Attitudes of Dutch general practitioners towards vaccinating the elderly: less is more?

Eilers, Renske; Krabbe, Paul F M; Melker, Hester E. de

doi:10.1186/s12875-015-0377-8

Cited by 16 publications

(20 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…No association between recommendation and knowledge was found, contrary to studies analyzed in the literature review. (7,12,13,(18)(19)(20)(21)(22)(23) These results suggest that health care providers are not giving patients enough information about the pneumococcal disease or the vaccine when they recommended it to them. Vaccinated participants may have gained their knowledge from primary health care providers, nurses, pharmacists, friends, family or online resources after they received the vaccine.…”

Section: Test Used Results Conclusionmentioning

confidence: 99%

“…The most influential predictor of pneumococcal vaccination and knowledge is recommendation by a general practitioner or family physician. (13,14,(18)(19)(20)(21)(22)(23)(24) Following recommendation by a physician, the other most influential factors are previous influenza vaccination, family member recommendation, media influence, number of visits to a health care facility and flu clinic advertisements. (13,14,(18)(19)(20)(21)(22)(23)(24) Social determinants such as an increased number of comorbidities and higher income also increased the probability that an individual was vaccinated.…”

Section: Knowledge Of the Pneumococcal Vaccine In The Elderly And How Information Is Disseminatedmentioning

confidence: 99%

“…(13,14,(18)(19)(20)(21)(22)(23)(24) Following recommendation by a physician, the other most influential factors are previous influenza vaccination, family member recommendation, media influence, number of visits to a health care facility and flu clinic advertisements. (13,14,(18)(19)(20)(21)(22)(23)(24) Social determinants such as an increased number of comorbidities and higher income also increased the probability that an individual was vaccinated. (24) Reasons for nonvaccination included lack of information about the vaccine, high perceived risks and low perceived benefits.…”

Section: Knowledge Of the Pneumococcal Vaccine In The Elderly And How Information Is Disseminatedmentioning

confidence: 99%

“…The majority of knowledgeable and vaccinated participants in the reviewed studies had received recommendations from a general practitioner or family doctor. (7,12,13,(18)(19)(20)(21)(22)(23) Studies conducted in Australia, Germany, USA, Canada, and the Netherlands have shown that approximately 20% of doctors do not recommend the pneumococcal vaccine to their patients. (4,12,13,21,22) Practitioners may not recommend the vaccine for the following reasons: they are too concerned with more immediate health problems when conducting examinations, they perceive the pneumococcal disease as low risk, they have difficulty determining the vaccination status of the patient, they are concerned about negative side effects, or they believe the efficacy of the vaccine is too low.…”

Section: Knowledge Of the Pneumococcal Vaccine In The Elderly And How Information Is Disseminatedmentioning

confidence: 99%

“…(7,12,13,(18)(19)(20)(21)(22)(23) Studies conducted in Australia, Germany, USA, Canada, and the Netherlands have shown that approximately 20% of doctors do not recommend the pneumococcal vaccine to their patients. (4,12,13,21,22) Practitioners may not recommend the vaccine for the following reasons: they are too concerned with more immediate health problems when conducting examinations, they perceive the pneumococcal disease as low risk, they have difficulty determining the vaccination status of the patient, they are concerned about negative side effects, or they believe the efficacy of the vaccine is too low. (4,12,13,21,22) To break down these barriers to vaccination, education and public health initiatives involving physicians would be the most effective way to raise vaccination rates.…”

Section: Knowledge Of the Pneumococcal Vaccine In The Elderly And How Information Is Disseminatedmentioning

confidence: 99%

See 4 more Smart Citations

Association between knowledge of the pneumococcal vaccine, vaccination status and recommendations for vaccination

Beverly¹,

Sciences²,

Heacock³

2017

ephj

View full text Add to dashboard Cite

BACKGROUND Pneumococcal disease caused by Streptococcus pneumoniae has a high morbidity rate in elderly individuals aged 65 or older. Previous studies have demonstrated that low vaccination rates with the 23-valent pneumococcal polysaccharide vaccine (pneumovax) are due to a lack of awareness and knowledge about the vaccine in the general population. This study measured the association between the public’s knowledge of the pneumococcal vaccine, vaccination status, the type and number of health care facility visits per participant in the past year and number of advertisements seen for the vaccine. METHODS This study used a survey to test the knowledge of its participants on the pneumococcal vaccine and associated the results with nominal data such as vaccination status and recommendation for vaccination by their primary health care providers. The survey tested the participants using 15 true or false questions that assessed their knowledge on the pneumococcal vaccine and pneumococcal disease. RESULTS No association was found between the knowledge individuals have on the pneumococcal vaccine and whether their health care provider recommended the vaccine (p=0.467). However, a statistical difference in knowledge between individuals who are vaccinated and individuals who are not vaccinated was found (p=0.039 (CHI), p=0.011 (ANOVA)). There was also a positive association found between vaccination status and primary health care provider recommendation for the pneumococcal vaccine (p=0.001). No association was found between vaccination status and number of visits to a primary health care provider in the past year (p=0.149). Using an ANOVA analysis, it was found that there was a difference in number of advertising types seen for each vaccination status group (p=0.011). CONCLUSION Based on the results, it can be concluded that individuals who are vaccinated have more knowledge on the pneumococcal vaccine, but their knowledge is not affected by a recommendation to receive the vaccine from their primary health care provider. This suggests that health care providers are not providing sufficient information about the vaccine to their patients when they recommend it. Despite this knowledge gap, the association between vaccination status and primary health care provider recommendation for the vaccine indicates that individuals are more likely to get vaccinated when their primary health care provider recommends it. However, more visits to the provider annually did not influence the vaccination status of the patient. In addition, results from the ANOVA analysis suggest that participants who saw more vaccine advertisements were more likely to be vaccinated.

