Universität zu Köln

Stoecker, Arno, Hoffmann, Jan, Mause, Laura, Neufeind, Julia, Ohnhaeuser, Tim and Scholten, Nadine (2023). What impact does the attitude toward COVID-19 vaccination have on physicians as vaccine providers? A cross sectional study from the German outpatient sector. Vaccine, 41 (1). S. 263 - 274. OXFORD: ELSEVIER SCI LTD. ISSN 1873-2518

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Abstract

Background: COVID-19 vaccination is recognized as a key component in addressing the COVID-19 pan-demic. Physicians' attitudes toward vaccination are known to play a defining role in the management and dissemination of medical advice to patients. In Germany, outpatient practitioners are predominantly responsible for the dissemination of vaccines.Method: Using a cross-sectional online survey, 932 outpatient general practitioners, gynecologists, and pediatricians in Germany were asked in fall, 2021, about their attitude toward COVID-19 vaccination and - among others - their communication in vaccine discussions, their assessment of vaccine safety, and reporting of suspected adverse events. Physicians were divided into two groups along their attitudes toward COVID-19 vaccination. In addition, multivariate linear regression models were constructed to assess differences in communication strategies.Results: 92 % of physicians had a positive or very positive attitude toward COVID-19 vaccination. Own vaccination status, practice-based vaccination delivery, and estimated vaccination coverage among patients were significantly associated with the attitude toward vaccination. Confidence in vaccine safety was significantly lower among physicians with negative attitudes. There were no differences between the two groups in self-assessment of the ability to detect suspected adverse events, but there were differ-ences in the observing and reporting of adverse events. For the linear regression models, we found that a more negative attitude toward COVID-19 vaccination was significantly associated with increased accep-tance of patient refusal of COVID-19 vaccination and empathic behavior for patient concerns. In contrast, willingness to engage in a detailed persuasion consultation was significantly lower. Pediatricians showed significantly higher empathy for patient-side concerns compared to general practitioners, whereas gyne-cologists showed less empathy than general practitioners.Discussion: The physician's attitude toward COVID-19 vaccination influences the physician's practices as a vaccine provider. However, when providing medical advice and healthcare, the physician should focus on the actual needs of the patient.(c) 2022 Elsevier Ltd. All rights reserved.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Stoecker, Arno UNSPECIFIED UNSPECIFIED UNSPECIFIED Hoffmann, Jan UNSPECIFIED UNSPECIFIED UNSPECIFIED Mause, Laura UNSPECIFIED UNSPECIFIED UNSPECIFIED Neufeind, Julia UNSPECIFIED UNSPECIFIED UNSPECIFIED Ohnhaeuser, Tim UNSPECIFIED UNSPECIFIED UNSPECIFIED Scholten, Nadine UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-669126
DOI:	10.1016/j.vaccine.2022.11.054
Journal or Publication Title:	Vaccine
Volume:	41
Number:	1
Page Range:	S. 263 - 274
Date:	2023
Publisher:	ELSEVIER SCI LTD
Place of Publication:	OXFORD
ISSN:	1873-2518
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language HEALTH-CARE WORKERS; HESITANCY; COMMUNICATION Multiple languages Immunology; Medicine, Research & Experimental Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/66912