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

Abstract Background Very 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. Methods...

Full description

Bibliographic Details
Main Authors: Sameeh Eltalakat, Berjas Abu Gariba, Roni Peleg, Daniel Kaplan, Yulia Treister-Gotzman
Format: Article
Language:English
Published: BMC 2022-11-01
Series:BMC Health Services Research
Subjects:
Online Access:https://doi.org/10.1186/s12913-022-08714-8
_version_ 1798018386044649472
author Sameeh Eltalakat
Berjas Abu Gariba
Roni Peleg
Daniel Kaplan
Yulia Treister-Gotzman
author_facet Sameeh Eltalakat
Berjas Abu Gariba
Roni Peleg
Daniel Kaplan
Yulia Treister-Gotzman
author_sort Sameeh Eltalakat
collection DOAJ
description Abstract Background Very 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. Methods A 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. Results The 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). Conclusion The 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.
first_indexed 2024-04-11T16:23:04Z
format Article
id doaj.art-468464007b144199b3df1b9f6e97bf2e
institution Directory Open Access Journal
issn 1472-6963
language English
last_indexed 2024-04-11T16:23:04Z
publishDate 2022-11-01
publisher BMC
record_format Article
series BMC Health Services Research
spelling doaj.art-468464007b144199b3df1b9f6e97bf2e2022-12-22T04:14:15ZengBMCBMC Health Services Research1472-69632022-11-012211710.1186/s12913-022-08714-8Medical screening tests and vaccination among hospital-based physicians in IsraelSameeh Eltalakat0Berjas Abu Gariba1Roni Peleg2Daniel Kaplan3Yulia Treister-Gotzman4Department of Family Medicine and Siaal Research Center for Family Practice and Primary Care, Faculty of Health Sciences, Ben-Gurion University of the NegevDepartment of Family Medicine and Siaal Research Center for Family Practice and Primary Care, Faculty of Health Sciences, Ben-Gurion University of the NegevDepartment of Family Medicine and Siaal Research Center for Family Practice and Primary Care, Faculty of Health Sciences, Ben-Gurion University of the NegevEar, Nose, and Throat, and Head and Neck Surgery Ward, Soroka Medical CenterDepartment of Family Medicine and Siaal Research Center for Family Practice and Primary Care, Faculty of Health Sciences, Ben-Gurion University of the NegevAbstract Background Very 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. Methods A 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. Results The 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). Conclusion The 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.https://doi.org/10.1186/s12913-022-08714-8Preventive medicineImmunizationScreening testsPhysiciansMammographyOccult blood test
spellingShingle Sameeh Eltalakat
Berjas Abu Gariba
Roni Peleg
Daniel Kaplan
Yulia Treister-Gotzman
Medical screening tests and vaccination among hospital-based physicians in Israel
BMC Health Services Research
Preventive medicine
Immunization
Screening tests
Physicians
Mammography
Occult blood test
title Medical screening tests and vaccination among hospital-based physicians in Israel
title_full Medical screening tests and vaccination among hospital-based physicians in Israel
title_fullStr Medical screening tests and vaccination among hospital-based physicians in Israel
title_full_unstemmed Medical screening tests and vaccination among hospital-based physicians in Israel
title_short Medical screening tests and vaccination among hospital-based physicians in Israel
title_sort medical screening tests and vaccination among hospital based physicians in israel
topic Preventive medicine
Immunization
Screening tests
Physicians
Mammography
Occult blood test
url https://doi.org/10.1186/s12913-022-08714-8
work_keys_str_mv AT sameeheltalakat medicalscreeningtestsandvaccinationamonghospitalbasedphysiciansinisrael
AT berjasabugariba medicalscreeningtestsandvaccinationamonghospitalbasedphysiciansinisrael
AT ronipeleg medicalscreeningtestsandvaccinationamonghospitalbasedphysiciansinisrael
AT danielkaplan medicalscreeningtestsandvaccinationamonghospitalbasedphysiciansinisrael
AT yuliatreistergotzman medicalscreeningtestsandvaccinationamonghospitalbasedphysiciansinisrael