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Hälsomyndighetens ansvar och programmets styrkorHälsomyndighetens ansvar och programmets styrkor

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I länderna, och i vissa av dem även på regionnivå, sätts mål som syftar till att uppnå specifika hälsomål. Ett av dessa ofta uppsatta mål inbegriper mål avseende vaccinationstäckningen. I det här fallet syftar vi på vaccin mot influensa.
Till exempel, i en särskild målpopulation bestående av 100 personer vaccinerades 65. I det här fallet talar man om 65 % vaccinationstäckningsgrad, VCR.

Bibliografiska referenser:

  1. European Centre for Disease Prevention and Control (ECDC). Seasonal influenza vaccination and antiviral use in EU/EEA Member States [Internet]. Stockholm; 2018.

  2. Blank PR, van Essen GA, Ortiz de Lejarazu R, Kyncl J, Nitsch-Osuch A, Kuchar EP, et al. Impact of European vaccination policies on seasonal influenza vaccination coverage rates: An update seven years later. Hum Vaccines Immunother. 2018;

  3. European Observatory on Health Systems and Policies. The organization and delivery of vaccination services in the European Unit. 2018.

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För att människor ska kunna vaccinera sig måste det finnas någon instans (offentlig eller privat) som finansierar vaccinationskostnaden. När det gäller denna policy syftar vi på sociala grupper för vilka influensavaccination anses vara särskilt viktig.

Bibliografiska referenser:

  1. Ting EEK, Sander B, Ungar WJ. Systematic review of the cost-effectiveness of influenza immunization programs. Vaccine [Internet]. 2017

  2. European Centre for Disease Prevention and Control (ECDC). Seasonal influenza vaccination and antiviral use in EU/EEA Member States [Internet]. Stockholm; 2018.

  3. European Observatory on Health Systems and Policies. The organization and delivery of vaccination services in the European Unit. 2018.

  4. WHO. Guidance on the economic evaluation of influenza vaccination. 2016.

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Hälsomyndigheter övervakar på nationell nivå vaccinationstäckningen på olika vaccinationsplatser.

Bibliografiska referenser:

  1. European Centre for Disease Prevention and Control (ECDC). Seasonal influenza vaccination and antiviral use in EU/EEA Member States [Internet]. Stockholm; 2018.

  2. Blank PR, van Essen GA, Ortiz de Lejarazu R, Kyncl J, Nitsch-Osuch A, Kuchar EP, et al. Impact of European vaccination policies on seasonal influenza vaccination coverage rates: An update seven years later. Hum Vaccines Immunother. 2018;

  3. Paul KT, Loer K. Contemporary vaccination policy in the European Union: tensions and dilemmas. J Public Health Policy [Internet]. 2019;40:166–79.

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Vaccination mot influensa av hälso- och sjukvårdspersonal övervägs som en del prestationskriterier på sjukhus.

Bibliografiska referenser:

  1. Rashid H, Yin JK, Ward K, King C, Seale H, Booy R. Assessing interventions to improve influenza vaccine uptake among health care workers. Health Aff. 2016;35(2):284–92.

  2. Lindley MC, Mu Y, Hoss A, Pepin D, Kalayil EJ, van Santen KL, et al. Association of State Laws With Influenza Vaccination of Hospital Personnel. Am J Prev Med [Internet]. 2019;56(6):e177–83.

  3. Greene MT, Fowler KE, Ratz D, Krein SL, Bradley SF, Saint S. Changes in Influenza Vaccination Requirements for Health Care Personnel in US Hospitals. JAMA Netw open. 2018;1(2).

  4. Kitt E, Burt S, Price SM, Satchell L, Offit PA, Sammons JS, et al. Implementation of a Mandatory Influenza Vaccine Program: A 10-year experience. Clin Infect Dis. 2020;

  5. Costantino C, Restivo V, Tramuto F, Casuccio A, Vitale F. Influenza vaccination of healthcare workers in Italy: Could mandatory vaccination be a solution to protect patients? Future Microbiol. 2019;14(9s):45–9.

