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...
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BMC
2022-11-01
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Series: | BMC Health Services Research |
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Online Access: | https://doi.org/10.1186/s12913-022-08714-8 |
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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. |
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issn | 1472-6963 |
language | English |
last_indexed | 2024-04-11T16:23:04Z |
publishDate | 2022-11-01 |
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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 |
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