de Lusignan Simon, Ashraf Mansoor, Ferreira Filipa, Tripathy Manasa, Yonova Ivelina, Rafi Imran, Kassianos George, Joy Mark
Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford OX2 6GG, UK.
Royal College of General Practitioners, Research and Surveillance Centre, London NW1 2FB, UK.
Behav Sci (Basel). 2023 Feb 2;13(2):130. doi: 10.3390/bs13020130.
Seasonal vaccination against influenza and in-pandemic COVID-19 vaccination are top public health priorities; vaccines are the primary means of reducing infections and also controlling pressures on health systems. During the 2018-2019 influenza season, we conducted a study of the knowledge, attitudes, and behaviours of 159 general practitioners (GPs) and 189 patients aged ≥65 years in England using a combination of qualitative and quantitative approaches to document beliefs about seasonal influenza and seasonal influenza vaccine. GPs were surveyed before and after a continuing medical education (CME) module on influenza disease and vaccination with an adjuvanted trivalent influenza vaccine (aTIV) designed for patients aged ≥65 years, and patients were surveyed before and after a routine visit with a GP who participated in the CME portion of the study. The CME course was associated with significantly increased GP confidence in their ability to address patients' questions and concerns about influenza disease and vaccination ( < 0.001). Patients reported significantly increased confidence in the effectiveness and safety of aTIV after meeting their GP. Overall, 82.2% of the study population were vaccinated against influenza (including 137 patients vaccinated during the GP visit and 15 patients who had been previously vaccinated), a rate higher than the English national average vaccine uptake of 72.0% that season. These findings support the value of GP-patient interactions to foster vaccine acceptance.
季节性流感疫苗接种以及大流行期间的新冠疫苗接种是公共卫生的首要任务；疫苗是减少感染以及控制卫生系统压力的主要手段。在2018 - 2019年流感季节，我们采用定性和定量相结合的方法，对英格兰的159名全科医生（GP）和189名年龄≥65岁的患者关于季节性流感和季节性流感疫苗的知识、态度及行为进行了研究。在为年龄≥65岁患者设计的含佐剂三价流感疫苗（aTIV）的流感疾病和疫苗接种继续医学教育（CME）模块前后，对全科医生进行了调查；在与参与该研究CME部分的全科医生进行常规就诊前后，对患者进行了调查。CME课程显著提高了全科医生应对患者有关流感疾病和疫苗接种问题及担忧的信心（<0.001）。患者报告称，在与全科医生交流后，对aTIV有效性和安全性的信心显著增强。总体而言，82.2%的研究人群接种了流感疫苗（包括137名在全科医生就诊期间接种的患者和15名之前已接种的患者），这一接种率高于该季节英格兰72.0%的全国平均疫苗接种率。这些发现支持了全科医生与患者互动对促进疫苗接种接受度的价值。
