scholarly journals Védőoltásokkal kapcsolatos kételyek és elkötelezettség a magyarországi egészségügyi alapellátásban dolgozók körében

2019 ◽  
Vol 160 (48) ◽  
pp. 1904-1914 ◽  
Author(s):  
Eszter Kun ◽  
Angéla Benedek ◽  
Zsófia Mészner
Keyword(s):  
Primary Care ◽  
General Practitioners ◽  
Online Survey ◽  
Vaccine Hesitancy ◽  
Age Related ◽  
Primary Care Nurses ◽  
Primary Care Doctors ◽  
Similar Survey ◽  
Vaccine Scares ◽  
And Control

Abstract: Introduction: The attitude to immunization and the issue of vaccine hesitancy in health care workers (HCWs) have been studied in a former survey performed by ECDC (European Centre for Disease Prevention and Control). Aim: Our aim was to study the immunization attitude of primary care paediatricians, general practitioners and primary care nurses in Hungary. Method: We studied vaccine hesitancy in HCWs by way of a questionnaire, developed on the basis of a recent similar survey by ECDC in four countries. The online survey has been performed between May and July 2017. Altogether 765 questionnaires have been returned: 189 primary care paediatricians, 375 general practitioners working in adult or mixed practices, and 201 primary care nurses. The sample has been weighted to the country-specific features – e.g., location of the practice, residence and age of the HCWs – within each of the three groups, so from this aspect it can be considered representative. Results: Our results did not differ substantially from the international ECDC data. Approximately 2/3 of the primary care doctors and about 50% of the primary care nurses were convinced of the benefit and value of vaccines. Data on vaccine hesitancy were consolingly low, though the data on recommended vaccines were somewhat higher compared to the age related/NIP (National Immunization Plan) vaccines. The well-known vaccine scares – e.g., autism–MMR, etc., known also from the literature – could hardly been detected, and it can be explained by the voluntary participation in the study. The least supported vaccine is BCG, while the highest hesitancy rates are related to MMR in Hungary. Conclusion: The need to improve immunization-related communication among primary HCWs could clearly been detected – both in gradual and in post-gradual training programs. Orv Hetil. 2019; 160(48): 1904–1914.

scholarly journals Prevalence and Determinants of Vaccine Hesitancy and Vaccines Recommendation Discrepancies among General Practitioners in French-Speaking Parts of Belgium

Vaccines ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 771
Author(s):  
Cathy Gobert ◽  
Pascal Semaille ◽  
Thierry Van der Schueren ◽  
Pierre Verger ◽  
Nicolas Dauby
Keyword(s):  
General Practitioners ◽  
Online Survey ◽  
Critical Role ◽  
Personal Characteristics ◽  
Vaccine Hesitancy ◽  
Patient Acceptance ◽  
Recent Experience ◽  
Average Percentage ◽  
Vaccine Recommendations ◽  
Increased Risk

General practitioners (GPs) play a critical role in patient acceptance of vaccination. Vaccine hesitancy (VH) is a growing phenomenon in the general population but also affects GPs. Few data exist on VH among GPs. The objectives of this analysis of a population of GPs in the Belgian Wallonia-Brussels Federation (WBF) were to: (1) determine the prevalence and the features of VH, (2) identify the correlates, and (3) estimate the discrepancy in vaccination’s behaviors between the GPs’ children and the recommendations made to their patients. An online survey was carried out among the population of general practitioners practicing in the WBF between 7 January and 18 March 2020. A hierarchical cluster analysis was carried out based on various dimensions of vaccine hesitancy: perception of the risks and the usefulness of vaccines as well as vaccine recommendations for their patients. A total of 251 GPs answered the survey. The average percentage of moderate to high vaccine hesitancy was 50.6%. Three factors were independently associated with increased risk of vaccine hesitancy: an age <50 years old, having no children, and having no contact with selected vaccine-preventable disease (measles, complicated influenza, chronic hepatitis B (HBV), bacterial meningitis, or cervical cancer) in the past 5 years. VH was associated with controversies on vaccines’ safety. GPs who had vaccinated their children against six diseases (MMR, meningococcus C (MenC), HBV, and HPV) tended not to recommend the same vaccines to their patients. Among GPs with all children vaccinated against HBV, only 37.5% recommended catch-up HBV immunization to their patients. In this small cohort of GP, moderate to high VH was associated with controversies on vaccines’ safety and with specific personal characteristics (age <50, no children, and no recent experience with a serious VPD). As previously reported, GPs have different vaccine prescription attitude toward their patients and children. These findings should be confirmed in larger cohorts.

