Interpretation of primary care physicians' attitude regarding rotavirus immunisation using diffusion of innovation theories.

Détails

ID Serval
serval:BIB_A30F3741A8D8
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Interpretation of primary care physicians' attitude regarding rotavirus immunisation using diffusion of innovation theories.
Périodique
Vaccine
Auteur(s)
Agyeman P., Desgrandchamps D., Vaudaux B., Berger C., Diana A., Heininger U., Siegrist C.A., Aebi C.
ISSN
0264-410X
Statut éditorial
Publié
Date de publication
2009
Peer-reviewed
Oui
Volume
27
Numéro
35
Pages
4771-4775
Langue
anglais
Résumé
To evaluate primary care physicians' attitude towards implementation of rotavirus (RV) immunisation into the Swiss immunisation schedule, an eight-question internet-based questionnaire was sent to the 3799 subscribers of InfoVac, a nationwide web-based expert network on immunisation issues, which reaches >95% of paediatricians and smaller proportions of other primary care physicians. Five demographic variables were also inquired. Descriptive statistics and multivariate analyses for the main outcome "acceptance of routine RV immunisation" and other variables were performed. Diffusion of innovation theory was used for data assessment. Nine-hundred seventy-seven questionnaires were returned (26%). Fifty percent of participants were paediatricians. Routine RV immunisation was supported by 146 participants (15%; so called early adopters), dismissed by 620 (64%), leaving 211 (21%) undecided. However, when asked whether they would recommend RV vaccination to parents if it were officially recommended by the federal authorities and reimbursed, 467 (48.5%; so called early majority) agreed to recommend RV immunisation. Multivariate analysis revealed that physicians who would immunise their own child (OR: 5.1; 95% CI: 4.1-6.3), hospital-based physicians (OR: 1.6; 95% CI: 1.1-2.3) and physicians from the French (OR: 1.6; 95% CI: 1.2-2.3) and Italian speaking areas of Switzerland (OR: 2.5; 95% CI: 1.1-5.8) were more likely to support RV immunisation. Diffusion of innovation theory predicts a >80% implementation if approximately 50% of a given population support an innovation. Introduction of RV immunisation in Switzerland is likely to be successful, if (i) the federal authorities issue an official recommendation and (ii) costs are covered by basic health care insurance.
Mots-clé
Attitude of Health Personnel, Child, Preschool, Diffusion of Innovation, Female, Humans, Infant, Infant, Newborn, Internet, Male, Models, Statistical, Physicians, Family, Questionnaires, Rotavirus Infections/prevention & control, Rotavirus Vaccines/administration & dosage, Rotavirus Vaccines/immunology, Switzerland
Pubmed
Web of science
Création de la notice
29/09/2009 9:44
Dernière modification de la notice
03/03/2018 20:10
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