Clinic of Social and Family Medicine, School of Medicine, University of Crete, Heraklion, 71003, Greece.
Infectious Diseases Unit, School of Medicine, University of Crete, Heraklion, 71003, Greece.
Public Health. 2020 Apr;181:110-113. doi: 10.1016/j.puhe.2019.12.012. Epub 2020 Jan 27.
Vaccination coverage of general practitioners (GPs) is important for their own and for their colleagues' and patients' protection and has been associated with the coverage of the general population. Our study aims to evaluate the vaccination practices of GPs in Crete, Greece.
Cross-sectional, questionnaire-based survey.
All practicing GPs in Crete (n = 294) were surveyed either by questionnaires or by phone call. We assessed the vaccination coverage and practices for influenza, measles, hepatitis B, and pertussis (booster Tdap dose) and the reasons for nonvaccination for influenza.
A total of 260 (88% response rate) GPs participated. Vaccination rates were 56% for influenza (current season), 26% for measles (two doses), 68% for hepatitis B (three doses), and 18% for the booster dose with Tdap. Negligence (47%) and perceived low risk (29.6%) were the most common reasons for nonvaccination for influenza. History of natural measles infection was reported by 169 (65%) GPs, but none of the interviewed 31 provided laboratory confirmation. GPs with self-reported natural measles infection were less vaccinated than their peers (10% vs 55%, P < 0.001). Finally, 23 of 130 (18%) GPs contacted by phone falsely reported vaccination with Tdap in their childhood, when Tdap was not yet available.
This study revealed insufficient vaccination rates and misconceptions among GPs that should be the focus of future evidence-based interventions with potential to significantly improve vaccination coverage of GPs and indirectly of their patients.
全科医生（GP）的疫苗接种覆盖率对于保护他们自身、同事和患者非常重要，并且与普通人群的疫苗接种覆盖率相关。我们的研究旨在评估希腊克里特岛的 GP 的疫苗接种实践。
横断面、基于问卷的调查。
通过问卷或电话对克里特岛的所有执业 GP（n=294）进行调查。我们评估了流感、麻疹、乙型肝炎和百日咳（加强型Tdap 剂量）的疫苗接种覆盖率和实践情况，以及流感未接种疫苗的原因。
共有 260 名（88%的回复率）GP 参与了研究。流感（当季）疫苗接种率为 56%，麻疹（两剂）为 26%，乙型肝炎（三剂）为 68%，加强型 Tdap 为 18%。忽视（47%）和认为风险低（29.6%）是流感未接种疫苗的最常见原因。169 名（65%）GP 报告有自然感染麻疹史，但接受采访的 31 名中没有一人提供实验室确认。自我报告有自然感染麻疹史的 GP 的接种率低于其同行（10%比 55%，P<0.001）。最后，通过电话联系的 130 名 GP 中的 23 名（18%）错误报告他们在童年时期接种了 Tdap，当时 Tdap 还不可用。
这项研究揭示了 GP 中存在疫苗接种率不足和误解的情况，这应成为未来基于证据的干预措施的重点，这些措施有可能显著提高 GP 及其间接患者的疫苗接种覆盖率。
