{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T13:46:34Z","timestamp":1770039994239,"version":"3.49.0"},"reference-count":14,"publisher":"Cambridge University Press (CUP)","issue":"12","license":[{"start":{"date-parts":[[2022,2,22]],"date-time":"2022-02-22T00:00:00Z","timestamp":1645488000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0899823X22000472_as1\"><jats:title>Objective:<\/jats:title><jats:p>Although a growing number of healthcare facilities are implementing healthcare personnel (HCP) coronavirus disease 2019 (COVID-19) vaccination requirements, vaccine exemption request management as a part of such programs is not well described.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X22000472_as2\"><jats:title>Design:<\/jats:title><jats:p>Cross-sectional survey.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X22000472_as3\"><jats:title>Participants:<\/jats:title><jats:p>Infectious disease (ID) physician members of the Emerging Infections Network with infection prevention or hospital epidemiology responsibilities.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X22000472_as4\"><jats:title>Methods:<\/jats:title><jats:p>Eligible persons were sent a web-based survey focused on hospital plans and practices around exemption allowances from HCP COVID-19 vaccine requirements.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X22000472_as5\"><jats:title>Results:<\/jats:title><jats:p>Of the 695 ID physicians surveyed, 263 (38%) responded. Overall, 160 respondent institutions (92%) allowed medical exemptions, whereas 132 (76%) allowed religious exemptions. In contrast, only 14% (n = 24) allowed deeply held personal belief exemptions. The types of medical exemptions allowed varied considerably across facilities, with allergic reactions to the vaccine or its components accepted by 145 facilities (84%). For selected scenarios commonly used as the basis for religious and deeply held personal belief exemption requests, 144 institutions (83%) would not approve exemptions focused on concerns regarding right of consent or violations of freedom of personal choice, and 140 institutions (81%) would not approve exemptions focused on introducing foreign substances into one\u2019s body or the sanctity of the body. Most respondents noted plans for additional infection prevention interventions for HCP who received an exemption for COVID-19 vaccination.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X22000472_as6\"><jats:title>Conclusions:<\/jats:title><jats:p>Although many respondent institutions allowed exemptions from HCP COVID-19 vaccination requirements, the types of exemptions allowed and how the exemption programs were structured varied widely.<\/jats:p><\/jats:sec>","DOI":"10.1017\/ice.2022.47","type":"journal-article","created":{"date-parts":[[2022,2,22]],"date-time":"2022-02-22T02:42:44Z","timestamp":1645497764000},"page":"1822-1827","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":2,"title":["Approaches to healthcare personnel exemption requests from coronavirus disease 2019 (COVID-19) vaccination: Results of a national survey"],"prefix":"10.1017","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1681-4933","authenticated-orcid":false,"given":"Thomas R.","family":"Talbot","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0278-506X","authenticated-orcid":false,"given":"Susan E.","family":"Beekmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9015-8378","authenticated-orcid":false,"given":"Hilary M.","family":"Babcock","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip M.","family":"Polgreen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2022,2,22]]},"reference":[{"key":"S0899823X22000472_ref8","unstructured":"8. COVID-19 vaccines while pregnant or breastfeeding. Centers for Disease Control and Prevention website. https:\/\/www.cdc.gov\/coronavirus\/2019-Ncov\/Vaccines\/Recommendations\/Pregnancy.html. Accessed October 26, 2021."},{"key":"S0899823X22000472_ref14","unstructured":"14. Path out of the pandemic: President Biden\u2019s COVID-19 action plan. White House website. https:\/\/www.whitehouse.gov\/covidplan\/. Accessed October 26, 2021."},{"key":"S0899823X22000472_ref7","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofz096"},{"key":"S0899823X22000472_ref4","unstructured":"4. Medicare and Medicaid Programs. Omnibus COVID-19 healthcare staff vaccination. Federal Register website. https:\/\/www.Federalregister.Gov\/Documents\/2021\/11\/05\/2021-23831\/Medicare-and-Medicaid-Programs-Omnibus-Covid-19-Health-Care-Staff-Vaccination. Accessed on November 16, 2021."},{"key":"S0899823X22000472_ref11","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1716147"},{"key":"S0899823X22000472_ref3","unstructured":"3. 13 states or cities requiring COVID-19 vaccinations for healthcare workers. Becker\u2019s Hospital Review website. https:\/\/www.beckershospitalreview.com\/workforce\/8-states-cities-requiring-covid-19-vaccination-for-healthcare-workers.html. Accessed October 26, 2021."},{"key":"S0899823X22000472_ref6","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cit932"},{"key":"S0899823X22000472_ref5","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2020.1260"},{"key":"S0899823X22000472_ref1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.8901"},{"key":"S0899823X22000472_ref2","unstructured":"2. Hospitals, health systems mandating vaccines for workers. Becker\u2019s Hospital Review website. https:\/\/www.beckershospitalreview.com\/workforce\/hospitals-health-systems-mandating-vaccines-for-workersjune17.html?origin=bhre&utm_source=bhre&utm_medium=email&utm_content=newsletter&oly_enc_id=5390i4378067h3j. Accessed October 26, 2021."},{"key":"S0899823X22000472_ref13","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7037e1"},{"key":"S0899823X22000472_ref10","unstructured":"10. What you should know about COVID-19 and the ADA, the Rehabilitation Act, and other EEO laws. Section L: Vaccinations\u2014Title VII and religious objections to COVID-19 vaccine mandates. US Equal Employment Opportunity Commission website. https:\/\/www.eeoc.gov\/wysk\/what-you-should-know-about-covid-19-and-ada-rehabilitation-act-and-other-eeo-laws#l. Accessed on October 26, 2021."},{"key":"S0899823X22000472_ref12","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2107058"},{"key":"S0899823X22000472_ref9","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2020.342"}],"container-title":["Infection Control &amp; Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0899823X22000472","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,14]],"date-time":"2022-12-14T10:26:37Z","timestamp":1671013597000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0899823X22000472\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,22]]},"references-count":14,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["S0899823X22000472"],"URL":"https:\/\/doi.org\/10.1017\/ice.2022.47","relation":{},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"value":"0899-823X","type":"print"},{"value":"1559-6834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2,22]]},"assertion":[{"value":"\u00a9 The Author(s), 2022. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}