Vaccine Hesitancy Among Pediatric Nurses: Prevalence and Associated Factors

2020 ◽  
Author(s):  
Usue Elizondo-Alzola ◽  
Mireia G. Carrasco ◽  
Laia Pinós ◽  
Camila Andrea Picchio ◽  
Cristina Rius ◽  
...  
Keyword(s):  
Primary Care ◽  
Associated Factors ◽  
Whooping Cough ◽  
Vaccination Schedule ◽  
Vaccine Hesitancy ◽  
Outcome Variable ◽  
Bivariate Analysis ◽  
Pediatric Nurses ◽  
Cross Sectional ◽  
Primary Care Nurses

Abstract Background. Immunization rates of immuno-preventable diseases have declined in recent decades due to vaccine hesitancy. Primary care nurses play an essential role in promoting and maintaining vaccination coverage but may have doubts about or question the need to vaccinate. This study describes the prevalence of vaccine hesitancy and the associated factors among pediatric primary care nurses in Barcelona (Spain).Methods. Cross-sectional descriptive study. We invited the pediatric nurses (N = 165) working at all the Barcelona public primary health services (N = 41) to participate. They answered a questionnaire with sociodemographic and behavioral variables: severity and probability of contracting the diseases in the vaccination schedule; safety and protection of each vaccine; and beliefs, social norms, and knowledge about vaccines. Outcome variable was vaccine hesitancy, dichotomized into no hesitant (nurses who would vaccinate their own offspring), and hesitant (including those who would not vaccinate them, those who had doubts and those who would delay the administration of one or more vaccines).We performed bivariate analysis and adjusted logistic regression models.Results. 83% of pediatric nurses (N = 137) agreed to participate. A 32.1% of them reported vaccine hesitancy, especially about the HPV (21.9%) and varicella (17.5%) vaccines. In the multivariate analysis, hesitancy was associated with low perception of the severity of whooping cough [aOR: 3.88; (95%CI):1.32–11.4], low perception of safety of the HPV vaccine [aOR:8.5;(95%CI):1.24–57.8], the belief that vaccines are administered too early [aOR:6.09;(95%CI):1.98–18.8], and not having children [aOR:4.05;(95%CI):1.22–13.3].Conclusions. Although most pediatric nurses would vaccinate their own children, almost one third display some kind of vaccine hesitancy, mainly related with doubts about HPV and varicella vaccines, as well as some misconceptions. These factors should be addressed to enhance their fundamental role in promoting vaccination among families.

scholarly journals Strategies in Primary Care to Face the SARS-CoV-2 / COVID-19 Pandemic: An Online Survey

2021 ◽  
Vol 8 ◽  
Author(s):  
Marion Eisele ◽  
Nadine Janis Pohontsch ◽  
Martin Scherer
Keyword(s):  
Primary Care ◽  
General Practitioners ◽  
Health Care Providers ◽  
Online Survey ◽  
Qualitative Content Analysis ◽  
Primary Care Providers ◽  
Care Providers ◽  
Sources Of Information ◽  
Pandemic Preparedness ◽  
Team Meetings

Background: Primary care plays a key role in pandemics like the SARS-CoV-2 pandemic in 2020. We aimed to investigate the challenges faced and the solutions implemented in primary care.Methods: One hundred and twenty-one general practitioners in Germany completed the online survey. We used open questions to examine challenges experienced and solutions implemented during the early pandemic and chose qualitative content analysis to extract and describe the meaning of the answers. We derived deductive categories from the research questions and formed inductive categories during the material reviews.Results: Main challenges were: insufficient information, lack of protective equipment, need to restructure practice procedures and insufficient individual and structural pandemic preparedness, resulting in secondary challenges: fear of infection, impaired patient care, aggravated steering of patients, difficult cooperation with external entities and a not viable hygiene concept advised by authorities. Strategies to address these challenges included establishing regular team-meetings to develop new solutions, focusing on few reliable sources of information, working in alternating shifts, increasing telemedicine, establishing window and open-air practices and building networks with other health care providers. Respondents criticized the lack of consideration of their experiences in planning pandemic measures within primary care.Conclusions: General practitioners successfully applied pragmatic and creative strategies in their practices during the early phase of the pandemic. Among these, communication within and between practices emerged as a key strategy. These strategies should be provided with pandemic preparedness plans. The lacking consideration of the primary care providers' experiences in planning and implementing pandemic measures needs to be addressed by stakeholders.

