Department of Medicine, Western University, London, Ontario, Canada
Institute for Clinical Evaluative Sciences, Ontario, Canada.
BMJ Open. 2024 Jun 10;14(6):e080461. doi: 10.1136/bmjopen-2023-080461.
To determine COVID-19 vaccine uptake among physicians in Ontario, Canada from 14 December 2020 to 13 February 2022.
Population-based retrospective cohort study.
All registered physicians in Ontario, Canada using data from linked provincial administrative healthcare databases.
41 267 physicians (including postgraduate trainees) who were Ontario residents and registered with the College of Physicians and Surgeons of Ontario were included. Physicians who were out of province, had not accessed Ontario Health Insurance Plan-insured services for their own care for ≥5 years and those with missing identifiers were excluded.
Primary outcomes were the proportions of physicians who were recorded to have received at least one, at least two and three doses of a Health Canada-approved COVID-19 vaccine by study end date. Secondary outcomes were how uptake varied by physician characteristics (including age, sex, specialty and residential location) and time elapsed between doses.
Of 41 267 physicians, (56% male, mean age 47 years), 39 359 (95.4%) received at least one dose, 39 148 (94.9%) received at least two doses and 35 834 (86.8%) received three doses of a COVID-19 vaccine. Of those who received three doses, the proportions were 90.4% among those aged ≥60 years and 81.2-89.5% among other age groups; 88.7% among family physicians and 89% among specialists. 1908 physicians (4.6%) had no record of vaccination, and this included 3.4% of family physicians and 4.1% of specialists; however, 28% of this group had missing specialty information.
In Ontario, within 14 months of COVID-19 vaccine availability, 86.8% of physicians had three doses of a COVID-19 vaccine, compared with 45.6% of the general population. Findings may signify physicians' confidence in the safety and effectiveness of COVID-19 vaccines.
从 2020 年 12 月 14 日至 2022 年 2 月 13 日，确定加拿大安大略省医生对 COVID-19 疫苗的接种情况。
基于人群的回顾性队列研究。
利用与省级行政医疗保健数据库相关联的数据，对安大略省所有注册医生进行研究。
纳入了 41267 名居住在安大略省、在安大略省医师外科医生学院注册的医生（包括研究生学员）。排除了在省外、5 年以上未使用安大略省医疗保险计划受保服务进行自身护理的医生，以及那些身份不明的医生。
主要结局是记录到在研究结束日期至少接种了一剂、至少两剂和三剂加拿大卫生部批准的 COVID-19 疫苗的医生比例。次要结局是接种率如何因医生特征（包括年龄、性别、专业和居住地点）和剂量之间的时间间隔而变化。
在 41267 名医生中（56%为男性，平均年龄为 47 岁），39359 名（95.4%）至少接种了一剂，39148 名（94.9%）至少接种了两剂，35834 名（86.8%）接种了三剂 COVID-19 疫苗。在接种三剂疫苗的人群中，60 岁及以上人群的比例为 90.4%，其他年龄组的比例为 81.2-89.5%；家庭医生的比例为 88.7%，专科医生的比例为 89%。1908 名（4.6%）医生没有接种记录，其中包括 3.4%的家庭医生和 4.1%的专科医生；然而，该组中有 28%的人缺少专业信息。
在 COVID-19 疫苗可获得的 14 个月内，86.8%的医生接种了三剂 COVID-19 疫苗，而普通人群的这一比例为 45.6%。这些发现可能表明医生对 COVID-19 疫苗的安全性和有效性有信心。
