Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, Massachusetts, USA
Department of Family and Community Medicine, UT Southwestern Medical School, Dallas, Texas, USA.
Fam Med Community Health. 2021 Nov;9(4). doi: 10.1136/fmch-2021-001228.
The purpose of this study was to examine the perspectives of primary care physicians in Texas around vaccine acceptance and potential patient barriers to vaccination. National surveys have shown fluctuating levels of acceptance for COVID-19 vaccination, and primary care physicians could play a crucial role in increasing vaccine uptake.
This study employed a cross-sectional anonymous survey design to collect data using an online questionnaire. Participants were asked about vaccination practices and policies at their practice site, perceptions of patient and community acceptance and confidence in responding to patient vaccine concerns.
From November 2020 to January 2021, family medicine physicians and paediatricians completed an online questionnaire on COVID-19 vaccination that was distributed by professional associations.
The survey was completed by 573 practising physicians, the majority of whom identified as family medicine physicians (71.0%) or paediatricians (25.7%), who are currently active in professional associations in Texas.
About three-fourths (74.0%) of participants reported that they would get the vaccine as soon as it became available. They estimated that slightly more than half (59.2%) of their patients would accept the vaccine, and 67.0% expected that the COVID-19 vaccine would be accepted in their local community. The majority of participants (87.8%) reported always, almost always or usually endorsing vaccines, including high levels of intention to recommend COVID-19 vaccination (81.5%). Participants felt most confident responding to patient concerns related to education about vaccine types, safety and necessity and reported least confidence in responding to personal or religious objections to COVID-19 vaccination.
The majority of the physicians surveyed stated that they would receive the COVID-19 vaccination when it was available to them and were confident in their ability to respond to patient concerns. With additional education, support and shifting COVID-19 vaccinations into primary care settings, primary care physicians can use the trust they have built with their patients to address vaccine hesitancy and potentially increase acceptance and uptake.
本研究旨在调查德克萨斯州初级保健医生对疫苗接种的接受程度和潜在患者疫苗接种障碍的看法。全国性调查显示，人们对 COVID-19 疫苗的接受程度波动不定，初级保健医生在增加疫苗接种率方面可能发挥关键作用。
本研究采用横断面匿名调查设计，通过在线问卷收集数据。参与者被问及他们在实践场所的疫苗接种实践和政策、对患者和社区接受程度的看法以及对回应患者疫苗问题的信心。
2020 年 11 月至 2021 年 1 月，家庭医学医生和儿科医生通过专业协会完成了一项关于 COVID-19 疫苗接种的在线问卷调查。
该调查由 573 名执业医生完成，其中大多数人认为自己是家庭医学医生（71.0%）或儿科医生（25.7%），目前活跃在德克萨斯州的专业协会中。
约四分之三（74.0%）的参与者表示，一旦疫苗上市，他们将接种疫苗。他们估计，略多于一半（59.2%）的患者会接受疫苗，67.0%的人预计 COVID-19 疫苗将在当地社区得到接受。大多数参与者（87.8%）表示始终、几乎总是或通常支持疫苗，包括强烈的推荐 COVID-19 疫苗接种的意愿（81.5%）。参与者表示，他们最有信心回应与疫苗类型、安全性和必要性相关的患者关切，而对回应 COVID-19 疫苗接种的个人或宗教反对意见最没有信心。
调查的大多数医生表示，一旦他们可以接种 COVID-19 疫苗，他们就会接种疫苗，并且对他们回应患者关切的能力有信心。通过更多的教育、支持和将 COVID-19 疫苗接种转移到初级保健机构，初级保健医生可以利用他们与患者建立的信任来解决疫苗犹豫问题，并可能提高接受度和接种率。
