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[Seasonal influenza vaccination coverage of general practitioners and their patients. Practice survey of French general practitioners after vaccination campaign 2011-2012].

Identifieur interne : 000215 ( Main/Exploration ); précédent : 000214; suivant : 000216

[Seasonal influenza vaccination coverage of general practitioners and their patients. Practice survey of French general practitioners after vaccination campaign 2011-2012].

Auteurs : J-P Joseph [France] ; F. Staffolani [France] ; S. Kinouani [France] ; S. Broussy [France] ; M-Q Picat [France] ; B. Senand [France] ; G. Ducos [France]

Source :

RBID : pubmed:25444836

Descripteurs français

English descriptors

Abstract

BACKGROUND

In France, vaccination coverage against seasonal influenza for risk groups was inadequate: 55.2% of people aged 65 and older, and 33% of the 16-64 year group with chronic targeted disorders were vaccinated in March 2012. Three quarters of general practitioners were vaccinated. Our objective was to estimate the influence of the vaccination status of general practitioners on vaccine coverage of their patients at risk.

METHODS

A questionnaire was sent in March 2012 to a sample of 500 general practitioners. Their professional characteristics, vaccination status against seasonal influenza and the determinants of these vaccinations were collected and compared to the vaccine coverage of their patients obtained from the French healthcare fund.

RESULTS

Self-reported vaccination coverage of the 225 general practitioners respondents was 81.3%. There was a positive correlation with age greater than 50 years, high activity level, rural practice and the absence of particular mode of exercise. The doctors wanted to be vaccinated to protect themselves and protect their patients or their family. Of the 42 doctors unvaccinated, 42.5% feared the side effects of the vaccine, 40% considered influenza to be a benign illness and 32.5% considered low risk of catching or spreading it. The vaccination rate for patients aged 65 and older was 62.3% among 147 doctors vaccinated versus 58.3% in unvaccinated 31 physicians (P<0.0001). These rates were 39% versus 36.7% (P=0.29) for patients with chronic targeted disorders.

CONCLUSION

This study shows a positive association between the reported vaccination of general practitioners and effective influenza vaccination of their patients aged 65 years and older. This result is less clear for patients with chronic targeted disorders. All this findings argue in favor of promoting seasonal influenza vaccination among general practitioners.


DOI: 10.1016/j.respe.2014.07.003
PubMed: 25444836


Affiliations:


