Discrepancies between general practitioners' vaccination recommendations for their patients and practices for their children
Discrepancies between general practitioners' vaccination recommendations for their patients and practices for their children
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DOI：
10.1016/j.cmi.2016.08.019
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发表时间：
2017-05-01
影响因子：
14.2
通讯作者：
Pulcini, C.
中科院分区：
文献类型：
--
作者：
Agrinier, N.;Le Marechal, M.;Pulcini, C.
目的：本研究的目的是描述全科医生（GP）为他们的病人和他们的孩子的做法的疫苗接种建议，并确定它们之间的任何差异。方法：将多重对应分析和凝聚层次聚类分析应用于2014年全国全科医生样本横断面调查的数据，我们构建了一个类型学的基础上的模式之间的关联全科医生的疫苗建议，他们的病人和做法，他们自己的孩子的vaccinations.Results：这项研究包括1038全科医生谁报告说，他们至少有一个孩子年龄在2-25岁。近一半（47%，482/1021）报告说，他们所有的孩子都接种了B型肝炎疫苗，但他们并不总是向患者推荐这种疫苗;在36%的人中观察到同样的不一致性，（369/1027）麻疹-腮腺炎-风疹疫苗，19%（194/1013）至28%（290/1019）的常规和追赶性脑膜炎球菌C疫苗接种和27%（136/496）的人乳头瘤病毒疫苗接种。聚类分析显示，37%（95% CI 33%-39%）的全科医生报告其患者的系统性疫苗推荐率高于平均水平，大多数全科医生报告其所有子女都接种了疫苗（低水平的不一致），而60%（95%CI 58%-64%）有很高的不一致性，也就是说，大多数人报告说他们的孩子接种了疫苗，但并不总是推荐相同的疫苗给他们的病人。许多全科医生对他们的孩子和病人接种疫苗的态度并不相同。这些差异背后的原因，可能包括疫苗犹豫，应该调查。N. Agrinier，Clin Microbiol Infect 2017;23：311（C）2016欧洲临床微生物学和传染病学会。由爱思唯尔有限公司出版。保留所有权利。
Objectives: The objectives of our study were to describe the vaccination recommendations by general practitioners (GPs) for their patients and practices for their children, and to identify any discrepancies between them.Methods: Applying multiple correspondence analysis and agglomerative hierarchical cluster analysis to data from a 2014 cross-sectional survey of a national sample of GPs, we constructed a typology based on the patterns of associations between GPs' vaccine recommendations to their patients and practices to their own children's vaccinations.Results: This study includes the 1038 GPs who reported that they had at least one child aged 2-25 years. Nearly half (47%, 482/1021) reported that all of their children were vaccinated against hepatitis B but that they did not always recommend that vaccine to patients; the same discordance was observed among 36% (369/1027) for the measles-mumps-rubella vaccine, 19% (194/1013) to 28% (290/1019) for routine and catch-up meningococcal C vaccination, and 27% (136/496) for the human papillomavirus vaccine. Cluster analysis showed that 37% (95% CI 33%-39%) of GPs reported an above-average rate of systematic vaccine recommendations for their patients, and most reported that all their children were vaccinated (low level of discordance), whereas 60% (95% CI 58%-64%) had a high level of discordance, that is, most reported that their children were vaccinated, but did not always recommend the same vaccines to their patients.Conclusions: Many GPs do not report the same attitude concerning the vaccination of their children and their patients. The reasons underlying these discrepancies, possibly including vaccine hesitancy, should be investigated. N. Agrinier, Clin Microbiol Infect 2017;23:311 (C) 2016 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights reserved.