Advising vaccinations for the elderly: a cross-sectional survey on differences between general practitioners and physician assistants in Germany

被引：21
作者：
Klett-Tammen, Carolina Judith [1 ,2 ]
Krause, Gerard [1 ,3 ]
von Lengerke, Thomas [4 ]
Castell, Stefanie [1 ]
机构：
[1] Helmholtz Ctr Infect Res, Dept Epidemiol, Inhoffenstr 7, D-38124 Braunschweig, Germany
[2] Hannover Med Sch, Inst Epidemiol Social Med & Hlth Syst Res, Hannover, Germany
[3] Hannover Med Sch, Chair Infect Dis Epidemiol, Hannover, Germany
[4] Hannover Med Sch, Med Psychol Unit, Carl Neuberg Str 1, D-30625 Hannover, Germany
来源：
BMC FAMILY PRACTICE | 2016年 / 17卷
关键词：
Vaccination; Elderly; Aged; General practitioners; Physician assistants; Health knowledge; Attitudes; Practice; ATTITUDES; IMMUNIZATION; KNOWLEDGE; BELIEFS; INFLUENZA; DOCTORS; ADULTS;
D O I：
10.1186/s12875-016-0502-3
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
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.
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页数：10
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