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Förekomsten av ett system som säkerställer att länder inte får slut på vaccin och därmed tillåter alla människor som definieras som mål för vaccinationen att ta sin berättigade dos.

Bibliografiska referenser:

  1. Grieco L, Panovska-Griffiths J, van Leeuwen E, Grove P, Utley M. Exploring the role of mass immunisation in influenza pandemic preparedness: A modelling study for the UK context. Vaccine [Internet]. 2020;38(33):5163–70.

  2. Farooq MU, Hussain A, Masood T, Habib MS. Supply chain operations management in pandemics: A State-of-the-Art Review Inspired by COVID-19. Sustainability. 2021;13.

  3. Wilsdon T, Lawlor R, Li L, Rafila A, García Rojas A. The impact of vaccine procurement methods on public health in selected European countries. Expert Rev Vaccines [Internet]. 2020;19(2):123–32.

Förenklad tillgång till vaccinationFörenklad tillgång till vaccination

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Människor har tillgång till olika vaccinationsplatser där de kan vaccineras när det passar dem.

Bibliografiska referenser:

  1. Rashid H, Yin JK, Ward K, King C, Seale H, Booy R. Assessing interventions to improve influenza vaccine uptake among health care workers. Health Aff. 2016;35(2):284–92.

  2. European Observatory on Health Systems and Policies. The organization and delivery of vaccination services in the European Unit. 2018.

  3. Gazmararian JA, Coleman M, Prill M, Hinman AR, Ribner BS, Washington ML, et al. Influenza vaccination of health care workers: Policies and practices of hospitals in a community setting. Am J Infect Control. 2007;35(7):441–7.

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De olika enheterna med anknytning till influensavaccination uppmanas att kommunicera på ett sätt som upplyser och motiverar människor i de olika målgrupperna att vaccinera sig.

Bibliografiska referenser:

  1. Influenza Diabetes Community, European Scientific Working group on Influenza. Commitment paper of the Influenza/Diabetes Community [Internet]. 2019.

  2. Tailoring Immunization Programmes for Seasonal Influenza (TIP FLU) [Internet]. 2017.

  3. ECDC. Rapid literature review on motivating hesitant population groups in Europe to vaccinate. 2015.

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Människor som rekommenderas att ta influensavaccinet får aviseringar eller textmeddelanden på sina mobila enheter från hälso- och sjukvårdsorganisationer.

Bibliografiska referenser:

  1. Loiacono MM, Mitsakakis N, Kwong JC, Gomez GB, Chit A, Grootendorst P. Development and Validation of a Clinical Prediction Tool for Seasonal Influenza Vaccination in England. JAMA Netw open. 2020;3(6):e207743.

  2. WHO. Tailoring Immunization Programmes for Seasonal Influenza (TIP FLU). 2017.

  3. ECDC. Rapid literature review on motivating hesitant population groups in Europe to vaccinate. 2015.

Ansvar och åtagande hos hälso- och sjukvårdspersonalAnsvar och åtagande hos hälso- och sjukvårdspersonal

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Hälso- och sjukvårdspersonal utbildas regelbundet kring influensavaccination, så att de kan hålla sig uppdaterade och upplysa de människor som vänder sig till dem för att få hjälp.

Bibliografiska referenser:

  1. Goldstein AO, Kincade JE, Gamble G, Bearman RS. Policies and Practices for Improving Influenza Immunization Rates Among Healthcare Workers. Infect Control Hosp Epidemiol. 2004;25(11):908–11

  2. Rashid H, Yin JK, Ward K, King C, Seale H, Booy R. Assessing interventions to improve influenza vaccine uptake among health care workers. Health Aff. 2016;35(2):284–92.

  3. Maltezou H, Poland G. Immunization of Health-Care Providers: Necessity and Public Health Policies. Healthcare. 2016;4(3):47.

  4. Gazmararian JA, Coleman M, Prill M, Hinman AR, Ribner BS, Washington ML, et al. Influenza vaccination of health care workers: Policies and practices of hospitals in a community setting. Am J Infect Control. 2007;35(7):441–7.

