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Zhelyazkova A, Adorjan K, Kim S, Klein M, Prueckner S, Kressirer P, Choukér A, Coenen M, Horster S. Are We Prepared for the Next Pandemic? Management, Systematic Evaluation and Lessons Learned from an In-Hospital COVID-19 Vaccination Centre for Healthcare Workers. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16326. [PMID: 36498398 PMCID: PMC9739402 DOI: 10.3390/ijerph192316326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Revised: 12/01/2022] [Accepted: 12/02/2022] [Indexed: 06/17/2023]
Abstract
BACKGROUND the organisation of a COVID-19 vaccination campaign for healthcare workers (HCWs) within a university hospital presents a challenge of a particularly large scale and urgency. Here, we evaluate the in-hospital vaccination process and centre for HCWs at LMU University Hospital in Munich, Germany. METHODS We executed a mixed-method process evaluation of the vaccination centre at LMU University Hospital during the first COVID-19 vaccination campaign. In a programme monitoring, we continuously assessed the implementation of the centre's operational management including personnel resources. In evaluating the outreach to and satisfaction of the target group with the centre and process, we executed two anonymous surveys aimed at the HCWs vaccinated at the in-hospital centre (1) as well as centre staff members (2). RESULTS staff numbers and process time per person were reduced several times during the first vaccination campaign. Lessons concerning appointment scheduling were learned. HCWs vaccinated at the in-hospital centre were satisfied with the process. A longer waiting time between admission and inoculation, perceived dissatisfying accessibility as well as an increased frequency of observed adverse events were linked to a reduced satisfaction. Comparatively subpar willingness to adhere to non-pharmaceutical measures was observed. Centre staff reported high satisfaction and a workload relatively equal to that of their regular jobs. Our outcomes provide references for the implementation of an in-hospital vaccination centre in similar settings.
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Affiliation(s)
- Ana Zhelyazkova
- Institute of Emergency Medicine and Management in Medicine, University Hospital, Ludwig Maximilian University of Munich, 80336 Munich, Germany
| | - Kristina Adorjan
- Department of Psychiatry and Psychotherapy, University Hospital Munich, Ludwig Maximilian University of Munich, 80336 Munich, Germany
| | - Selina Kim
- Institute of Emergency Medicine and Management in Medicine, University Hospital, Ludwig Maximilian University of Munich, 80336 Munich, Germany
| | - Matthias Klein
- Department of Neurology, University Hospital Munich, Ludwig Maximilian University of Munich, 81377 Munich, Germany
| | - Stephan Prueckner
- Institute of Emergency Medicine and Management in Medicine, University Hospital, Ludwig Maximilian University of Munich, 80336 Munich, Germany
| | - Philipp Kressirer
- Department of Communication and Media, University Hospital Munich, Ludwig Maximilian University of Munich, 80336 Munich, Germany
| | - Alexander Choukér
- Laboratory of Translational Research Stress and Immunity, Department of Anaesthesiology, University Hospital Munich, Ludwig Maximilian University of Munich, 81377 Munich, Germany
| | - Michaela Coenen
- Institute for Medical Information Processing, Biometry, and Epidemiology—IBE, Chair of Public Health and Health Services Research, Ludwig Maximilian University of Munich, 81377 Munich, Germany
- Pettenkofer School of Public Health, 81377 Munich, Germany
| | - Sophia Horster
- Department of Gastroenterology and Hepatology, University Hospital Munich, Ludwig Maximilian University of Munich, 81377 Munich, Germany
- Department of Commercial Directorate, University Hospital Munich, Ludwig Maximilian University of Munich, 81377 Munich, Germany
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