Advising vaccinations for the elderly: a cross-sectional survey on differences between general practitioners and physician assistants in Germany.
Identifieur interne : 000111 ( Main/Exploration ); précédent : 000110; suivant : 000112Advising vaccinations for the elderly: a cross-sectional survey on differences between general practitioners and physician assistants in Germany.
Auteurs : Carolina Judith Klett-Tammen [Allemagne] ; Gérard Krause [Allemagne] ; Thomas Von Lengerke [Allemagne] ; Stefanie Castell [Allemagne]Source :
- BMC family practice [ 1471-2296 ] ; 2016.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Allemagne (MeSH), Assistants médecins (MeSH), Attitude du personnel soignant (MeSH), Compétence clinique (MeSH), Counseling directif (MeSH), Enquêtes et questionnaires (MeSH), Femelle (MeSH), Humains (MeSH), Mâle (MeSH), Médecins généralistes (MeSH), Sujet âgé (MeSH), Types de pratiques des médecins (MeSH), Vaccination (MeSH), Vaccins antigrippaux (MeSH), Vaccins antipneumococciques (MeSH), Études transversales (MeSH).
- MESH :
- Adulte, Adulte d'âge moyen, Allemagne, Assistants médecins, Attitude du personnel soignant, Compétence clinique, Counseling directif, Enquêtes et questionnaires, Femelle, Humains, Mâle, Médecins généralistes, Sujet âgé, Types de pratiques des médecins, Vaccination, Vaccins antigrippaux, Vaccins antipneumococciques, Études transversales.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Attitude of Health Personnel (MeSH), Clinical Competence (MeSH), Cross-Sectional Studies (MeSH), Directive Counseling (MeSH), Female (MeSH), General Practitioners (MeSH), Germany (MeSH), Humans (MeSH), Influenza Vaccines (MeSH), Male (MeSH), Middle Aged (MeSH), Physician Assistants (MeSH), Pneumococcal Vaccines (MeSH), Practice Patterns, Physicians' (MeSH), Surveys and Questionnaires (MeSH), Vaccination (MeSH).
- MESH :
- chemical : Influenza Vaccines, Pneumococcal Vaccines.
- Adult, Aged, Attitude of Health Personnel, Clinical Competence, Cross-Sectional Studies, Directive Counseling, Female, General Practitioners, Germany, Humans, Male, Middle Aged, Physician Assistants, Practice Patterns, Physicians', Surveys and Questionnaires, Vaccination.
Abstract
BACKGROUND
In Germany, the coverage of officially recommended vaccinations for the elderly is below a desirable level. It is known that advice provided by General Practitioners and Physician Assistants influences the uptake in patients ≥60 years. Therefore, the predictors of advice-giving behavior by these professions should be investigated to develop recommendations for possible actions for improvement.
METHODS
We conducted a postal cross-sectional survey on knowledge, attitudes and advice - giving behavior regarding vaccinations in the elderly among General Practitioners and Physician Assistants in 4995 practices in Germany. To find specific predictors, we performed logistic regressions with non-advising on any officially recommended vaccination or on three specific vaccinations as four separate outcomes, first using all participants, then only General Practitioners and lastly only Physician Assistants as our study population.
RESULTS
Participants consisted of 774 General Practitioners and 563 Physician Assistants, of whom overall 21 % stated to have not advised an officially recommended vaccination in elderly patients. The most frequent explanation was having forgotten about it. The habit of not counselling on vaccinations at regular intervals was associated with not advising any vaccination (OR: 2.8), influenza vaccination (OR: 2.3), and pneumococcal vaccination (OR: 3.1). While more General Practitioners than Physician Assistants felt sufficiently informed (90 % vs. 79 %, p < 0.001), General Practitioners displayed higher odds to not advise specific vaccinations (ORs: 1.8-2.8).
CONCLUSIONS
To reduce the high risk of forgetting to advice on vaccinations, we recommend improving and promoting standing recall-systems, encouraging General Practitioners and Physician Assistants to counsel routinely at regular intervals regarding vaccinations, and providing Physician Assistants with better, tailor-made information on official recommendations and their changes.
DOI: 10.1186/s12875-016-0502-3
PubMed: 27473612
PubMed Central: PMC4966563
Affiliations:
Links toward previous steps (curation, corpus...)
