Understanding Primary Care Physician Vaccination Behaviour: A Systematic Review

Prieto-Campo, Ángela; García-Álvarez, Rosa María; López‐Durán, Ana; Roque, Fátima; Herdeiro, María Teresa; Figueiras, Adolfo; Zapata-Cachafeiro, Maruxa

doi:10.3390/ijerph192113872

Cited by 8 publications

(3 citation statements)

References 83 publications

(65 reference statements)

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“…An Australian focus group study [36] revealed that a heavy GP workload and the complexity of managing patients with chronic diseases are the main GP-related barriers to SIV. Analogously, a recent systematic review of qualitative studies on vaccination [37] hesitation among health professionals highlighted the crucial role of time constraints, which are the main extrinsic factors in uencing general vaccine hesitancy. In particular, physicians often reported that the time spent on vaccination may reduce the time for other practices judged as a higher priority.…”

Section: Discussionmentioning

confidence: 99%

Declining number of general practitioners can impair influenza vaccination uptake in Italy

Domnich,

Lapi,

Orsi

et al. 2024

Preprint

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Background As in many other countries, seasonal influenza vaccination coverage in Italian older adults is insufficient. In Italy, most influenza vaccine doses are administered by general practitioners (GPs), whose number has been declining in recent years. In parallel, the number of patients per GP and consequent GP workload increased dramatically. In this longitudinal study, we aimed to test whether influenza vaccination coverage may be affected by the increased GP workload. Methods The study outcome was the influenza vaccination coverage rate in adults aged ≥ 65 years and registered in 20 Italian regions over the last 23 years. The independent variable of interest was GP workload, proxied as the proportion of GPs with more than 1,500 patients, which is an imposed normative ceiling. By adopting an econometric approach, different specifications of fixed- and random-effects panel regression models were run to assess the association of interest, when adjusted for potential confounders. Results Over the last two decades, most regions showed a negative association between influenza vaccination coverage rates and the density of GPs with a high number of patients. This latter negative association was confirmed (P < 0.05) in different panel model specifications. In particular, in the fully adjusted two-way fixed-effects model, which explained 72.6% of the variance, each 10% increase in the number of GPs with more than 1,500 patients was associated with a 1.7% decrease in influenza vaccination coverage. However, this association was present only in region-years where at least 18% of GPs were deemed overloaded. Conclusions In the upcoming years, the number of Italian GPs is projected to decline further. At the same time, the aging Italian population will determine an even greater workload for GPs. This study demonstrated that increased GP workload may partially explain the spatiotemporal variation in influenza vaccination uptake in the Italian elderly. With the imperative of increasing or at least maintaining influenza vaccination coverage rates, several short- and mid-term initiatives should be implemented in order to optimize GP workload during seasonal immunization campaigns.

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Section: Discussionmentioning

confidence: 99%

Declining number of general practitioners can impair influenza vaccination uptake in Italy

Domnich,

Lapi,

Orsi

et al. 2024

Preprint

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“…In other countries, primary care physicians, general practitioners, and family physicians also have essential roles in preventive medicine and primary care. [11][12][13] Japan is known to have strong vaccine hesitancy that is not limited to COVID-19. 14 Moreover, the burden on health care workers owing to COVID-19 treatment was substantial, and there was a severe shortage of health care workers to administer vaccines.…”

Section: Discussionmentioning

confidence: 99%

Contributions of Japanese Hospitalists During the COVID-19 Pandemic and the Need for Infectious Disease Crisis Management Education for Hospitalists: An Online Cross-Sectional Study

Tago,

Hirata,

Katsuki

et al. 2023

RMHP

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Introduction Hospitalists in Japan have been at the forefront of the COVID-19 pandemic. However, contributions of Japanese hospitalists during the COVID-19 pandemic and hospitalists’ awareness of crisis management education remain unclear. Material and Methods We conducted a questionnaire survey to investigate the role of Japanese hospitalists during the COVID-19 pandemic. The questionnaire was conducted using email and Google Forms targeting the chairpersons of facilities certified by the Japanese Society of Hospital General Medicine (JSHGM). Members of the academic committee of the JSHGM and several hospitals conducted a narrative review and determined the questions for the survey in a discussion. Results We conducted descriptive statistics based on the responses of 97 hospitals that agreed to participate in this survey. In total, 91.8% of general medicine departments in the included hospitals were involved in the medical care of COVID-19 patients. Furthermore, in 73.2% of hospitals, hospitalists were involved in infection control for COVID-19 inside or outside the hospital. Our survey revealed that Japanese hospitalists were responsible for COVID-19 treatment in over 60% of hospitals and contributed to hospital management, infection control, and vaccination. In total, 79.4% of hospitals answered that “training of personnel who can provide practical care for emerging infectious diseases is necessary”, 78.4% indicated that “the establishment of an infection control system in advance to prepare emerging infectious diseases in the hospital is necessary”, and 74.2% stated that “the establishment of an educational system for responding to emerging infectious diseases is necessary.”. Conclusion In conclusion, during the pandemic, in addition to inpatient care, Japanese hospitalists provided outpatient care for COVID-19, which is the role of primary care physicians in other countries. Furthermore, Japanese hospitalists who experienced the COVID-19 pandemic expressed the need for personnel development and education to prepare for future emerging infectious disease pandemics.

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“…Various tests for the varicella-zoster virus are utilized, including detecting IgM antibodies specific to varicella-zoster in the blood and observing multinucleated giant cells on the Tzanck smear of vesicular fluid. Additional methods involve polymerase chain reaction testing of vesicular fluid and direct fluorescent antibody testing [7][8][9][10][11].…”

Section: Herpes Zostermentioning

confidence: 99%

Cutaneous Manifestations and Neurological Diseases

Lahoti,

Singh,

Bisen

et al. 2023

Cureus

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Our skin and nervous system are tightly connected. Numerous dermatomes on our skin provide sensory information to the brain. Because skin changes can occasionally be the first sign of a neurological problem, understanding skin alterations is crucial as it can indicate early about the underlying condition, which can affect the prognosis of the disease. In these cases, the dermatologists' and neurologists' skills are complementary to each other. In this article, we have categorized diseases with neuro-cutaneous manifestations under different headings, such as infections, metabolic diseases, connective tissue disorders, genodermatoses, nutritional deficiency, and the diagnostic criteria of some commonly encountered diseases. Through tabulation, it has been observed that this categorization can serve as a useful reference for managing day-to-day patients who are either diagnosed with the diseases mentioned above or suspected to have the conditions.

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Understanding Primary Care Physician Vaccination Behaviour: A Systematic Review

Cited by 8 publications

References 83 publications

Declining number of general practitioners can impair influenza vaccination uptake in Italy

Declining number of general practitioners can impair influenza vaccination uptake in Italy

Contributions of Japanese Hospitalists During the COVID-19 Pandemic and the Need for Infectious Disease Crisis Management Education for Hospitalists: An Online Cross-Sectional Study

Cutaneous Manifestations and Neurological Diseases

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