show abstract

Section: Test Used Results Conclusionmentioning

confidence: 99%

Section: Knowledge Of the Pneumococcal Vaccine In The Elderly And How Information Is Disseminatedmentioning

confidence: 99%

Section: Knowledge Of the Pneumococcal Vaccine In The Elderly And How Information Is Disseminatedmentioning

confidence: 99%

Section: Knowledge Of the Pneumococcal Vaccine In The Elderly And How Information Is Disseminatedmentioning

confidence: 99%

Section: Knowledge Of the Pneumococcal Vaccine In The Elderly And How Information Is Disseminatedmentioning

confidence: 99%

See 3 more Smart Citations

Association between knowledge of the pneumococcal vaccine, vaccination status and recommendations for vaccination

Beverly¹,

Sciences²,

Heacock³

2017

ephj

View full text Add to dashboard Cite

show abstract

Healthcare workers’ perceptions and experiences of communicating with people over 50 years of age about vaccination: a qualitative evidence synthesis

Glenton

Carlsen

Lewin

et al. 2021

Cochrane Database of Systematic Reviews

Self Cite

View full text Add to dashboard Cite

Background Infectious diseases are a major cause of illness and death among older adults. Vaccines can prevent infectious diseases, including against seasonal influenza, pneumococcal diseases, herpes zoster and COVID‐19. However, the uptake of vaccination among older adults varies across settings and groups. Communication with healthcare workers can play an important role in older people's decisions to vaccinate. To support an informed decision about vaccination, healthcare workers should be able to identify the older person's knowledge gaps, needs and concerns. They should also be able to share and discuss information about the person's disease risk and disease severity; the vaccine's effectiveness and safety; and practical information about how the person can access vaccines. Therefore, healthcare workers need good communication skills and to actively keep up‐to‐date with the latest evidence. An understanding of their perceptions and experiences of this communication can help us train and support healthcare workers and design good communication strategies. Objectives To explore healthcare workers' perceptions and experiences of communicating with older adults about vaccination. Search methods We searched MEDLINE, CINAHL and Scopus on 21 March 2020. We also searched Epistemonikos for related reviews, searched grey literature sources, and carried out reference checking and citation searching to identify additional studies. We searched for studies in any language. Selection criteria We included qualitative studies and mixed‐methods studies with an identifiable qualitative component. We included studies that explored the perceptions and experiences of healthcare workers and other health system staff towards communication with adults over the age of 50 years or their informal caregivers about vaccination. Data collection and analysis We extracted data using a data extraction form designed for this review. We assessed methodological limitations using a list of predefined criteria. We extracted and assessed data regarding study authors' motivations for carrying out their study. We used a thematic synthesis approach to analyse and synthesise the evidence. We used the GRADE‐CERQual (Confidence in the Evidence from Reviews of Qualitative research) approach to assess our confidence in each finding. We examined each review finding to identify factors that may influence intervention implementation and we developed implications for practice. Main results We included 11 studies in our review. Most studies explored healthcare workers' views and experiences about vaccination of older adults more broadly but also mentioned communication issues specifically. All studies were from high‐income countries. The studies focused on doctors, nurses, pharmacists and others working in hospitals, clinics, pharmacies and nursing homes. These healthcar...

show abstract

Vernieuwing van de vaccinatiezorg in Nederland

Ruijs

2016

Bijblijven

View full text Add to dashboard Cite

Attitudes of Dutch general practitioners towards vaccinating the elderly: less is more?

Cited by 16 publications

References 13 publications

Association between knowledge of the pneumococcal vaccine, vaccination status and recommendations for vaccination

Association between knowledge of the pneumococcal vaccine, vaccination status and recommendations for vaccination

Healthcare workers’ perceptions and experiences of communicating with people over 50 years of age about vaccination: a qualitative evidence synthesis

Vernieuwing van de vaccinatiezorg in Nederland

Contact Info

Product

Resources

About