a Department of Health Sciences , University of Florence , Florence , Italy.
b CeRIMP - Regional Centre for Occupational Diseases and Injuries, Local Health Unit Tuscany Centre , Florence , Italy.
Hum Vaccin Immunother. 2018 Jun 3;14(6):1342-1350. doi: 10.1080/21645515.2018.1430543. Epub 2018 Mar 30.
The aim of the present study was to evaluate orientation, organizational procedures implemented and difficulties faced by general practitioners (GPs) during the 2014/15 seasonal influenza vaccination programme, as well as GPs' general attitude towards vaccinations.
An ad hoc online survey was developed and administered to general practitioners members of the Italian Federation of GPs (Federazione Italiana Medici di Medicina Generale - FIMMG). Overall, 10,000 survey invitations were sent. Data were analysed with R 3.3.2 software for analyses. Odds ratios (OR) were calculated in univariable and multivariable analyses.
A sample of 1,245 GPs participated in the survey. Only slightly more than one third achieved a vaccination coverage comprised between 61% and 75%. In over half of the cases, the local health unit does not allow the GPs to choose the type of vaccine; 8.8% did not receive operational information at the beginning of the vaccination campaign and almost half did not receive feedback information at the end of the campaign. Almost three quarters reported that the vaccination uptake should increase. One tenth of GPs totally disagreed with the statement that vaccinating healthcare workers is crucial to prevent and control infections, and one fifth had not been vaccinated in the prior decade.
The efforts made to vaccinate elderly individuals did not reach the expected results; still many GPs complained about lack of information by the relevant public health institutions and organizational difficulties. A stronger commitment of public health authorities would entail a higher vaccination uptake.
本研究旨在评估全科医生（GP）在 2014/15 季节性流感疫苗接种计划期间的定位、实施的组织程序和面临的困难，以及 GP 对疫苗接种的总体态度。
专门开发了一项在线调查，并分发给意大利全科医生联合会（Federazione Italiana Medici di Medicina Generale - FIMMG）的全科医生成员。总共发送了 10000 份调查邀请。使用 R 3.3.2 软件进行数据分析。在单变量和多变量分析中计算了优势比（OR）。
共有 1245 名 GP 参与了调查。只有略多于三分之一的人达到了 61%至 75%之间的疫苗接种覆盖率。在大多数情况下，当地卫生部门不允许 GP 选择疫苗类型；8.8%的人在疫苗接种活动开始时没有收到操作信息，近一半的人在活动结束时没有收到反馈信息。近四分之三的人表示疫苗接种率应该提高。十分之一的 GP 完全不同意接种医护人员对预防和控制感染至关重要的说法，五分之一的人在过去十年中没有接种过疫苗。
为接种老年人所做的努力并未达到预期效果；许多 GP 仍然抱怨相关公共卫生机构缺乏信息和组织困难。公共卫生当局的更大承诺将带来更高的疫苗接种率。
