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韩国一项基于网络调查的家庭医学住院医师参与者对医护人员疫苗接种的认知、现状及障碍

Knowledge, Current Status, and Barriers toward Healthcare Worker Vaccination among Family Medicine Resident Participants in a Web-Based Survey in Korea.

作者信息

Ko Kyungjin, Kim Sungjong, Kim Sang-Hyun, Son Ki Young, Lee Jungun, Lee Dong Ryul

机构信息

Department of Family Medicine, Wonkwang University Sanbon Hospital, Wonkwang University School of Medicine, Gunpo, Korea.

Department of Family Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.

出版信息

Korean J Fam Med. 2017 Jan;38(1):21-27. doi: 10.4082/kjfm.2017.38.1.21. Epub 2017 Jan 18.

Abstract

BACKGROUND

We investigated the knowledge, status, and barriers toward healthcare workers receiving vaccinations among Korean family medicine residents. To date, a systematic study has not been conducted among medical practitioners examining these variables.

METHODS

A web-based, anonymous, self-administered questionnaire was distributed to all 942 family medicine residents working in 123 training hospitals in Korea. A multiple logistic regression analysis was performed to investigate factors affecting vaccination completion.

RESULTS

Korean family medicine residents (N=242, 25.7%) from 54 training hospitals (43.9%) participated in the survey. Only 24 respondents (9.9%) had correct knowledge on all the recommended vaccinations by the Korean Society of Infectious Diseases. The complete vaccination rates against hepatitis B virus and influenza were relatively high (69.4% and 83.0%, respectively), whereas they were relatively low against other infections (e.g., 16.5%- 53.1%). The most common reason for not receiving a vaccination was the belief that there was little possibility of infection from the vaccine-preventable diseases.

CONCLUSION

Knowledge and vaccination coverage were poor among family medicine residents in Korea. Medical schools should provide vaccination information to healthcare workers as part of their mandatory curriculum. Further research should confirm these findings among primary care physicians and other healthcare workers.

摘要

背景

我们调查了韩国家庭医学住院医师对医护人员接种疫苗的认知、现状及障碍。迄今为止,尚未在医学从业者中针对这些变量进行系统研究。

方法

向韩国123家培训医院的所有942名家庭医学住院医师发放了一份基于网络的匿名自填式问卷。进行多因素逻辑回归分析以调查影响疫苗接种完成情况的因素。

结果

来自54家培训医院(43.9%)的韩国家庭医学住院医师(N = 242,25.7%)参与了调查。只有24名受访者(9.9%)对韩国传染病学会推荐的所有疫苗有正确认知。乙型肝炎病毒和流感的全程接种率相对较高(分别为69.4%和83.0%),而针对其他感染的接种率相对较低(例如16.5% - 53.1%)。未接种疫苗的最常见原因是认为感染疫苗可预防疾病的可能性很小。

结论

韩国的家庭医学住院医师的知识水平和疫苗接种覆盖率较低。医学院校应将向医护人员提供疫苗接种信息作为其必修课程的一部分。进一步的研究应在初级保健医生和其他医护人员中证实这些发现。

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