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Organisationerna/hälso- och sjukvårdspersonalen får en rättvis och specifik ersättning för varje genomförd vaccination.

Bibliografiska referenser:

  1. Greene MT, Fowler KE, Ratz D, Krein SL, Bradley SF, Saint S. Changes in Influenza Vaccination Requirements for Health Care Personnel in US Hospitals. JAMA Netw open. 2018;1(2).

  2. Gazmararian JA, Coleman M, Prill M, Hinman AR, Ribner BS, Washington ML, et al. Influenza vaccination of health care workers: Policies and practices of hospitals in a community setting. Am J Infect Control. 2007;35(7):441–7.

  3. European Observatory on Health Systems and Policies. The organization and delivery of vaccination services in the European Unit. 2018.

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Vaccination av hälso-och sjukvårdspersonal är obligatorisk.

Bibliografiska referenser:

  1. Short E, Zimmerman PA, van de Mortel T. Barriers associated with mandatory influenza vaccination policies for healthcare workers: an integrative review. J Infect Prev. 2020;21(6):212–20.

  2. Rashid H, Yin JK, Ward K, King C, Seale H, Booy R. Assessing interventions to improve influenza vaccine uptake among health care workers. Health Aff. 2016;35(2):284–92.

  3. Greene MT, Fowler KE, Ratz D, Krein SL, Bradley SF, Saint S. Changes in Influenza Vaccination Requirements for Health Care Personnel in US Hospitals. JAMA Netw open. 2018;1(2).

  4. Paul KT, Loer K. Contemporary vaccination policy in the European Union: tensions and dilemmas. J Public Health Policy [Internet]. 2019;40:166–79.

  5. Lindley MC, Mu Y, Hoss A, Pepin D, Kalayil EJ, van Santen KL, et al. Association of State Laws With Influenza Vaccination of Hospital Personnel. Am J Prev Med [Internet]. 2019;56(6):e177–83.

  6. Kitt E, Burt S, Price SM, Satchell L, Offit PA, Sammons JS, et al. Implementation of a Mandatory Influenza Vaccine Program: A 10-year experience. Clin Infect Dis. 2020;

  7. Costantino C, Restivo V, Tramuto F, Casuccio A, Vitale F. Influenza vaccination of healthcare workers in Italy: Could mandatory vaccination be a solution to protect patients? Future Microbiol. 2019;14(9s):45–9.

  8. Wang TL, Jing L, Bocchini JA. Mandatory influenza vaccination for all healthcare personnel: A review on justification, implementation and effectiveness. Curr Opin Pediatr. 2017;29(5):606–15.

  9. Maltezou H, Poland G. Immunization of Health-Care Providers: Necessity and Public Health Policies. Healthcare. 2016;4(3):47.

  10. European Observatory on Health Systems and Policies. The organization and delivery of vaccination services in the European Unit. 2018.

Medvetenhet om sjukdomens börda och allvarlighetsgradMedvetenhet om sjukdomens börda och allvarlighetsgrad

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De olika enheterna (offentliga och privata) med anknytning till influensavaccination skapar kommunikations- och medvetenhetskampanjer om vaccination mot influensavirus på ett samordnat sätt.

Bibliografiska referenser:

  1. Influenza Diabetes Community, European Scientific Working group on Influenza. Commitment paper of the Influenza/Diabetes Community [Internet]. 2019.

  2. Maltezou H, Poland G. Immunization of Health-Care Providers: Necessity and Public Health Policies. Healthcare. 2016;4(3):47.

  3. Chevalier-Cottin EP, Ashbaugh H, Brooke N, Gavazzi G, Santillana M, Burlet N, et al. Communicating Benefits from Vaccines Beyond Preventing Infectious Diseases. Infect Dis Ther. 2020;9:467–80.

  4. WHO Europe. Vaccination and trust [Internet]. Copenhagen; 2017.

Tro på fördelar med vaccinationTro på fördelar med vaccination

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Medierna bedriver adekvat nyhetsbevakning om vaccination mot influensa.