scholarly journals General Practitioners’ views and experiences on the barriers and facilitators that men who have sex with men have when accessing primary care for HIV testing and sexual health screening

2017 ◽  
Vol 19 (02) ◽  
pp. 205-209
Author(s):  
Steven Maxwell
Keyword(s):  
Primary Care ◽  
Sexual Health ◽  
General Practitioners ◽  
Online Survey ◽  
Health Screening ◽  
Barriers And Facilitators ◽  
Multiple Choice Questions ◽  
Sexually Transmitted ◽  
Sex With Men ◽  
The City

Aim This study’s objectives were to collate General Practitioners’ (GPs) views and experiences on the barriers and facilitators for providing HIV and sexual health screening in primary care to men who have sex with men. Background Men who have sex with men (MSM) are disproportionately effected by sexually transmitted infections and HIV. Some MSM may not attend for testing and primary care may come in contact with this group. There may be varying barriers for MSM accessing services. Primary care can provide an opportunity to offer testing but with limited GPs views on this topic, it is important to understand the potential barriers and facilitators. Method A structured online survey was used to gather data and the survey link was emailed to all General Practices in the City of Edinburgh. The total available sample of GPs was 485. The survey used a combination of multiple choice questions and Likert scales rating from 1 to 5. Friedman’s two-way analysis of variation rank was used for data analysis. Findings In total, 62 GPs from the City of Edinburgh completed the survey with the majority of the sample having over 10 years’ experience in primary care. The most significant barrier was patient preference to access specialist services. The highest rated method to promote HIV and sexual health screening was the use of external promotion.

scholarly journals The Long and Winding Road: Uptake, Acceptability, and Potential Influencing Factors of COVID-19 Vaccination in Austria

Vaccines ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 790
Author(s):  
Isabel King ◽  
Petra Heidler ◽  
Roy Rillera Marzo
Keyword(s):  
Influencing Factors ◽  
Online Survey ◽  
Vaccine Coverage ◽  
Rapid Development ◽  
Vaccine Hesitancy ◽  
Decision Making Process ◽  
Current Vaccine ◽  
Vaccine Information ◽  
And Control ◽  
Pandemic Vaccine

Acceptance of the COVID-19 vaccine will play a crucial role in combating the current pandemic. Vaccine rollouts have started in most countries. To reach the desirable vaccine coverage and to enhance its uptake, it is imperative to assess vaccine hesitancy. Methods: To assess the current vaccine acceptability in Austria and its influencing factors, an online survey was created and comprised fifteen questions segmented into a sociodemographic part and the acceptance and influencing factors of the approval of the COVID-19 vaccine. Results: In total, 70% of the 1350 respondents thought that the COVID-19 vaccine is an effective way to prevent and control the virus, while 13% disagreed and 17% were uncertain. Further, 71% approved the rapid development and rollout of the vaccine, while 55% were willing to accept the vaccine as soon as it became available, 18% did not want to get the vaccine, 17% wanted to delay, and 10% were already vaccinated. Conclusions: The results show a generally positive attitude towards the new COVID-19 vaccine. The doctor’s recommendation greatly influences the decision-making process, and tailored vaccine information can support a higher vaccine coverage.

scholarly journals COVID-19 Vaccine Acceptability and Adherence to Preventive Measures in Somalia: Results of an Online Survey

Vaccines ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 543
Author(s):  
Mohammed A. M. Ahmed ◽  
Robert Colebunders ◽  
Abdi A. Gele ◽  
Abdiqani A. Farah ◽  
Shariff Osman ◽  
...  
Keyword(s):  
Online Survey ◽  
Preventive Measures ◽  
Face Mask ◽  
Healthcare Sector ◽  
Vaccine Hesitancy ◽  
Vaccine Acceptability ◽  
Adherence Score ◽  
Current Survey ◽  
Similar Survey

