Immunization champions: Characteristics of general practitioners associated with better immunization delivery

Goodyear‐Smith, Felicity; Petousis‐Harris, Helen; Turner, Nikki

doi:10.4161/hv.5.6.8356

Cited by 7 publications

(6 citation statements)

References 9 publications

(10 reference statements)

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“…Of the studies ultimately selected, 14 were cross-sectional studies [19-32], and one was a case–control study [33]. We found no other published systematic reviews on this topic.…”

Section: Resultsmentioning

confidence: 99%

Are healthcare workers’ intentions to vaccinate related to their knowledge, beliefs and attitudes? a systematic review

et al. 2013

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BackgroundThe Summit of Independent European Vaccination Experts (SIEVE) recommended in 2007 that efforts be made to improve healthcare workers’ knowledge and beliefs about vaccines, and their attitudes towards them, to increase vaccination coverage. The aim of the study was to compile and analyze the areas of disagreement in the existing evidence about the relationship between healthcare workers’ knowledge, beliefs and attitudes about vaccines and their intentions to vaccinate the populations they serve.MethodsWe conducted a systematic search in four electronic databases for studies published in any of seven different languages between February 1998 and June 2009. We included studies conducted in developed countries that used statistical methods to relate or associate the variables included in our research question. Two independent reviewers verified that the studies met the inclusion criteria, assessed the quality of the studies and extracted their relevant characteristics. The data were descriptively analyzed.ResultsOf the 2354 references identified in the initial search, 15 studies met the inclusion criteria. The diversity in the study designs and in the methods used to measure the variables made it impossible to integrate the results, and each study had to be assessed individually. All the studies found an association in the direction postulated by the SIEVE experts: among healthcare workers, higher awareness, beliefs that are more aligned with scientific evidence and more favorable attitudes toward vaccination were associated with greater intentions to vaccinate. All the studies included were cross-sectional; thus, no causal relationship between the variables was established.ConclusionThe results suggest that interventions aimed at improving healthcare workers’ knowledge, beliefs and attitudes about vaccines should be encouraged, and their impact on vaccination coverage should be assessed.

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“…Of the studies ultimately selected, 14 were cross-sectional studies [19-32], and one was a case–control study [33]. We found no other published systematic reviews on this topic.…”

Section: Resultsmentioning

confidence: 99%

Are healthcare workers’ intentions to vaccinate related to their knowledge, beliefs and attitudes? a systematic review

et al. 2013

View full text Add to dashboard Cite

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“…The study sample ( Figure 1) and recruitment ( Figure 2) have been described previously, and the sample has been demonstrated to be regionally and nationally representative. 22,23,34 Practice immunisation timeliness A median (25th, 75th centile) of 56% (40%, 64%) of registered children at each practice were immunised on time. There was a wide distribution of timeliness across practices.…”

Section: Resultsmentioning

confidence: 99%

“…These methods have been previously reported. [22][23][24][25] The Ministry of Health definition of on-time immunisation was used, being receipt of the six-week immunisation within four weeks of due date and within six weeks of due date for the three-month, five-month and 15-month immunisations. 26 A delayed immunisation is, therefore, one that is delivered beyond this time window.…”

Section: Methodsmentioning

confidence: 99%

What contributes to delays? The primary care determinants of immunisation timeliness in New Zealand

