H Akan1, E Yavuz2, M E Yayla3, H Külbay4, E Ç Kaspar5, O Zahmacıoğlu6, S Badur7. 1. Department of Family Medicine, Yeditepe University Faculty of Medicine, İnönü Mahallesi, Kayışdağı Cad., 26 Ağustos Yerleşimi, 34755 Kadıköy, İstanbul, Turkey. Electronic address: hakan@yeditepe.edu.tr. 2. Public Health Institution of Turkey, 1st Family Health Center, Family Medicine Clinic Samsun Training and Research Hospital Kadıköy Samsun, Rize, Turkey. Electronic address: erdincyavuz@gmail.com. 3. Turkey Public Health Office, Saricam Mehmet Akif Ersoy Family Medicine Center, Ministery of Health, Adana, Turkey. Electronic address: meyayla76@yahoo.com. 4. Turkey Public Health Office, Zumrutevler Number 1 Family Medicine Clinic, Istanbul, Turkey. Electronic address: medicine80@hotmail.com. 5. Department of Biostatistics and Medical Informatics, Yeditepe University Faculty of Medicine, İnönü Mahallesi, Kayışdağı Cad., 26 Ağustos Yerleşimi, 34755 Kadıköy, İstanbul, Turkey. Electronic address: ecaltunok@yeditepe.edu.tr. 6. Department of Psychiatry, Yeditepe University Faculty of Medicine, İnönü Mahallesi, Kayışdağı Cad., 26 Ağustos Yerleşimi, 34755 Kadıköy, İstanbul, Turkey. Electronic address: ozahmacioglu@yeditepe.edu.tr. 7. Department of Virology, Istabul University Faculty of Medicine 34093Fatih/Çapa, İstanbul, Turkey. Electronic address: sbadur@hotmail.com.
Abstract
AIM: The aim of this study was to determine the factors that influenced the decisions of family physicians working in primary care health services to receive influenza vaccines. METHODS: This cross-sectional study was performed between June 2014 and September 2014. Physicians were reached electronically via e-mail. A self-reported questionnaire consisting of 50 items covering potential factors that may have influenced their decision to receive vaccination, including perceived risk, severity of the perceived risk, perceived benefit, perceived barriers, cues to action, attitudes, social influences and personal efficacy, was administered to the study participants. Cronbach's alpha for the questionnaire was determined to be 0.92 in the pilot study. RESULTS: The response rate was 27.5% (n=596). Regularly vaccinated physicians accounted for 27.3% of the responses. The median age was 41.84±7.80, and the median working duration of the group was 17.0±7.8years. The factors that led to increased vaccination compliance (p<0.05) included working duration, age, chronic disease history and living with a person over 65years. Nearly all major domains, i.e., perceived risk, severity of the perceived risk, perceived benefit, perceived barriers, attitudes, social influences and personal efficacy, there were differences between the compliant and noncompliant groups. Multi-regression analyses revealed that risk perception, organizational factors such as time and convenient vaccination increased vaccine compliance. However, the perceived necessity to be vaccinated annually had a negative effect on vaccination behaviour (p<0.05). CONCLUSION: Strategies aimed to increase the flu vaccination ratio among physicians that do not take different factors into account are more likely to be unsuccessful. In the planning and implementation of strategies aiming to increase the vaccination ratio among physicians, it is both necessary and important to take into account behavioural and organizational factors.
AIM: The aim of this study was to determine the factors that influenced the decisions of family physicians working in primary care health services to receive influenza vaccines. METHODS: This cross-sectional study was performed between June 2014 and September 2014. Physicians were reached electronically via e-mail. A self-reported questionnaire consisting of 50 items covering potential factors that may have influenced their decision to receive vaccination, including perceived risk, severity of the perceived risk, perceived benefit, perceived barriers, cues to action, attitudes, social influences and personal efficacy, was administered to the study participants. Cronbach's alpha for the questionnaire was determined to be 0.92 in the pilot study. RESULTS: The response rate was 27.5% (n=596). Regularly vaccinated physicians accounted for 27.3% of the responses. The median age was 41.84±7.80, and the median working duration of the group was 17.0±7.8years. The factors that led to increased vaccination compliance (p<0.05) included working duration, age, chronic disease history and living with a person over 65years. Nearly all major domains, i.e., perceived risk, severity of the perceived risk, perceived benefit, perceived barriers, attitudes, social influences and personal efficacy, there were differences between the compliant and noncompliant groups. Multi-regression analyses revealed that risk perception, organizational factors such as time and convenient vaccination increased vaccine compliance. However, the perceived necessity to be vaccinated annually had a negative effect on vaccination behaviour (p<0.05). CONCLUSION: Strategies aimed to increase the flu vaccination ratio among physicians that do not take different factors into account are more likely to be unsuccessful. In the planning and implementation of strategies aiming to increase the vaccination ratio among physicians, it is both necessary and important to take into account behavioural and organizational factors.
Authors: Malik Sallam; Ramy Mohamed Ghazy; Khaled Al-Salahat; Kholoud Al-Mahzoum; Nadin Mohammad AlHadidi; Huda Eid; Nariman Kareem; Eyad Al-Ajlouni; Rawan Batarseh; Nidaa A Ababneh; Mohammed Sallam; Mariam Alsanafi; Srikanth Umakanthan; Ala'a B Al-Tammemi; Faris G Bakri; Harapan Harapan; Azmi Mahafzah; Salah T Al Awaidy Journal: Vaccines (Basel) Date: 2022-08-19