Medical screening tests and vaccination among hospital-based physicians in Israel

BMC Health Services Research

Research

Yulia Treister‑Goltzman¹  Sameeh Eltalakat¹  Roni Peleg¹  Berjas Abu Gariba¹  Daniel Kaplan² 

[1] Department of Family Medicine and Siaal Research Center for Family Practice and Primary Care, Faculty of Health Sciences, Ben-Gurion University of the Negev, POB 653, 84105, Beer-Sheva, Israel;Clalit Health Services, Southern District, Tel Aviv, Israel;Ear, Nose, and Throat, and Head and Neck Surgery Ward, Soroka Medical Center, Beer-Sheva, Israel;

关键词: Preventive medicine;    Immunization;    Screening tests;    Physicians;    Mammography;    Occult blood test;   

DOI  :  10.1186/s12913-022-08714-8

 received in 2021-11-17, accepted in 2022-10-21,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundVery few studies have evaluated physician participation in screening tests and vaccinations. The aim was to evaluate attitudes and actual practice of screening tests and vaccinations among hospital-based physicians and to identify factors that predict actual performance.MethodsA cross-sectional study including 220 physicians in various specializations. The study was conducted between January 1, 2017 and December 10, 2017. The statistical analysis was performed during October, 2020 and completed in October 25, 2020.ResultsThe vast majority of physicians (94%) believed in the importance of screening tests for physicians, but less than half actually underwent the tests themselves. A high percentage of physicians measured their BMI (84.5%) and had a serum lipid profile test (67.7%) and complete blood counts (75%) over the previous five years, but less than a third of female physicians over 50 years of age had a mammogram and only 8% of the physicians over 50 had a fecal occult blood test. A high percentage of physicians were vaccinated for Hepatitis A and B, chickenpox and measles (66-96% for the various vaccinations), but only 41% had an influenza vaccination in the previous year. In a multivariate logistic regression model, physicians who believed that hospital physicians bore a responsibility for recommending screening tests to their patients were more likely to have their BMI and their blood pressure checked (OR = 2.234, P = 0.007). They were more likely to undergo laboratory testing (OR = 4.082, P < 0.0001) and tended to get vaccinated more (OR = 1.907, P = 0.051).ConclusionThe rate of screening tests and vaccinations among hospital-based physicians is sub-optimal and very low for fecal occult blood testing and mammograms. Structured programs are required to implement screening tests and vaccinations among physicians.

【 授权许可】

CC BY   
© The Author(s) 2022. corrected publication 2022