Petousis‐Harris

Grant²,

Goodyear‐Smith³

et al. 2012

J Prim Health Care

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INTRODUCTION: Delay in receipt of the first vaccine dose in the primary series is one of the strongest and most consistent predictors of subsequent incomplete immunisation. AIM: To describe the on-time immunisation delivery of New Zealand infant scheduled vaccines by primary care practices and identify characteristics of practices, health professionals and patients associated with delays in receipt of infant immunisations. METHODS: Timeliness of immunisation delivery and factors associated with timely immunisation were examined in 124 randomly selected primary care practices in two large regions of New Zealand. RESULTS: A multiple regression model of demographic, practice, nurse, doctor and caregiver association explained 68% of the variance in immunisation timeliness between practices. Timeliness was higher in practices without staff shortages (ß-coefficient -0.0770, p= 0.01), where nurses believed parental apathy (ß-coefficient 0.0819, p=0.008) or physicians believed parental access (ß-coefficient 0.109, p=0.002) was a barrier, and lower in practices with Maori governance (ß-coefficient -0.0868, p=0.05), higher social deprivation (ß-coefficient -0.0643,<0.001) and where caregivers received immunisation-discouraging information (ß-coefficient -0.0643, p=0.04). DISCUSSION: Interventions supporting practice teams and providers in primary care settings could produce significant improvements in immunisation timeliness. KEYWORDS: Immunization; vaccination; immunization programs; primary health care; family practice

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“…This issue is commonly reported by many countries where a fierce opposition and lack of support from the physicians toward pharmacist-run immunization was indicated [ 23 ]. It was defended by the fact that CPs were not adequately or effectively trained to do vaccination or to manage adverse effects following vaccine administration [ 24 – 26 ].…”

Section: Discussionmentioning

confidence: 99%

Exploring determinants of community pharmacist-led influenza vaccination in a Middle Eastern country: a national web-based cross-sectional study

Abou-Abbas

Hassan

2021

J of Pharm Policy and Pract

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Background Utilizing community pharmacists (CPs) as immunizers has being adopted in various countries as approach to boost influenza vaccination coverage. Our study aims to explore the Lebanese CPs’ willingness to administer influenza vaccine, and to identify factors associated with this willingness. Methods This is a web-based, cross-sectional study, conducted over 2 months, from the 1st of November to the end of December 2020. Self-reported data were collected electronically from Lebanese CPs through an anonymous, questionnaire using google form. The collected data were analyzed using the statistical software SPSS (Statistical Package for Social Sciences). Bivariate and multivariable analyses were performed to examine factors associated with the willingness of CPs to administer influenza vaccine. Results A total of 412 CPs participated in this survey of which 76.9% are willing to administer influenza vaccines. More than 90% of them had a good overall knowledge score and 88.8% of CPs showed a positive overall attitude score, particularly towards involvement of CPs in influenza vaccine provision. Their willingness to administer vaccine was positively associated with the younger age (aOR = 3.12 with 95% CI (1.597–4.040)), higher education level (aOR = 2.02 with 95% CI (1.093–3.741)), previous experience in immunization (aOR = 2.72 with 95% CI (1.320–5.627)) and urbanicity of pharmacy (aOR = 1.542 with 95% CI (1.219–4.627)). Extensive working hours (aOR = 2.34 with 95% CI (1.131–4.845)), working in pharmacies that are operating round-the-clock, showing positive attitude towards immunization (aOR = 3.01 with 95% CI (1.872–6.422)) and towards provision of influenza vaccines (aOR = 13.72 with 95% CI (13.721–38.507)) were also positively associated to this willingness. Conversely, patient privacy (aOR = 0.55 with 95% CI (0.079–0.983)), time and cost for professional development (aOR = 0.55 with 95% CI (0.172–0.918)), limited patient’s trust (aOR = 0.39 with 95% CI (0.203–0.784)), financial remuneration (aOR = 0.18 with 95% CI (0.088–0.377)), and requirement of formal certification in vaccine administration (aOR = 0.07 with 95% CI (0.020–0.279)) were negatively associated to this willingness. Conclusion Addressing the unearthed concerns related to utilizing CPs as influenza immunizers through a concerted effort is a key to success in any future implementation of vaccination services in pharmacies.

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Immunization champions: Characteristics of general practitioners associated with better immunization delivery

Cited by 7 publications

References 9 publications

Are healthcare workers’ intentions to vaccinate related to their knowledge, beliefs and attitudes? a systematic review

Are healthcare workers’ intentions to vaccinate related to their knowledge, beliefs and attitudes? a systematic review

What contributes to delays? The primary care determinants of immunisation timeliness in New Zealand

Exploring determinants of community pharmacist-led influenza vaccination in a Middle Eastern country: a national web-based cross-sectional study

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