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It is known that advice provided by General Practitioners and Physician Assistants influences the uptake in patients ≥60 years. Therefore, the predictors of advice-giving behavior by these professions should be investigated to develop recommendations for possible actions for improvement.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We conducted a postal cross-sectional survey on knowledge, attitudes and advice - giving behavior regarding vaccinations in the elderly among General Practitioners and Physician Assistants in 4995 practices in Germany. To find specific predictors, we performed logistic regressions with non-advising on any officially recommended vaccination or on three specific vaccinations as four separate outcomes, first using all participants, then only General Practitioners and lastly only Physician Assistants as our study population.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Participants consisted of 774 General Practitioners and 563 Physician Assistants, of whom overall 21 % stated to have not advised an officially recommended vaccination in elderly patients. The most frequent explanation was having forgotten about it. The habit of not counselling on vaccinations at regular intervals was associated with not advising any vaccination (OR: 2.8), influenza vaccination (OR: 2.3), and pneumococcal vaccination (OR: 3.1). While more General Practitioners than Physician Assistants felt sufficiently informed (90 % vs. 79 %, p < 0.001), General Practitioners displayed higher odds to not advise specific vaccinations (ORs: 1.8-2.8).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>To reduce the high risk of forgetting to advice on vaccinations, we recommend improving and promoting standing recall-systems, encouraging General Practitioners and Physician Assistants to counsel routinely at regular intervals regarding vaccinations, and providing Physician Assistants with better, tailor-made information on official recommendations and their changes.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27473612</PMID><DateCompleted><Year>2017</Year><Month>11</Month><Day>07</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1471-2296</ISSN><JournalIssue CitedMedium="Internet"><Volume>17</Volume><PubDate><Year>2016</Year><Month>07</Month><Day>29</Day></PubDate></JournalIssue><Title>BMC family practice</Title><ISOAbbreviation>BMC Fam Pract</ISOAbbreviation></Journal><ArticleTitle>Advising vaccinations for the elderly: a cross-sectional survey on differences between general practitioners and physician assistants in Germany.</ArticleTitle><Pagination><MedlinePgn>98</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s12875-016-0502-3</ELocationID><Abstract><AbstractText Label="BACKGROUND">In Germany, the coverage of officially recommended vaccinations for the elderly is below a desirable level. It is known that advice provided by General Practitioners and Physician Assistants influences the uptake in patients ≥60 years. Therefore, the predictors of advice-giving behavior by these professions should be investigated to develop recommendations for possible actions for improvement.</AbstractText><AbstractText Label="METHODS">We conducted a postal cross-sectional survey on knowledge, attitudes and advice - giving behavior regarding vaccinations in the elderly among General Practitioners and Physician Assistants in 4995 practices in Germany. To find specific predictors, we performed logistic regressions with non-advising on any officially recommended vaccination or on three specific vaccinations as four separate outcomes, first using all participants, then only General Practitioners and lastly only Physician Assistants as our study population.</AbstractText><AbstractText Label="RESULTS">Participants consisted of 774 General Practitioners and 563 Physician Assistants, of whom overall 21 % stated to have not advised an officially recommended vaccination in elderly patients. The most frequent explanation was having forgotten about it. The habit of not counselling on vaccinations at regular intervals was associated with not advising any vaccination (OR: 2.8), influenza vaccination (OR: 2.3), and pneumococcal vaccination (OR: 3.1). While more General Practitioners than Physician Assistants felt sufficiently informed (90 % vs. 79 %, p < 0.001), General Practitioners displayed higher odds to not advise specific vaccinations (ORs: 1.8-2.8).</AbstractText><AbstractText Label="CONCLUSIONS">To reduce the high risk of forgetting to advice on vaccinations, we recommend improving and promoting standing recall-systems, encouraging General Practitioners and Physician Assistants to counsel routinely at regular intervals regarding vaccinations, and providing Physician Assistants with better, tailor-made information on official recommendations and their changes.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Klett-Tammen</LastName><ForeName>Carolina Judith</ForeName><Initials>CJ</Initials><AffiliationInfo><Affiliation>Department for Epidemiology, Helmholtz Centre for Infection Research, Inhoffenstr. 7, Braunschweig, 38124, Germany.