Bibliografiska referenser:

  1. European Observatory on Health Systems and Policies. The organization and delivery of vaccination services in the European Unit. 2018.

  2. Kumar S, Xu C, Ghildayal N, Chandra C, Yang M. Social media effectiveness as a humanitarian response to mitigate influenza epidemic and COVID-19 pandemic. Ann Oper Res [Internet]. 2021;

  3. Bonnevie E, Rosenberg SD, Kummeth C, Goldbarg J, Wartella E, Smyser J. Using social media influencers to increase knowledge and positive attitudes toward the flu vaccine. PLoS One [Internet].

Målgrupp

Vi erkänner att en del av policyerna redan delvis implementeras i landet, trots att de ger utrymme för förbättringar.

 
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TEST YOUR POLICIES HERE Data based on Swedish Policies

Changes in national vaccination coverage rate

22%9000000

Population Covered
9000000 individuals

Children
100% 650 individuals

650 National VCR baseline value

Elderly
100% 18318 individuals

22318 National VCR baseline value

Pregnant Women
100% 14318 individuals

16500 National VCR baseline value

Healthcare Workers
100% 10118 individuals

23500 National VCR baseline value

High-risk Population1
100% 8318 individuals

10500 National VCR baseline value

National vaccination coverage baseline value

22%1964585

Population Covered
9000000 individuals

Children
100% 7351

650 National VCR baseline value

Elderly
50% 1050614

1050614 National vaccination coverage rate baseline value

Pregnant Women
25% 57465

57465 National VCR baseline value

Healthcare Workers
24% 192621

192621 National VCR baseline value

High-risk Population1
100% 18318

650 National VCR baseline value

Number of influenza infections
averted

Total numbers
638581

638581 Current Policy

Children
18318

650 Current Policy

Elderly
18318

650 Current Policy

Pregnant Women
18318

650 Current Policy

Healthcare Workers
18318

650 Current Policy

High-risk Population1
18318

650 Current Policy

Number of Hospitalizations
averted

Total numbers
10331

10331 Current Policy

Children
260

260 Current Policy

Elderly
6498

6498 Current Policy

Pregnant Women
18318

650 Current Policy

Healthcare Workers
18318

650 Current Policy

High-risk Population1
18318

650 Current Policy

Number of GP Visits
averted

Total numbers
10402333

10402333 Current Policy

Children
18318

650 Current Policy

Elderly
18318

650 Current Policy

Pregnant Women
18318

650 Current Policy

Healthcare Workers
18318

650 Current Policy

High-risk Population1
18318

650 Current Policy

Work Days Productivity Loss
averted

Total numbers
10402333

10402333 Current Policy

Children
18318

650 Current Policy

Elderly
18318

650 Current Policy

Pregnant Women
18318

650 Current Policy

Healthcare Workers
18318

650 Current Policy

High-risk Population1
18318

650 Current Policy

Number of Deaths
averted

Total numbers
3440

3440 Current Policy

Children
2

2 Current Policy

Elderly
3403

3403 Current Policy

Pregnant Women
18318

650 Current Policy

Healthcare Workers
18318

650 Current Policy

High-risk Population1
18318

650 Current Policy

Number of Hospitalizations
due to CVD
averted

Total numbers
3440

3440 Current Policy

Children
2

2 Current Policy

Elderly
3403

3403 Current Policy

Pregnant Women
18318

650 Current Policy

Healthcare Workers
18318

650 Current Policy

High-risk Population1
18318

650 Current Policy

Number of Deaths
due to CVD
averted

Total numbers
3440

3440 Current Policy

Children
2

2 Current Policy

Elderly
3403

3403 Current Policy

Pregnant Women
18318

650 Current Policy

Healthcare Workers
18318

650 Current Policy

High-risk Population1
18318

650 Current Policy

 

1 High-risk population: Individuals aged <65 years with at least one chronic condition and elderly aged ≥65 years.

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