Poon Paul Kwok Ming, Zhou Weiju, Chan Dicken Cheong Chun, Kwok Kin On, Wong Samuel Yeung Shan
JC School of Public Health and Primary Care, The Chinese University of Hong Kong, 2/F, Prince of Wales Hospital, Shatin, New Territories, Hong Kong, China.
Stanley Ho Centre for Emerging Infectious Diseases, The Chinese University of Hong Kong, Hong Kong, China.
Vaccines (Basel). 2021 Nov 13;9(11):1319. doi: 10.3390/vaccines9111319.
: Recommendation from doctors is a well-recognized motivator toward vaccine uptake. Family doctors are in the prime position to advise the public on COVID-19 vaccination. We studied the practice and concerns of frontline family doctors concerning COVID-19 vaccination recommendations to patients. : We conducted a cross-sectional online survey of all family doctors in the Hong Kong College of Family Physicians between June and July 2021. Their practice of making COVID-19 recommendation to patients was assessed. Based on the Health Belief Model, factors associated with doctors' recommendation practices were explored and examined. Multivariate logistic regression models were used to investigate the factors, including COVID-19 vaccine attributes, associated with doctors' practices in making recommendations. Their own vaccination status and psychological antecedents to vaccine hesitancy were measured. : A total of 312 family doctors responded (a 17.6% response rate). The proportion of doctors who had received COVID-19 vaccines was 90.1%. The proportion of doctors who would recommend all patients without contraindications for the vaccination was 64.4%. The proportion of doctors who would proactively discuss COVID-19 vaccines with patients was 52.9%. Multivariate logistic regression analysis showed that doctors' own COVID-19 vaccination status was the strongest predictor of family doctors making a recommendation to patients (aOR 12.23 95% CI 3.45-43.33). Longer duration of practice, willingness to initiate the relevant discussion with patients and less worry about vaccine side effects on chronic illness patients were the other factors associated with making a COVID-19 vaccination recommendation. : Family doctors should be encouraged to get vaccinated themselves and initiate discussions with patients about COVID-19 vaccines. Vaccine safety data on patients with chronic illness, training and guidelines for junior doctors may facilitate the COVID-19 vaccination recommendation practices of family doctors.
医生的建议是促进疫苗接种的一个公认的推动因素。家庭医生处于就新冠疫苗接种向公众提供建议的首要位置。我们研究了一线家庭医生在向患者提供新冠疫苗接种建议方面的做法和顾虑。
我们在2021年6月至7月期间对香港家庭医生学院的所有家庭医生进行了一项横断面在线调查。评估了他们向患者提供新冠疫苗接种建议的做法。基于健康信念模型，探讨并检验了与医生建议做法相关的因素。使用多变量逻辑回归模型来研究与医生建议做法相关的因素，包括新冠疫苗属性。测量了他们自己的疫苗接种状况以及对疫苗犹豫的心理前因。
共有312名家庭医生做出回应（回应率为17.6%）。接种过新冠疫苗的医生比例为90.1%。会向所有无接种禁忌的患者推荐接种的医生比例为64.4%。会主动与患者讨论新冠疫苗的医生比例为52.9%。多变量逻辑回归分析表明，医生自己的新冠疫苗接种状况是家庭医生向患者提供建议的最强预测因素（调整后比值比12.23，95%置信区间3.45 - 43.33）。执业时间较长、愿意与患者展开相关讨论以及较少担心慢性病患者的疫苗副作用是与做出新冠疫苗接种建议相关的其他因素。
应鼓励家庭医生自己接种疫苗，并与患者展开关于新冠疫苗的讨论。针对慢性病患者的疫苗安全数据、对初级医生的培训和指南可能会促进家庭医生的新冠疫苗接种建议做法。
