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Understanding Primary Care Physician Vaccination Behaviour: A Systematic Review

Author

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  • Ángela Prieto-Campo

    (Department of Preventive Medicine and Public Health, University of Santiago de Compostela, 15786 Santiago de Compostela, Spain)

  • Rosa María García-Álvarez

    (Department of Preventive Medicine and Public Health, Hospital of Santiago de Compostela, 15706 Santiago de Compostela, Spain)

  • Ana López-Durán

    (Department of Clinical Psychology and Psychobiology, University of Santiago de Compostela, 15786 Santiago de Compostela, Spain)

  • Fátima Roque

    (Research Unit for Inland Development, Polytechnic of Guarda (UDI-IPG), Avenida Dr. Francisco Sá Carneiro, No. 50, 6300-559 Guarda, Portugal
    Health Sciences Research Centre, University of Beira Interior (CICS-UBI), Av. Infante D. Henrique, 6200-506 Covilhã, Portugal
    Escola Superior de Saúde, Instituto Politécnico da Guarda Rua da Cadeia, 6300-035 Guarda, Portugal)

  • Maria Teresa Herdeiro

    (Institute of Biomedicine (iBiMED), Department of Medical Sciences, University of Aveiro, 3810-193 Aveiro, Portugal)

  • Adolfo Figueiras

    (Department of Preventive Medicine and Public Health, University of Santiago de Compostela, 15786 Santiago de Compostela, Spain
    Consortium for Biomedical Research in Epidemiology and Public Health (CIBER of Epidemiology and Public Health, CIBERESP), Instituto de Salud Carlos III, 28029 Madrid, Spain
    Health Research Institute of Santiago de Compostela (IDIS), 15786 Santiago de Compostela, Spain)

  • Maruxa Zapata-Cachafeiro

    (Department of Preventive Medicine and Public Health, University of Santiago de Compostela, 15786 Santiago de Compostela, Spain
    Consortium for Biomedical Research in Epidemiology and Public Health (CIBER of Epidemiology and Public Health, CIBERESP), Instituto de Salud Carlos III, 28029 Madrid, Spain
    Health Research Institute of Santiago de Compostela (IDIS), 15786 Santiago de Compostela, Spain)

Abstract

Background: Vaccine hesitancy decreases adult vaccination coverage and has been recognized by WHO as a major health threat. Primary care physicians (PCP) play a key role in vaccination by giving vaccine counselling to their patients. The aim of this systematic review is to identify the knowledge, beliefs, attitudes and barriers (KBAB) associated with own vaccination and patient recommendation in primary care physicians. Methods: MEDLINE/PubMed, EMBASE and Cochrane Library databases were used to search and identify relevant studies based on their title and abstract. In the next step, the full text of each previously selected article was read for eligibility. Articles were selected by two independent reviewers and data extraction was performed using tables. The following information was extracted: methodological characteristics, demographic factors, professional characteristics, and intrinsic or extrinsic factors influencing vaccination or recommendation. Results: Our search yielded 41 eligible papers, data-sources, previous practices, belief in the effectiveness or safety of the vaccine, perceived risk, and trust in health authorities were all shown to be related to own vaccination and patient recommendation. Conclusion: Internet is the main source of information for PCP related to vaccine hesitancy. It is therefore essential to increase the presence and access to pro-vaccination content in this area. In addition, involving PCP in the establishment of vaccination recommendations could improve their credibility in the institutions. On the other hand, training in communication skills and establishing reminder systems could reflect higher vaccination coverage among their patients.

Suggested Citation

  • Ángela Prieto-Campo & Rosa María García-Álvarez & Ana López-Durán & Fátima Roque & Maria Teresa Herdeiro & Adolfo Figueiras & Maruxa Zapata-Cachafeiro, 2022. "Understanding Primary Care Physician Vaccination Behaviour: A Systematic Review," IJERPH, MDPI, vol. 19(21), pages 1-18, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:21:p:13872-:d:952735
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    References listed on IDEAS

    as
    1. Pierre Verger & Dimitri Scronias & Yves Fradier & Malika Meziani & Bruno Ventelou, 2021. "Online study of health professionals about their vaccination attitudes and behavior in the COVID-19 era: addressing participation bias," Post-Print hal-03256348, HAL.
    2. Samuel W. D. Merriel & Carrie Flannagan & Joanna M. Kesten & Gilla K. Shapiro & Tom Nadarzynski & Gillian Prue, 2018. "Knowledge and Attitudes of General Practitioners and Sexual Health Care Professionals Regarding Human Papillomavirus Vaccination for Young Men Who Have Sex with Men," IJERPH, MDPI, vol. 15(1), pages 1-10, January.
    3. Alessandro Liberati & Douglas G Altman & Jennifer Tetzlaff & Cynthia Mulrow & Peter C Gøtzsche & John P A Ioannidis & Mike Clarke & P J Devereaux & Jos Kleijnen & David Moher, 2009. "The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-28, July.
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