large cancer center with high baseline compliance rates: comparison of carrot versus stick approaches.
Article in American journal of infection control, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 4 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Interventions targeting healthcare worker influenza vaccination: A systematic review.Human vaccines & immunotherapeutics · 2025Pooled it
- Effectiveness of interventions to increase healthcare workers' adherence to vaccination against vaccine-preventable diseases: a systematic review and meta-analysis, 1993 to 2022.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2024Pooled it
- Behavioral interventions for vaccination uptake: A systematic review and meta-analysis.Health policy (Amsterdam, Netherlands) · 2023Pooled it
- Interventions to increase seasonal influenza vaccine coverage in healthcare workers: A systematic review and meta-regression analysis.Human vaccines & immunotherapeutics · 2016Pooled it
- Barriers and facilitators of seasonal influenza vaccinations in German and Chinese health care workers - a comparative cross-sectional study.BMC public health · 2026Article
- Article
- Implementation strategies to increase seasonal influenza vaccination among adults: A rapid scoping review.Human vaccines & immunotherapeutics · 2025Article
- Root causes of low influenza vaccination coverage rates among nurses working in a tertiary care university hospital in Turkey: result of a study using nominal group technique.Clinical and experimental vaccine research · 2025Article
- Adult vaccination coverage in the United States: A database analysis and literature review of improvement strategies.Human vaccines & immunotherapeutics · 2024Review
- Digital Gamification Tool (Let's Control Flu) to Increase Vaccination Coverage Rates: Proposal for Algorithm Development.JMIR research protocols · 2024Article
- 'Leading from the front' implementation increases the success of influenza vaccination drives among healthcare workers: a reanalysis of systematic review evidence using Intervention Component Analysis (ICA) and Qualitative Comparative Analysis (QCA).BMC health services research · 2022Article
- Increasing influenza vaccination coverage in healthcare workers: a review on campaign strategies and their effect.Infection · 2021Review
- Seasonal influenza vaccine in immunocompromised persons.Human vaccines & immunotherapeutics · 2018Review
- Immunization of Health-Care Providers: Necessity and Public Health Policies.Healthcare (Basel, Switzerland) · 2016Review
- Infection Prevention in Transplantation.Current infectious disease reports · 2016Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundInfluenza is a major complication in patients with cancer and hematopoietic cell transplant recipients. We set out to maximize influenza vaccination rates in health care personnel at our large ambulatory cancer center with high baseline compliance and to assess alternatives to mandatory policies.
methodsBaseline influenza vaccine compliance rates at our center were >85%. During 2011 an incentive-based "carrot" campaign was implemented, and in 2012 a penalty-based "stick" approach to declining staff was required. Yearly approaches were compared using Kaplan-Meier survival estimates.
resultsBoth the incentive and penalty approaches significantly improved the baseline rates of vaccination (2010 vs 2011 P = .0001 and 2010 vs 2012 P < .0001), and 2012 significantly improved over 2011 (P < .0001). Staff with direct patient contact had significantly higher rates of vaccination compared with those with indirect and minimal contact in every campaign year, except in the penalty-driven campaign from 2012 (P < .001, P < .001, and P = .24 and P < .001, P < .001, and P = .17, respectively).
conclusionsA multifaceted staff vaccination program that included education, training, and active declination was more effective than a program offering incentives. Improvements in vaccination rates in the penalty-driven campaign were driven by staff without direct care responsibilities. High compliance with systemwide influenza vaccination was achieved without requiring mandatory vaccination.
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