Recommending COVID-19 Vaccines to Patients: Practice and Concerns of Frontline Family Doctors

<i>Background</i>: Recommendation from doctors is a well-recognized motivator toward vaccine uptake. Family doctors are in the prime position to advise the public on COVID-19 vaccination. We studied the practice and concerns of frontline family doctors concerning COVID-19 vaccination rec...

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Autores principales: Paul Kwok Ming Poon, Weiju Zhou, Dicken Cheong Chun Chan, Kin On Kwok, Samuel Yeung Shan Wong
Formato: article
Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/910d9ce47bbe498fa66026f0d515ecdf
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spelling oai:doaj.org-article:910d9ce47bbe498fa66026f0d515ecdf2021-11-25T19:11:17ZRecommending COVID-19 Vaccines to Patients: Practice and Concerns of Frontline Family Doctors10.3390/vaccines91113192076-393Xhttps://doaj.org/article/910d9ce47bbe498fa66026f0d515ecdf2021-11-01T00:00:00Zhttps://www.mdpi.com/2076-393X/9/11/1319https://doaj.org/toc/2076-393X<i>Background</i>: Recommendation from doctors is a well-recognized motivator toward vaccine uptake. Family doctors are in the prime position to advise the public on COVID-19 vaccination. We studied the practice and concerns of frontline family doctors concerning COVID-19 vaccination recommendations to patients. <i>Methods</i>: We conducted a cross-sectional online survey of all family doctors in the Hong Kong College of Family Physicians between June and July 2021. Their practice of making COVID-19 recommendation to patients was assessed. Based on the Health Belief Model, factors associated with doctors’ recommendation practices were explored and examined. Multivariate logistic regression models were used to investigate the factors, including COVID-19 vaccine attributes, associated with doctors’ practices in making recommendations. Their own vaccination status and psychological antecedents to vaccine hesitancy were measured. <i>Results</i>: A total of 312 family doctors responded (a 17.6% response rate). The proportion of doctors who had received COVID-19 vaccines was 90.1%. The proportion of doctors who would recommend all patients without contraindications for the vaccination was 64.4%. The proportion of doctors who would proactively discuss COVID-19 vaccines with patients was 52.9%. Multivariate logistic regression analysis showed that doctors’ own COVID-19 vaccination status was the strongest predictor of family doctors making a recommendation to patients (aOR 12.23 95% CI 3.45–43.33). Longer duration of practice, willingness to initiate the relevant discussion with patients and less worry about vaccine side effects on chronic illness patients were the other factors associated with making a COVID-19 vaccination recommendation. <i>Conclusions</i>: Family doctors should be encouraged to get vaccinated themselves and initiate discussions with patients about COVID-19 vaccines. Vaccine safety data on patients with chronic illness, training and guidelines for junior doctors may facilitate the COVID-19 vaccination recommendation practices of family doctors.Paul Kwok Ming PoonWeiju ZhouDicken Cheong Chun ChanKin On KwokSamuel Yeung Shan WongMDPI AGarticleCOVID-19COVID-19 vaccine recommendationsfamily doctorsprimary careMedicineRENVaccines, Vol 9, Iss 1319, p 1319 (2021)
institution DOAJ
collection DOAJ
language EN
topic COVID-19
COVID-19 vaccine recommendations
family doctors
primary care
Medicine
R
spellingShingle COVID-19
COVID-19 vaccine recommendations
family doctors
primary care
Medicine
R
Paul Kwok Ming Poon
Weiju Zhou
Dicken Cheong Chun Chan
Kin On Kwok
Samuel Yeung Shan Wong
Recommending COVID-19 Vaccines to Patients: Practice and Concerns of Frontline Family Doctors
description <i>Background</i>: Recommendation from doctors is a well-recognized motivator toward vaccine uptake. Family doctors are in the prime position to advise the public on COVID-19 vaccination. We studied the practice and concerns of frontline family doctors concerning COVID-19 vaccination recommendations to patients. <i>Methods</i>: We conducted a cross-sectional online survey of all family doctors in the Hong Kong College of Family Physicians between June and July 2021. Their practice of making COVID-19 recommendation to patients was assessed. Based on the Health Belief Model, factors associated with doctors’ recommendation practices were explored and examined. Multivariate logistic regression models were used to investigate the factors, including COVID-19 vaccine attributes, associated with doctors’ practices in making recommendations. Their own vaccination status and psychological antecedents to vaccine hesitancy were measured. <i>Results</i>: A total of 312 family doctors responded (a 17.6% response rate). The proportion of doctors who had received COVID-19 vaccines was 90.1%. The proportion of doctors who would recommend all patients without contraindications for the vaccination was 64.4%. The proportion of doctors who would proactively discuss COVID-19 vaccines with patients was 52.9%. Multivariate logistic regression analysis showed that doctors’ own COVID-19 vaccination status was the strongest predictor of family doctors making a recommendation to patients (aOR 12.23 95% CI 3.45–43.33). Longer duration of practice, willingness to initiate the relevant discussion with patients and less worry about vaccine side effects on chronic illness patients were the other factors associated with making a COVID-19 vaccination recommendation. <i>Conclusions</i>: Family doctors should be encouraged to get vaccinated themselves and initiate discussions with patients about COVID-19 vaccines. Vaccine safety data on patients with chronic illness, training and guidelines for junior doctors may facilitate the COVID-19 vaccination recommendation practices of family doctors.
format article
author Paul Kwok Ming Poon
Weiju Zhou
Dicken Cheong Chun Chan
Kin On Kwok
Samuel Yeung Shan Wong
author_facet Paul Kwok Ming Poon
Weiju Zhou
Dicken Cheong Chun Chan
Kin On Kwok
Samuel Yeung Shan Wong
author_sort Paul Kwok Ming Poon
title Recommending COVID-19 Vaccines to Patients: Practice and Concerns of Frontline Family Doctors
title_short Recommending COVID-19 Vaccines to Patients: Practice and Concerns of Frontline Family Doctors
title_full Recommending COVID-19 Vaccines to Patients: Practice and Concerns of Frontline Family Doctors
title_fullStr Recommending COVID-19 Vaccines to Patients: Practice and Concerns of Frontline Family Doctors
title_full_unstemmed Recommending COVID-19 Vaccines to Patients: Practice and Concerns of Frontline Family Doctors
title_sort recommending covid-19 vaccines to patients: practice and concerns of frontline family doctors
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/910d9ce47bbe498fa66026f0d515ecdf
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