Gli effetti di una campagna di promozione della salute per migliorare l’adesione alla vaccinazione antinfluenzale nei medici in formazione specialistica in un policlinico universitario italiano

[Autom. eng. transl.] INTRODUCTION: In Italy the flu vaccination is recommended for doctors in specialized training (MFS), but the coverage at the Catholic University of the Sacred Heart (UCSC) - University Hospital "A. Gemelli ”(FPG) is unsatisfactory: in the 2014/15 season, 0.6% of MFS were vaccinated; in 2015/16 9.5% thanks to strategies implemented to improve awareness and adherence to the vaccination campaign. During 2016/17 these changes were maintained and the on-site vaccination was introduced: the possibility of vaccinating directly in some FPG departments without having to go to the usually appointed offices. This study aims to analyze the impact of the strategies used during the 2016/17 campaign on the vaccination coverage between the UCSC's MFS. MATERIALS AND METHODS: The study was conducted among MFS of the Medical Specialization Schools (SSM) of the UCSC in 2016/17. The data was collected by the Public Health Institute and analyzed by STATA. For the variables considered - vaccination, area of SSM (surgical, medical, services), year of course - absolute and percentage frequency were measured. The chi-square test (0.05 statistical significance level) was used to compare vaccination coverage between flu seasons, between course years and between individual schools and areas of SSM in the 2016/17 season. RESULTS: 42 SSMs were included for a total of 1013 MFS. During the 2016/17 campaign the vaccine was administered at 184 MFS (18.2%), approximately twice as much as in the previous one (p <0.001) and 30 times greater than in 2014/15 (p <0.001). There is a heterogeneous distribution of influenza vaccination covers between SSM, as well as a statistically significant difference in the adhesion between MFS of the 3 areas (p <0.001) and between course years (p <0.001). CONCLUSIONS: This study highlights an encouraging increase in influenza vaccination coverage among MFS after the introduction of strategies to promote vaccination and, more generally, positive and proactive behaviors. However, the study summarizes the results in the short term, therefore it will be useful to monitor the trend over time and extend the evaluation to all health professionals.