Un innovativo incentivo per aumentare l’aderenza alla vaccinazione antinfluenzale tra gli operatori sanitari: analisi cost-consequence e valutazione di sostenibilità.

Translated title of the contribution: [Autom. eng. transl.] An innovative incentive to increase adherence to influenza vaccination among healthcare professionals: cost-consequence analysis and sustainability assessment.

Americo Cicchetti, Gianfranco Damiani, Gualtiero Ricciardi, Patrizia Laurenti, Marcello Di Pumpo, Andrea Barbara, Andrea Gentili, Doriana Vallone, Filippo Berloco, Daniele Piacentini, Andrea Cambieri, Tamburrano Andrea, La Milia Daniele Ignazio, R Galluzzi, SR Mastrodonato

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

[Autom. eng. transl.] Introduction The flu vaccination is effective in preventing seasonal flu, protects fragile patients from complications of the flu, decreases absenteeism in staff, thus reducing the costs resulting from the consequent loss of productivity. The flu vaccination coverage among healthcare workers in Italy is still very low and stands at around 15% based on the most recent surveys. The vaccination coverage rate in our University Hospital increased from 9.57% during the 2016-2017 season to 14.24% in the 2017-2018 season up to 22.38% in the last 2018-2019 season. The purpose of this observational retrospective study is to demonstrate the sustainability and economic sustainability of the introduction of a non-economic incentive consisting of an additional hour of paid leave to all health workers of the "Agostino Gemelli" University Hospital Foundation "IRCCS" who accept to be vaccinated. Materials and methods A cost-consequence analysis was performed (using the friction cost method) estimating the loss of productivity per capita caused by absenteeism due to illness. The average hourly wages of health workers (stratified by professional category) were therefore calculated to identify the cost of one hour of paid leave. Finally, the maximum amount of paid leave that can be granted without net losses for the company was estimated. Results There was an annual productivity loss due to absenteeism due to illness equal to € 237.65 for each operator vaccinated and equal to € 413.78 for each operator not vaccinated. The difference in annual per capita productivity loss was therefore € 176.13. Considering € 36.89 / h as the weighted average hourly wage by professional category, the application of the incentive is sustainable. Our simulation identified 4.77 hours (286.5 minutes) as the maximum duration of the paid leave that can be granted without generating net losses for the company. Conclusions The flu vaccine is effective in preventing seasonal flu and its complications, therefore it is necessary to promote measures that aim to increase vaccination coverage especially among health professionals. We can conclude that the non-economic incentive to flu vaccination introduced in the University Hospital Foundation "Agostino Gemelli" IRCCS is a widely sustainable measure.
Translated title of the contribution[Autom. eng. transl.] An innovative incentive to increase adherence to influenza vaccination among healthcare professionals: cost-consequence analysis and sustainability assessment.
Original languageItalian
Title of host publicationAtti del 52° Congresso Nazionale SItI – “Le evidenze scientifiche per la Sanità Pubblica: dalle emergenze alla promozione della salute”.
Pages351
Number of pages1
Volume2019
Publication statusPublished - 2019
Event52° Congresso Nazionale SItI – “Le evidenze scientifiche per la Sanità Pubblica: dalle emergenze alla promozione della salute”. - Perugia Hotel Giò Wine e Jazz Area
Duration: 16 Oct 201919 Oct 2019

Conference

Conference52° Congresso Nazionale SItI – “Le evidenze scientifiche per la Sanità Pubblica: dalle emergenze alla promozione della salute”.
CityPerugia Hotel Giò Wine e Jazz Area
Period16/10/1919/10/19

Keywords

  • antinfluenzale

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