Opinions et pratiques d’un panel de médecins généralistes français vis-à-vis de la vaccination

Abstract

En France, la couverture vaccinale est insuffisante. Les médecins généralistes étant des acteurs essentiels de la politique vaccinale, il est utile de connaître leurs opinions et pratiques à ce sujet. Nous avons interrogé 1431 médecins généralistes français et 98% se déclaraient favorables à la vaccination dans leur pratique quotidienne. Leurs couvertures vaccinales étaient de 73% pour l’hépatite B, 64% pour la coqueluche et 77% pour la grippe saisonnière. Les médecins se trouvaient très efficaces pour obtenir l’adhésion pour le vaccin ROR (Rougeole-Oreillons-Rubéole) chez les enfants de moins de deux ans et la grippe saisonnière chez les adultes de moins de 65 ans à risque, mais beaucoup moins pour l’hépatite B chez les adolescents. La mise en place d’un registre national informatisé des vaccinations et de messages de promotion vaccinale différenciés par vaccin semblent les deux voies prioritaires pour améliorer la couverture vaccinale.

Design of a national and regional survey among French general practitioners and method of the first wave of survey dedicated to vaccination

“…The participation rate was consistent with that of the previous panel (37%) [7][8][9][10][11][13][14][15]. 125 out of 2,879 GPs completed the first wave of surveys online.…”

“…Two previous panels had already been set up: the -five region panel‖ (Panel 1) for the 2007-2009 period included 1,900 GPs from five different regions; the national and regional -Panel 2‖ for the 2009-2012 period included 2,200 GPs. As far as infectious diseases are concerned, the results of the surveys conducted with these panels helped in studying the opinions, attitudes, and behaviors of GPs related to the treatment of bacterial tonsillitis [7][8][9], vaccination as a whole [10,11], MMR vaccination (measles, mumps, and rubella) [12], and seasonal or pandemic influenza vaccination [13][14][15][16].…”

Vaccination of cancer patients treated with chemotherapy: A survey among general practitioners

“…The global opinion of general practitioners about vaccination has been repeatedly addressed in the literature [7]. However, their position about the vaccination of immunocompromised patients is much less documented (30).…”

The necessary contribution of science to prevention

“…In France, where vaccine coverage is insufficient, general practitioners (GPs) play a vital role in the vaccination of the population. To better understand their views and practices and guide actions meant to improve immunization coverage, a representative panel of 1431 GPs was established in 2010 (9). Following this investigation, two ways of improving vaccination practice seem to emerge: the creation of a national register of vaccinations whose effectiveness has been proven abroad, and vaccine-specific promotion messages.…”