Most countries are currently gravitating towards vaccination as mainstay strategy to quell COVID-19 transmission. Between December 2020 and January 2021, we conducted a follow-up online survey in Somalia to monitor adherence to COVID-19 preventive measures, and COVID-19 vaccine acceptability and reasons for vaccine hesitancy. Adherence was measured via a composite adherence score based on four measures (physical distancing, face mask use, hand hygiene, and mouth covering when coughing/sneezing). We analyzed 4543 responses (mean age: 23.5 ± 6.4 years, 62.4% males). The mean adherence score during this survey was lower than the score during a similar survey in April 2020. A total of 76.8% of respondents were willing to receive the COVID-19 vaccine. Flu-like symptoms were more frequently reported in the current survey compared to previous surveys. Multiple logistic regression showed that participants who experienced flu-like symptoms, those in the healthcare sector, and those with higher adherence scores had higher odds for vaccine acceptability while being a female reduced the willingness to be vaccinated. In conclusion, our data suggest that the decreasing adherence to COVID-19 preventive measures may have caused increased flu-like symptoms over time. COVID-19 vaccine acceptance in Somalia is relatively high but could be improved by addressing factors that contribute to vaccine hesitancy.

scholarly journals Psychosocial Interventions for People With Dementia and Their Caregivers in Primary Care

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 812-812
Author(s):  
Lou Frankenstein ◽  
Georg Jahn
Keyword(s):  
Primary Care ◽  
Occupational Therapy ◽  
General Practitioners ◽  
Behavioral Treatment ◽  
Online Survey ◽  
Behavioral Therapy ◽  
Psychosocial Interventions ◽  
Structured Interviews ◽  
Optimal Care ◽  
People With Dementia

Abstract Psychosocial interventions, such as occupational and behavioral therapy are effective opportunities to support people with dementia and their caregivers in adapting to the cognitive and behavioral changes and the resulting challenges in everyday life they are facing. However, psychosocial interventions do not seem to have found their way into routine care yet. We wanted to get an insight into the knowledge and attitudes general practitioners have about occupational and behavioral therapy. In an online survey we asked medical students about the relevance of dementia, occupational therapy, and behavioral therapy during their studies. In another online survey we asked practitioners what they had learned about these topics and to what extent they are making use of psychosocial interventions. Then semi-structured interviews were carried out with general practitioners all over Germany, exploring their experiences with dementia and psychosocial interventions in primary care as well as their expectations regarding interdisciplinary cooperation. It became obvious that psychosocial interventions are not conveyed sufficiently within medical school. A lack of occupational therapy prescriptions for people with dementia seemed to result from uncertainties regarding the content of the approach and the budgeting of the prescriptions. Barriers for prescriptions of behavioral treatment were a lack of therapy places and the perceived inadequacy of the approach for this target group. General retentions to invest in people with dementia were expressed. These obstacles need to be overcome in order to provide optimal care for people with dementia and their family caregivers.

scholarly journals Primary care doctors’ understandings of and strategies to tackle health inequalities: a qualitative study

2019 ◽  
Vol 20 ◽  
Author(s):  
Mark Exworthy ◽  
Victoria Morcillo
Keyword(s):  
Primary Care ◽  
Qualitative Study ◽  
General Practitioners ◽  
Health Inequalities ◽  
Full Potential ◽  
Comparison Process ◽  
Structured Interviews ◽  
Policy And Practice ◽  
The Social ◽  
Primary Care Doctors

AbstractAimTo examine general practitioners’ knowledge of and their role in tackling health inequalities, in relation to their professional responsibilities.BackgroundPrimary care is often seen as being in the frontline of addressing health inequalities and the social determinants of health (SDH).MethodsA qualitative study with a maximum variety sample of English General Practitioners (GPs). In-depth, semi-structured interviews were held with 13 GPs in various geographical settings; they lasted between 30 and 70 min. Interviews were audio-recorded and transcribed. The analysis involved a constant comparison process undertaken by both authors to reveal key themes.FindingsGPs’ understanding of health inequalities reflected numerous perspectives on the SDH and they employ various different strategies in tackling them. This study revealed that GPs’ strategies were changing the nature of (medical) professionalism in primary care. We locate these findings in relation to Gruen’s model of professional responsibility (comprising a distinction between obligation and aspiration, and between patient advocacy, community participation and political involvement). We conclude that these GPs do not exploit the full potential of their contribution to tackling health inequalities. These findings have implication for policy and practice in other practitioners and in other health systems, as they seek to tackle health inequalities.

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