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[新冠疫苗接种——动机与压力因素:德国医生和医疗助理的横断面调查]

[COVID-19 vaccination - motivation and stress factors: A cross-sectional survey of physicians and medical assistants in Germany].

作者信息

Schütte Ann-Kathrin, Wattenberg-Karapinar Ivonne, Hornberg Claudia, Lätzsch Rebecca

机构信息

AG 1 Sustainable Environmental Health Sciences, Universität Bielefeld Medizinische Fakultät OWL, Bielefeld, Germany.

Forschungskoordination, Universität Bielefeld Medizinische Fakultät OWL, Bielefeld, Germany.

出版信息

Gesundheitswesen. 2023 Oct;85(10):850-856. doi: 10.1055/a-2144-5633. Epub 2023 Oct 4.

Abstract

AIM

The aim of the study was to investigate motivation and stress factors related to the COVID-19 vaccination campaign among outpatient physicians and medical assistants in Germany.

METHODS

In a quantitative, non-representative online survey, a total of 514 physicians and MFAs from different or the same practice were asked about reasons for and barriers to participation in the vaccination campaign, organizational conditions - including vaccine supply and availability - and workload.

RESULTS

70.3% of the respondents were physicians and 28.8% were medical assistants. In both occupational groups, the majority were from North Rhine-Westphalia (73.7% in total). The main motivations for participating in the vaccination campaign were to contribute to the fight against the pandemic (92.3%) and to advance the vaccination campaign (90.1%). For 94.6% of respondents, workload had increased since the vaccination campaign began in April 2021. Key stress factors were increased bureaucratic workload (92.5%), scheduling appointments for vaccinations (91%), patient inquiries (90.3%), and extra work/overtime (83%). Too much bureaucracy (69.6%) was the most frequently cited reason for not participating in the vaccination campaign.

CONCLUSION

A large number of practices are making a key contribution to combating the pandemic by participating in the COVID-19 vaccination campaign, but this is also associated with a high workload situation. This is exacerbated by the dynamics of the infectious event and frequently changing demands and policy requirements on vaccinating practices. There is a strong desire for a uniform and less bureaucratic approach.

摘要

目的

本研究旨在调查德国门诊医生和医疗助理中与新冠疫苗接种活动相关的动机和压力因素。

方法

在一项定量的、非代表性的在线调查中,共询问了来自不同或同一诊所的514名医生和医疗辅助人员参与疫苗接种活动的原因和障碍、组织条件(包括疫苗供应和可及性)以及工作量。

结果

70.3%的受访者为医生,28.8%为医疗助理。在这两个职业群体中,大多数来自北莱茵-威斯特法伦州(总计73.7%)。参与疫苗接种活动的主要动机是为抗击疫情做出贡献(92.3%)以及推动疫苗接种活动(90.1%)。对于94.6%的受访者而言,自2021年4月疫苗接种活动开始以来工作量有所增加。关键压力因素包括官僚主义工作量增加(92.5%)、安排疫苗接种预约(91%)、患者咨询(90.3%)以及额外工作/加班(83%)。官僚主义过多(69.6%)是未参与疫苗接种活动最常被提及的原因。

结论

大量诊所以参与新冠疫苗接种活动的方式为抗击疫情做出了关键贡献,但这也伴随着高工作量的情况。传染病事件的动态变化以及对疫苗接种诊所不断变化的需求和政策要求加剧了这种情况。人们强烈希望采用统一且官僚主义较少的方法。

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本文引用的文献

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[Implementation of the COVID-19 vaccination campaign: experiences and perspectives from the point of view of the Association of Statutory Health Insurance Physicians Westfalen-Lippe (KVWL)].
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2022 Dec;65(12):1262-1271. doi: 10.1007/s00103-022-03619-7. Epub 2022 Nov 25.
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