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Institute for Epidemiology, Social Medicine and Health Systems Research, Hannover Medical School, Hannover, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Krause</LastName><ForeName>Gérard</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Department for Epidemiology, Helmholtz Centre for Infection Research, Inhoffenstr. 7, Braunschweig, 38124, Germany.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Chair for Infectious Disease Epidemiology, Hannover Medical School, Hannover, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>von Lengerke</LastName><ForeName>Thomas</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Medical Psychology Unit, Hannover Medical School, Carl-Neuberg-Str. 1, Hannover, 30625, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Castell</LastName><ForeName>Stefanie</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department for Epidemiology, Helmholtz Centre for Infection Research, Inhoffenstr. 7, Braunschweig, 38124, Germany. Stefanie.Castell@helmholtz-hzi.de.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>07</Month><Day>29</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Fam Pract</MedlineTA><NlmUniqueID>100967792</NlmUniqueID><ISSNLinking>1471-2296</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D007252">Influenza Vaccines</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D022242">Pneumococcal Vaccines</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001291" MajorTopicYN="N">Attitude of Health Personnel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002983" MajorTopicYN="N">Clinical Competence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D037001" MajorTopicYN="Y">Directive Counseling</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058005" MajorTopicYN="Y">General Practitioners</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005858" MajorTopicYN="N">Germany</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007252" MajorTopicYN="N">Influenza Vaccines</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010823" MajorTopicYN="Y">Physician Assistants</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D022242" MajorTopicYN="N">Pneumococcal Vaccines</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010818" MajorTopicYN="Y">Practice Patterns, Physicians'</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014611" MajorTopicYN="Y">Vaccination</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Aged</Keyword><Keyword MajorTopicYN="Y">Attitudes</Keyword><Keyword MajorTopicYN="Y">Elderly</Keyword><Keyword MajorTopicYN="Y">General practitioners</Keyword><Keyword MajorTopicYN="Y">Health knowledge</Keyword><Keyword MajorTopicYN="Y">Physician assistants</Keyword><Keyword MajorTopicYN="Y">Practice</Keyword><Keyword MajorTopicYN="Y">Vaccination</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>03</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>07</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>7</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>7</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>11</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27473612</ArticleId><ArticleId IdType="doi">10.1186/s12875-016-0502-3</ArticleId><ArticleId IdType="pii">10.1186/s12875-016-0502-3</ArticleId><ArticleId IdType="pmc">PMC4966563</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Arch Intern Med. 2001 Dec 10-24;161(22):2702-8</Citation><ArticleIdList><ArticleId IdType="pubmed">11732935</ArticleId></ArticleIdList></Reference><Reference><Citation>Vaccine. 2008 Oct 16;26(44):5633-40</Citation><ArticleIdList><ArticleId IdType="pubmed">18706955</ArticleId></ArticleIdList></Reference><Reference><Citation>J Epidemiol Community Health. 1999 Sep;53(9):589-90</Citation><ArticleIdList><ArticleId IdType="pubmed">10562889</ArticleId></ArticleIdList></Reference><Reference><Citation>Vaccine. 2004 Sep 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IdType="pubmed">24884433</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li></country><region><li>Basse-Saxe</li></region><settlement><li>Hanovre</li></settlement></list><tree><country name="Allemagne"><noRegion><name sortKey="Klett Tammen, Carolina Judith" sort="Klett Tammen, Carolina Judith" uniqKey="Klett Tammen C" first="Carolina Judith" last="Klett-Tammen">Carolina Judith Klett-Tammen</name></noRegion><name sortKey="Castell, Stefanie" sort="Castell, Stefanie" uniqKey="Castell S" first="Stefanie" last="Castell">Stefanie Castell</name><name sortKey="Klett Tammen, Carolina Judith" sort="Klett Tammen, Carolina Judith" uniqKey="Klett Tammen C" first="Carolina Judith" last="Klett-Tammen">Carolina Judith Klett-Tammen</name><name sortKey="Krause, Gerard" sort="Krause, Gerard" uniqKey="Krause G" first="Gérard" last="Krause">Gérard Krause</name><name sortKey="Krause, Gerard" sort="Krause, Gerard" uniqKey="Krause G" first="Gérard" last="Krause">Gérard Krause</name><name sortKey="Von Lengerke, Thomas" sort="Von Lengerke, Thomas" uniqKey="Von Lengerke T" first="Thomas" last="Von Lengerke">Thomas Von Lengerke</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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