Immunising older Australians: Pre-COVID-19 associations of opportunistic immunisation in general practice registrar consultations.

Aged Australia COVID-19 Cross-Sectional Studies General Practice / education Humans Immunization Referral and Consultation Vaccination

Journal

Australian journal of general practice
ISSN: 2208-7958
Titre abrégé: Aust J Gen Pract
Pays: Australia
ID NLM: 101718099

Informations de publication

Date de publication:
10 2022
Historique:
entrez: 3 10 2022
pubmed: 4 10 2022
medline: 5 10 2022
Statut: ppublish

Résumé

Vaccine uptake in older Australians is suboptimal. This exploratory study aims to establish the associations of opportunistic older person immunisation in general practice registrars' practice. This study was a cross-sectional analysis of data from the Registrar Clinical Encounters in Training (ReCEnT) study. Univariate and multivariable regressions explored associations between vaccine recommendations and patient, registrar, practice and consultation factors. A total of 2839 registrars provided data on 74,436 consultations. Associations of lower odds of immunisation included Aboriginal and Torres Strait Islander peoples (odds ratio [OR] 0.69; 95% confidence interval [CI]: 0.50, 0.96), rural/remote practice location (OR 0.75; 95% CI: 0.58, 0.98, compared with major cities) and in areas of greater relative socioeconomic disadvantage (OR per decile 1.03; 95% CI: 1.01, 1.05). Patients new to the practice (OR 2.46; 95% CI: 2.06, 2.94), or to the registrar (2.02; 95% CI: 1.87, 2.18) had higher odds of receiving an immunisation. Our findings suggest that general practice registrars may be proactively facilitating immunisation in new patients, but that inequities in vaccination persist.

Sections du résumé

BACKGROUND AND OBJECTIVES
Vaccine uptake in older Australians is suboptimal. This exploratory study aims to establish the associations of opportunistic older person immunisation in general practice registrars' practice.
METHOD
This study was a cross-sectional analysis of data from the Registrar Clinical Encounters in Training (ReCEnT) study. Univariate and multivariable regressions explored associations between vaccine recommendations and patient, registrar, practice and consultation factors.
RESULTS
A total of 2839 registrars provided data on 74,436 consultations. Associations of lower odds of immunisation included Aboriginal and Torres Strait Islander peoples (odds ratio [OR] 0.69; 95% confidence interval [CI]: 0.50, 0.96), rural/remote practice location (OR 0.75; 95% CI: 0.58, 0.98, compared with major cities) and in areas of greater relative socioeconomic disadvantage (OR per decile 1.03; 95% CI: 1.01, 1.05). Patients new to the practice (OR 2.46; 95% CI: 2.06, 2.94), or to the registrar (2.02; 95% CI: 1.87, 2.18) had higher odds of receiving an immunisation.
DISCUSSION
Our findings suggest that general practice registrars may be proactively facilitating immunisation in new patients, but that inequities in vaccination persist.

Identifiants

DOI: 10.31128/AJGP-09-21-6165 PMID: 36184864
pubmed: 36184864
doi: 10.31128/AJGP-09-21-6165
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

793-797

Auteurs

Isaac Tranter (I)

MBBS, MPHTM, FRACGP, Associate Lecturer, Faculty of Medicine, University of Queensland General Practice Clinical Unit, University of Queensland, Qld.

Parker Magin (P)

PhD, FRACGP, Conjoint Professor, Discipline of General Practice, School of Medicine and Public Health, University of Newcastle, Callaghan, NSW; Director, NSW @ ACT Research and Evaluation Unit, GP Synergy Regional Training Organisation, Mayfield, NSW.

Amanda Tapley (A)

M Med Stat, B Biomed Sci, Conjoint Fellow, School of Medicine and Public Health, University of Newcastle, Callaghan, NSW; Senior Research Officer and Statistician, GP Synergy Regional Training Organisation, Mayfield, NSW.

Elizabeth Holliday (E)

BSc (Hons), PhD, MSc (Stats), Associate Professor of Biostatistics, School of Medicine and Public Health, University of Newcastle, Newcastle, NSW.

Andrew R Davey (AR)

FRACGP, MClinEpid, Conjoint Lecturer, School of Medicine and Public Health, University of Newcastle, NSW; Senior Researcher, NSW @ ACT Research and Evaluation Unit, GP Synergy, Mayfield West, NSW.

Alison Fielding (A)

BND (Hons), PhD, Conjoint Lecturer, School of Medicine and Public Health, University of Newcastle, Callaghan, NSW; Research Manager, GP Synergy Regional Training Organisation, Mayfield, NSW.

Neil Spike (N)

MBBS, FRACGP, Director of Medical Education and Training, Eastern Victoria General Practice Training (EVGPT), Hawthorn, Vic; Professorial Fellow, Department of General Practice and Primary Health Care, University of Melbourne, Parkville, Vic; Adjunct Professor, School of Rural Health, Monash University, Churchill, Vic.

Kristen FitzGerald (K)

MBBS (Hons), FRACGP, MPHTM, AFANZAHPE, Senior Lecturer, School of Medicine, University of Tasmania, Hobart, Tas; Director of Education, General Practice Training Tasmania, Hobart, Tas.

Jean Ball (J)

BMath, GradDipMedStats, Statistician, Clinical Research Design IT and Statistical Support Unit (CReDITSS), Hunter Medical Research Institute, NSW.

Mieke L van Driel (ML)

MD, MSc, PhD, FRACGP, Emeritus Professor of General Practice, Primary Care Clinical Unit, Faculty of Medicine, University of Queensland, Brisbane, Qld.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Sujet âgé › Immunising older Australians: Pre-COVID-19...
questionsmedicales.fr › Régions géographiques › Océanie › Australasie › Australie › Immunising older Australians: Pre-COVID-19...
questionsmedicales.fr › Maladies de l'appareil respiratoire › Infections de l'appareil respiratoire › Pneumopathie infectieuse › Pneumopathie virale › COVID-19 › Immunising older Australians: Pre-COVID-19...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études transversales › Immunising older Australians: Pre-COVID-19...
questionsmedicales.fr › Professions de santé › Médecine › Médecine générale › Immunising older Australians: Pre-COVID-19...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Immunising older Australians: Pre-COVID-19...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Pratiques en santé publique › Prévention primaire › Immunisation › Immunising older Australians: Pre-COVID-19...
questionsmedicales.fr › Administration des services de santé › Organisation et administration › Pratique professionnelle › Orientation vers un spécialiste › Immunising older Australians: Pre-COVID-19...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Pratiques en santé publique › Prévention primaire › Immunisation › Vaccination › Immunising older Australians: Pre-COVID-19...