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わが国のプライマリ・ケア医の定期接種および任意接種ワクチンの接種状況, 接種推奨割合および接種推奨の障壁

発表形態：: 原著論文
主要業績：: 主要業績
単著・共著：: 共著
発表年月：: 2014年

DOI：
会議属性：: 指定なし
査読：: 有り
リンク情報：

日本語フィールド

著者：

坂西雄太;原めぐみ;福森則男;草場鉄周;田中恵太郎;杉岡隆;日本プライマリ・ケア連合学会ワクチン・プロジェクトチーム

題名：

わが国のプライマリ・ケア医の定期接種および任意接種ワクチンの接種状況, 接種推奨割合および接種推奨の障壁

発表情報：

日本プライマリ・ケア連合学会誌巻: 37 号: 3 ページ: 254 - 259

キーワード：

概要：

目的 : わが国のプライマリ・ケア医のワクチンの接種状況, 接種推奨の割合および障壁を明らかにする.
方法 : 2012年に日本プライマリ・ケア連合学会に属する医師から3000名を無作為抽出し質問紙調査を行った.
結果 : 卒後2年以内など119名を除外した2881名のうち, 744名より回答を得た (有効回答率25.8%). 接種状況および接種推奨の割合は, 定期接種が29.0～91.4%および58.2～70.2%, 任意接種が15.2～89.5%および14.1～50.9%であった. 定期接種推奨の際の医師側の障壁は, 接種スケジュールの複雑さ, 被接種者・保護者の考えが多く, 被接種者側の障壁は, ワクチンの安全性, 対象疾患の理解不足が多かった. 任意接種推奨の障壁は医師, 被接種者側ともに, 接種費用負担, 安全性が多かった.
結論 : わが国のプライマリ・ケア医のワクチンの接種状況, 接種推奨の割合および障壁の現状が明らかとなった.

抄録：

英語フィールド

Author：

Sakanishi Yuta;Hara Megumi;Fukumori Norio;Kusaba Tesshu;Tanaka Keitaro;Sugioka Takashi;The Japan Primary Care Association Vaccine Project Team

Title：

Primary care physician practices, recommendations, and barriers to the provision of routine and voluntary vaccinations in Japan

Announcement information:

An Official Journal of the Japan Primary Care Association Vol: 37 Issue: 3 Page: 254 - 259

An abstract：

Introduction : Recommendations from healthcare providers are considered by vaccinees and their parents when they decide whether to receive an immunization. However, in Japan, the attitudes of primary care physicians toward vaccination are unknown. We assessed some practices and recommendations of, and barriers to, primary care physicians regarding vaccinations in Japan.
Methods : A self-administered questionnaire was mailed (in 2012) to 3000 randomly selected physician-members of the Japan Primary Care Association. Excluded were physicians within two years after graduation, living abroad or retired. We described respondent practices, recommendations, and barriers to the provision of routine and voluntary vaccinations.
Results : The overall response rate was 25.8%. The rates at which physicians gave routine and voluntary vaccines in their own practices were 29.0-91.4% and 15.2-89.5%, respectively. The vaccine recommendation rates for routine and voluntary vaccines were 58.2-70.2% and 14.1-50.9%, respectively. The physicians reported that their barriers to recommendation of routine vaccines were vaccination schedule complexity (32.9%), opinions of vaccinees and parents (28.9%), and vaccine safety (27.7%). They also reported that perceived vaccine safety (62.1%), lack of understanding of vaccine-preventable diseases (55.7%), and complexity of vaccine schedules (44.4%) were reasons given by vaccinees and parents for noncompliance. Physicians' barriers to recommendation of voluntary vaccines were cost (45.3%), safety (35.1%), and lack of information (30.1%). They reported that vaccinees and parents expressed concern about cost (61.8%), safety (51.8%), and lack of vaccine information (50.7%).
Conclusion : We clarified practices, recommendations, and barriers to primary care physicians regarding routine and voluntary vaccination in Japan.