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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Physician practices and attitudes regarding adult immunizations.
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Physician practices and attitudes regarding adult immunizations.

机译：有关成人免疫接种的医师实践和态度。

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OBJECTIVES: To assess immunization practices and attitudes of U.S. primary care physicians regarding adult influenza and pneumococcal immunizations. METHODS: Mailed survey of primary care internists and family physicians across the United States; four follow-up contacts by mail and telephone. Bivariate and multivariate analyses assessed immunization practices and attitudes and differences by physician characteristics. RESULTS: Three hundred and sixteen of 668 eligible physicians responded (50 refused, response rate of 266 = 40%); 220 provided adult vaccinations. More than 64% indicated they routinely vaccinated patients >/=65 years and those <65 years with chronic disease indications with both influenza and pneumococcal vaccine. Reported barriers for influenza vaccination included vaccine safety concerns by patients (58%), urgent concerns dominating visits (43%), and inadequate reimbursement (26%). Reported barriers for pneumococcal vaccination included urgent concerns during office visits (44%), no patient immunization history (36%), patient concerns about vaccine safety (31%), and inadequate reimbursement (25%). Many physicians indicated willingness to try tracking systems (72%), chart reminders (55%), patient reminders (53%), standing orders (36%), external lists of unimmunized patients for pneumococcal vaccination (74%), external patient reminders (70%), and office training of physicians (36%) or staff (46%). CONCLUSIONS: While most physicians favored adult vaccinations, practical barriers to vaccination exist. Most physicians would adopt evidence-based strategies to improve immunization delivery.
机译：目的：评估美国初级保健医生对成人流感和肺炎球菌免疫的免疫接种做法和态度。方法：通过邮寄方式对全美初级保健内科医生和家庭医生进行调查;通过邮件和电话的四个后续联系人。双变量和多变量分析通过医师特征评估了免疫实践，态度和差异。结果：668名合格医生中的316名得到了答复（50名被拒绝，266名的答复率为40％）;提供了220次成人疫苗接种。超过64％的人表示他们常规接种65岁及以上的患者和65岁以下且具有慢性病征兆的患者同时接种流感和肺炎球菌疫苗。报告的流感疫苗接种障碍包括患者对疫苗安全性的关注（58％），在就诊中占主导地位的紧急关注（43％）和报销不足（26％）。报告的肺炎球菌疫苗接种障碍包括：办公室就诊时的紧急担忧（44％），无患者免疫史（36％），患者对疫苗安全性的担忧（31％）以及报销不足（25％）。许多医生表示愿意尝试跟踪系统（72％），图表提醒（55％），患者提醒（53％），常规（36％），未接种肺炎球菌疫苗的患者名单（74％），外部患者提醒（70％），以及医生（36％）或工作人员（46％）的办公室培训。结论：虽然大多数医生都赞成成人接种疫苗，但存在接种疫苗的实际障碍。大多数医生会采用基于证据的策略来改善免疫接种。

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