Evidence map›Paper›PMID 40760695›Full record

ArticleGlobal health research and policy2025

Healthcare workers' attitudes toward influenza vaccine prescriptions in China.

Yanlin Cao, Qing Wang, Jiemi Zhao, Yuyuan Zhang, Ran Huo, Quanle Li, Weizhong Yang, Heya Yi, Luzhao Feng

Abstract read
In one paragraph

Article in Global health research and policy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

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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

9 authors.

Yanlin CaoSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Key Laboratory of Pathogen Infection Prevention and Control (Peking Union Medical College), Ministry of Education; State Key Laboratory of Respiratory Health and Multimorbidity; Public Health Emergency Management Innovation Center, Beijing, China.
Qing WangSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Key Laboratory of Pathogen Infection Prevention and Control (Peking Union Medical College), Ministry of Education; State Key Laboratory of Respiratory Health and Multimorbidity; Public Health Emergency Management Innovation Center, Beijing, China.
Jiemi ZhaoDepartment of International Affairs, Chinese Preventive Medicine Association, Beijing, China.
Yuyuan ZhangDepartment of International Affairs, Chinese Preventive Medicine Association, Beijing, China.
Ran HuoYale School of Public Health, Yale University, New Haven, United States.
Quanle LiDepartment of International Affairs, Chinese Preventive Medicine Association, Beijing, China.
Weizhong YangSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Key Laboratory of Pathogen Infection Prevention and Control (Peking Union Medical College), Ministry of Education; State Key Laboratory of Respiratory Health and Multimorbidity; Public Health Emergency Management Innovation Center, Beijing, China.
Heya YiDepartment of International Affairs, Chinese Preventive Medicine Association, Beijing, China. yihy@cpma.org.cn.
Luzhao FengSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Key Laboratory of Pathogen Infection Prevention and Control (Peking Union Medical College), Ministry of Education; State Key Laboratory of Respiratory Health and Multimorbidity; Public Health Emergency Management Innovation Center, Beijing, China. fengluzhao@cams.cn.ORCID http://orcid.org/0000-0002-5206-5995

Funding

Bill & Melinda Gates Foundation INV 023808China Association for Science and Technology KXYJS2024012Chinese Academy of Medical Sciences (CAMS) Innovation Fund for Medical Sciences 2022-12M-CoV19-004Gates Foundation INV-006373Gates Foundation INV-023808Science & Technology Fundamental Resources Investigation Program 2023FY100600
6 · The paper itself

Abstract

backgroundVaccine prescription is being implemented and applied in China to bolster promote vaccination campaigns and mitigate vaccine hesitancy. This study aims to investigate the current vaccine recommendation practices among healthcare workers (HCWs) in China and identify the determinants that influence their willingness to provide vaccination prescription, informing interventions to support the implementation of willingness into practice.

methodsA cross-sectional survey was conducted among HCWs nationwide in China from July 3 to July 10, 2024. The survey questionnaire was distributed via a link provided by an expert-listening platform at the 2024 World Influenza Conference, representing a diverse group across different healthcare institutions. The study used descriptive and logistic regression analyses performed on attitudes toward providing influenza vaccination prescriptions.

resultsAmong 3140 responding HCWs, 68.8% of hospital-based HCWs (N = 778/1131) and 61.9% of community-based HCWs (N = 1243/2009) demonstrate a willingness to provide vaccine prescriptions. HCWs with a history of influenza vaccination (adjusted odds ratio [aOR] = 0.30, 95% confidence interval [CI]: 0.23-0.39, P < 0.001) were significantly more inclined to provide vaccine prescriptions. Incentives including bonus rewards (aOR = 1.84, 95% CI: 1.40-2.43, P < 0.001), and integration into annual/monthly performance evaluations (aOR = 1.60, 95% CI: 1.20-2.13, P = 0.001) further enhanced willingness to provide prescriptions. In terms of communication methods, 63.4% of HCWs (N = 1991) identified official public account promotions on WeChat as the most effective for raising vaccination awareness, significantly surpassing provide vaccine prescriptions (8.7%, N = 350).

conclusionsOur study emphasizes the necessity for further evaluations of vaccine prescription policies to improve the implementation among HCWs. The findings advocate for tailored strategies, including enhanced incentive mechanisms in hospital settings and optimized digital engagement in community health centers, to facilitate effective vaccine prescription practices.

Indexed as

Attitude of Health PersonnelHealth PersonnelInfluenza, HumanInfluenza VaccinesVaccinationAdultChinaCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and QuestionnairesInfluenza VaccinesHealthcare workersInfluenza vaccineVaccination promotionVaccine hesitancy

Identifiers

PMID40760695
PMCPMC12323280

What OpenQuestion holds

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LicenceCC BY
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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.