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Le document en format XML

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<term>General Practice (MeSH)</term>
<term>General Practitioners (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Influenza Vaccines (MeSH)</term>
<term>Influenza, Human (prevention & control)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Practice Patterns, Physicians' (MeSH)</term>
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<p>
<b>BACKGROUND</b>
</p>
<p>In France, vaccination coverage against seasonal influenza for risk groups was inadequate: 55.2% of people aged 65 and older, and 33% of the 16-64 year group with chronic targeted disorders were vaccinated in March 2012. Three quarters of general practitioners were vaccinated. Our objective was to estimate the influence of the vaccination status of general practitioners on vaccine coverage of their patients at risk.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>A questionnaire was sent in March 2012 to a sample of 500 general practitioners. Their professional characteristics, vaccination status against seasonal influenza and the determinants of these vaccinations were collected and compared to the vaccine coverage of their patients obtained from the French healthcare fund.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Self-reported vaccination coverage of the 225 general practitioners respondents was 81.3%. There was a positive correlation with age greater than 50 years, high activity level, rural practice and the absence of particular mode of exercise. The doctors wanted to be vaccinated to protect themselves and protect their patients or their family. Of the 42 doctors unvaccinated, 42.5% feared the side effects of the vaccine, 40% considered influenza to be a benign illness and 32.5% considered low risk of catching or spreading it. The vaccination rate for patients aged 65 and older was 62.3% among 147 doctors vaccinated versus 58.3% in unvaccinated 31 physicians (P<0.0001). These rates were 39% versus 36.7% (P=0.29) for patients with chronic targeted disorders.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION</b>
</p>
<p>This study shows a positive association between the reported vaccination of general practitioners and effective influenza vaccination of their patients aged 65 years and older. This result is less clear for patients with chronic targeted disorders. All this findings argue in favor of promoting seasonal influenza vaccination among general practitioners.</p>
</div>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">In France, vaccination coverage against seasonal influenza for risk groups was inadequate: 55.2% of people aged 65 and older, and 33% of the 16-64 year group with chronic targeted disorders were vaccinated in March 2012. Three quarters of general practitioners were vaccinated. Our objective was to estimate the influence of the vaccination status of general practitioners on vaccine coverage of their patients at risk.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A questionnaire was sent in March 2012 to a sample of 500 general practitioners. Their professional characteristics, vaccination status against seasonal influenza and the determinants of these vaccinations were collected and compared to the vaccine coverage of their patients obtained from the French healthcare fund.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Self-reported vaccination coverage of the 225 general practitioners respondents was 81.3%. There was a positive correlation with age greater than 50 years, high activity level, rural practice and the absence of particular mode of exercise. The doctors wanted to be vaccinated to protect themselves and protect their patients or their family. Of the 42 doctors unvaccinated, 42.5% feared the side effects of the vaccine, 40% considered influenza to be a benign illness and 32.5% considered low risk of catching or spreading it. The vaccination rate for patients aged 65 and older was 62.3% among 147 doctors vaccinated versus 58.3% in unvaccinated 31 physicians (P<0.0001). These rates were 39% versus 36.7% (P=0.29) for patients with chronic targeted disorders.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">This study shows a positive association between the reported vaccination of general practitioners and effective influenza vaccination of their patients aged 65 years and older. This result is less clear for patients with chronic targeted disorders. All this findings argue in favor of promoting seasonal influenza vaccination among general practitioners.</AbstractText>
<CopyrightInformation>Copyright © 2014 Elsevier Masson SAS. All rights reserved.</CopyrightInformation>
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<Affiliation>Inserm, ISPED, centre Inserm U897-épidémiologie-biostatistique, 33076 Bordeaux, France.</Affiliation>
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<Affiliation>Inserm, ISPED, centre Inserm U897-épidémiologie-biostatistique, 33076 Bordeaux, France; Centre Inserm U897-épidémiologie-biostatistique, ISPED, université de Bordeaux, 33076 Bordeaux, France; Département d'information médicale, centre hospitalo-universitaire de Bordeaux, 33000 Bordeaux, France.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Senand</LastName>
<ForeName>B</ForeName>
<Initials>B</Initials>
<AffiliationInfo>
<Affiliation>Département de médecine générale, université de Bordeaux, 146, rue Léo-Saignat, 33076 Bordeaux Cedex, France.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Ducos</LastName>
<ForeName>G</ForeName>
<Initials>G</Initials>
<AffiliationInfo>
<Affiliation>Département de médecine générale, université de Bordeaux, 146, rue Léo-Saignat, 33076 Bordeaux Cedex, France.</Affiliation>
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</PublicationTypeList>
<VernacularTitle>Couverture par le vaccin de la grippe saisonnière des médecins généralistes et de leurs patients. Enquête de pratique auprès de médecins généralistes français après la campagne de vaccination 2011-2012.</VernacularTitle>
<ArticleDate DateType="Electronic">
<Year>2014</Year>
<Month>10</Month>
<Day>16</Day>
</ArticleDate>
</Article>
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<Country>France</Country>
<MedlineTA>Rev Epidemiol Sante Publique</MedlineTA>
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<Chemical>
<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D007252">Influenza Vaccines</NameOfSubstance>
</Chemical>
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<DescriptorName UI="D014611" MajorTopicYN="N">Vaccination</DescriptorName>
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<Keyword MajorTopicYN="N">Couverture vaccinale</Keyword>
<Keyword MajorTopicYN="N">General practitioner</Keyword>
<Keyword MajorTopicYN="N">Grippe saisonnière</Keyword>
<Keyword MajorTopicYN="N">Médecin généraliste</Keyword>
<Keyword MajorTopicYN="N">Seasonal influenza</Keyword>
<Keyword MajorTopicYN="N">Vaccine coverage</Keyword>
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</MedlineCitation>
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<Month>02</Month>
<Day>14</Day>
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<PubMedPubDate PubStatus="revised">
<Year>2014</Year>
<Month>07</Month>
<Day>01</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted">
<Year>2014</Year>
<Month>07</Month>
<Day>07</Day>
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<Minute>0</Minute>
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<PubMedPubDate PubStatus="medline">
<Year>2016</Year>
<Month>6</Month>
<Day>3</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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</History>
<PublicationStatus>ppublish</PublicationStatus>
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<ArticleId IdType="pubmed">25444836</ArticleId>
<ArticleId IdType="pii">S0398-7620(14)00680-4</ArticleId>
<ArticleId IdType="doi">10.1016/j.respe.2014.07.003</ArticleId>
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<affiliations>
<list>
<country>
<li>France</li>
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<region>
<li>Aquitaine</li>
<li>Nouvelle-Aquitaine</li>
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<li>Bordeaux</li>
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<region name="Nouvelle-Aquitaine">
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</region>
<name sortKey="Broussy, S" sort="Broussy, S" uniqKey="Broussy S" first="S" last="Broussy">S. Broussy</name>
<name sortKey="Ducos, G" sort="Ducos, G" uniqKey="Ducos G" first="G" last="Ducos">G. Ducos</name>
<name sortKey="Kinouani, S" sort="Kinouani, S" uniqKey="Kinouani S" first="S" last="Kinouani">S. Kinouani</name>
<name sortKey="Picat, M Q" sort="Picat, M Q" uniqKey="Picat M" first="M-Q" last="Picat">M-Q Picat</name>
<name sortKey="Senand, B" sort="Senand, B" uniqKey="Senand B" first="B" last="Senand">B. Senand</name>
<name sortKey="Staffolani, F" sort="Staffolani, F" uniqKey="Staffolani F" first="F" last="Staffolani">F. Staffolani</name>
</country>
</tree>
</affiliations>
</record>

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