Evidence map›Paper›PMID 35164988›Full record

ArticleVaccine2022

Healthcare professional and professional stakeholders' perspectives on vaccine mandates in Switzerland: A mixed-methods study.

Léna G Dietrich, Alyssa Lüthy, Pia Lucas Ramanathan, Nadja Baldesberger, Andrea Buhl, Lisa Schmid Thurneysen, Lisa C Hug, L Suzanne Suggs, Camilla Speranza, Benedikt M Huber and 2 more

Abstract read
In one paragraph

Article in Vaccine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Scope and Spatio-Temporal Patterns of Workplace Vaccination Mandates During the COVID-19 Pandemic.International journal of environmental research and public health · 2025
    Article
  3. Article
  4. Vaccination againstVaccines · 2023
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Léna G DietrichUniversity Department of Medicine and Infectious Diseases Service, Kantonsspital Baselland, Bruderholz, Switzerland; University of Basel, Basel, Switzerland.
Alyssa LüthyUniversity Department of Medicine and Infectious Diseases Service, Kantonsspital Baselland, Bruderholz, Switzerland; University of Basel, Basel, Switzerland.
Pia Lucas RamanathanUniversity Department of Medicine and Infectious Diseases Service, Kantonsspital Baselland, Bruderholz, Switzerland; University of Basel, Basel, Switzerland; Pharmaceutical Research Care Group, University of Basel, Basel, Switzerland.
Nadja BaldesbergerUniversity Department of Medicine and Infectious Diseases Service, Kantonsspital Baselland, Bruderholz, Switzerland; University of Basel, Basel, Switzerland; Pharmaceutical Research Care Group, University of Basel, Basel, Switzerland.
Andrea BuhlUniversity of Basel, Basel, Switzerland; Swiss Tropical and Public Health Institute (Swiss TPH), Basel, Switzerland.
Lisa Schmid ThurneysenUniversity Department of Medicine and Infectious Diseases Service, Kantonsspital Baselland, Bruderholz, Switzerland; University of Basel, Basel, Switzerland.
Lisa C HugUniversity of Basel, Basel, Switzerland.
L Suzanne SuggsInstitute of Communication and Public Policy, Università della Svizzera italiana, Lugano, Switzerland; Swiss School of Public Health, Zurich, Switzerland.
Camilla SperanzaInstitute of Communication and Public Policy, Università della Svizzera italiana, Lugano, Switzerland.
Benedikt M HuberCenter for Integrative Pediatrics, Department of Pediatrics, Fribourg Hospital HFR, Fribourg, Switzerland; Faculty of Science and Medicine, University of Fribourg, Fribourg, Switzerland.
Philip E TarrUniversity Department of Medicine and Infectious Diseases Service, Kantonsspital Baselland, Bruderholz, Switzerland; University of Basel, Basel, Switzerland.
Michael J DemlInstitute of Sociological Research, Department of Sociology, University of Geneva, Geneva, Switzerland; Division of Social and Behavioural Sciences, School of Public Health & Family Medicine, University of Cape Town, Cape Town, South Africa. Electronic address: michael.deml@unige.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere currently are no mandatory vaccines in Switzerland. However, Swiss federal legislation allows for vaccination mandates in settings where the risk of transmission to vulnerable groups is high, such as healthcare professionals (HCPs) working with vulnerable patients. Since HCPs are trusted information sources, a priority population for COVID-19 vaccination, and potentially subjected to mandates, we investigated HCP perspectives on mandates.

methodsA national online survey was administered to HCPs (October 2020-March 2021), including vaccine mandates questions concerning patients (measles) and HCPs (influenza). We qualitatively investigated HCP mandate perspectives through: (1) 34 interviews with HCPs, HCP professional society representatives, and health authorities; (2) a focus group discussion (FGD) with complementary medicine (CM) and biomedical physicians, and Swiss Federal Vaccination Commission members.

results1933 participants (496 physicians, 226 pharmacists, 607 nurses, 604 midwives) responded to the survey. Quantitative results show all professional groups preferred shared parent-HCP measles vaccine decisions (65%, 54%, 50%, 48%, respectively; p for trend < 0.001). Midwives (87%) and nurses (70%) preferred individual influenza vaccination decisions for HCPs, while physicians (49%) and pharmacists (44%) preferred shared employee-employer decisions (p for trend < 0.001). Physicians (p < .001) and pharmacists (p < .01) with CM training favored individual influenza vaccination decisions. Qualitative results show general HCP opposition to vaccine mandates, mainly because participants argued how other approaches, such as HCP training and better information, could encourage uptake. Arguments against COVID-19 mandates included insufficiently documented long-term safety/efficacy data. From participants' perspectives, mandated vaccination should be used as a last resort. Some participants expressed fear that with mandates, notably for influenza and COVID-19, some HCPs might leave their jobs. HCPs were unsure what vaccine mandates would concretely look like in practice, particularly regarding sanctions for non-compliance and enforcement.

conclusionIn Switzerland, HCPs generally were opposed to vaccination mandates. Clarity and guidance are needed from health authorities to better inform discussions around vaccine mandates.

Indexed as

COVID-19Influenza, HumanInfluenza VaccinesCOVID-19 VaccinesHealth PersonnelHumansPatient ComplianceSwitzerlandVaccinationCOVID-19 VaccinesInfluenza VaccinesCovid-19Healthcare professionalsInfluenzaMMRSwitzerlandVaccine mandatesVaccine policy

Identifiers

PMID35164988
PMCPMC8832463

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.