以色列医院医生的医学筛查检测和疫苗接种。

Medical screening tests and vaccination among hospital-based physicians in Israel.

机构信息

Department of Family Medicine and Siaal Research Center for Family Practice and Primary Care, Faculty of Health Sciences, Ben-Gurion University of the Negev, POB 653, 84105, Beer-Sheva, Israel.

Clalit Health Services, Southern District, Tel Aviv, Israel.

出版信息

BMC Health Serv Res. 2022 Nov 10;22(1):1335. doi: 10.1186/s12913-022-08714-8.

DOI:10.1186/s12913-022-08714-8

PMID:36357854

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9648033/

Abstract

BACKGROUND

Very few studies have evaluated physician participation in screening tests and vaccinations. The aim was to evaluate attitudes and actual practice of screening tests and vaccinations among hospital-based physicians and to identify factors that predict actual performance.

METHODS

A cross-sectional study including 220 physicians in various specializations. The study was conducted between January 1, 2017 and December 10, 2017. The statistical analysis was performed during October, 2020 and completed in October 25, 2020.

RESULTS

The vast majority of physicians (94%) believed in the importance of screening tests for physicians, but less than half actually underwent the tests themselves. A high percentage of physicians measured their BMI (84.5%) and had a serum lipid profile test (67.7%) and complete blood counts (75%) over the previous five years, but less than a third of female physicians over 50 years of age had a mammogram and only 8% of the physicians over 50 had a fecal occult blood test. A high percentage of physicians were vaccinated for Hepatitis A and B, chickenpox and measles (66-96% for the various vaccinations), but only 41% had an influenza vaccination in the previous year. In a multivariate logistic regression model, physicians who believed that hospital physicians bore a responsibility for recommending screening tests to their patients were more likely to have their BMI and their blood pressure checked (OR = 2.234, P = 0.007). They were more likely to undergo laboratory testing (OR = 4.082, P < 0.0001) and tended to get vaccinated more (OR = 1.907, P = 0.051).

CONCLUSION

The rate of screening tests and vaccinations among hospital-based physicians is sub-optimal and very low for fecal occult blood testing and mammograms. Structured programs are required to implement screening tests and vaccinations among physicians.

摘要

背景

很少有研究评估医生参与筛查试验和疫苗接种的情况。本研究旨在评估医院医生对筛查试验和疫苗接种的态度和实际做法，并确定预测实际表现的因素。

方法

本研究为一项横断面研究，纳入了 220 名来自不同专业的医生。研究于 2017 年 1 月 1 日至 2017 年 12 月 10 日进行。统计分析于 2020 年 10 月进行，于 2020 年 10 月 25 日完成。

结果

绝大多数医生（94%）认为医生进行筛查试验很重要，但只有不到一半的医生自己接受过这些检查。高比例的医生在过去五年内测量过自己的 BMI（84.5%），检查过血脂谱（67.7%）和全血细胞计数（75%），但不到三分之一的 50 岁以上女性医生做过乳房 X 光检查，只有 8%的 50 岁以上医生做过粪便潜血检查。高比例的医生接种过甲型肝炎和乙型肝炎、水痘和麻疹疫苗（各种疫苗接种率为 66%-96%），但只有 41%的医生在过去一年中接种过流感疫苗。在多变量逻辑回归模型中，认为医院医生有责任向患者推荐筛查试验的医生更有可能检查自己的 BMI 和血压（OR=2.234，P=0.007）。他们更有可能进行实验室检查（OR=4.082，P<0.0001），并且更倾向于接种疫苗（OR=1.907，P=0.051）。