Yıl: 2022 Cilt: 27 Sayı: 3 Sayfa Aralığı: 453 - 465 Metin Dili: İngilizce DOI: 10.5578/flora.20229709 İndeks Tarihi: 24-10-2022

Approaches of the Physicians on COVID-19 Vaccination: An Online Survey from Türkiye

Öz:
Introduction: Coronavirus disease 2019 (COVID-19) is caused by a newly discovered coronavirus, SARS-CoV-2. The Turkish government has planned to procure COVID-19 vaccine through multiple agencies and companies in order to vaccinate at least 75% of the population. Physicians’ beliefs and attitudes to COVID-19 vaccines are important for the immunization rate of the public. This study aimed to evaluate the vaccination approaches of the Turkish physicians against COVID-19. Materials and Methods: This study was conducted as an online survey between 15.01.2021-12.02.2021, among mainly infectious disease and internal medicine physicians in Türkiye. The survey included questions on the demographics of physicians and their approaches toward vaccination against COVID-19. Results: Among the 486 participants, 34.6% were internal medicine physicians and 17.5% were infectious diseases physicians. Total acceptance rate of the COVID-19 vaccine among physicians was 89.9%. Physicians who stated having sufficient information about COVID-19 vaccines had a higher rate of COVID-19 vaccine recommendation to their patients compared to those who stated not having sufficient information (95.8% vs 86.7%, p= 0.011). Physicians with concerns about adverse effects or efficacy of the COVID-19 vaccine had a lower rate of COVID-19 vaccine recommendation to their patients/relatives/friends (p< 0.001). Female and younger physicians were more concerned about the adverse effects of the COVID-19 vaccine (p< 0.05). Recommendation of COVID-19 vaccine was higher among physicians with confidence in having sufficient information and without concern about efficacy of the vaccine. Conclusion: Since physicians have an important role in providing information and reducing COVID-19 vaccine hesitancy among the community, improvement in the knowledge and concerns of physicians should be considered.
Anahtar Kelime:

Hekimlerin COVID-19 Aşı Yaklaşımları: Türkiye’den Online Bir Anket

Öz:
Giriş: Koronavirüs hastalığı 2019 (COVID-19), yeni keşfedilen bir koronavirüs olan SARS-CoV-2’den ortaya çıkmıştır. Türk hükümeti, nüfusun en az %75’ini aşılamak için birden fazla kurum ve şirket aracılığıyla COVID-19 aşısı tedarik etmeyi planlamıştır. Hekimlerin COVID-19 aşılarına yönelik inanç ve tutumları, halkın bağışıklama oranı açısından önemlidir. Bu çalışma, Türk hekimlerinin COVID-19’a karşı aşılama yaklaşımlarını değerlendirmeyi amaçlamıştır. Materyal ve Metod: Bu çalışma, 15.01.2021-12.02.2021 tarihleri arasında özellikle Türkiye’de infeksiyon hastalıkları ve dahiliye hekimlerine yönelik olarak online anket şeklinde yapılmıştır. Anket, doktorların demografik özellikleri ve COVID-19’a karşı aşılamaya yönelik yaklaşımları hakkında soruları içermektedir. Bulgular: Dört yüz seksen altı katılımcının %34.6’sı dahiliye hekimi, %17.5’i infeksiyon hastalıkları hekimidir. COVID-19 aşısının doktorlar arasında toplam kabul oranı %89.9’dur. COVID-19 aşıları hakkında yeterli bilgiye sahip olduğunu belirten hekimler, yeterli bilgiye sahip olmadığını belirten hekimlere göre hastalarına COVID-19 aşısı önerme oranlarının daha yüksek olduğunu belirtmişlerdir (%95.8’e karşı %86.7, p= 0.011). COVID-19 aşısının yan etkileri veya etkinliği konusunda endişeli olan hekimler hastalarına/akrabalarına/arkadaşlarına daha düşük COVID 19 aşısı önerme oranına sahipti (p< 0.001). Kadın ve genç doktorlar, COVID-19 aşısının olumsuz etkileri konusunda daha fazla endişeliydiler (p< 0.05). Yeterli bilgiye sahip olduğuna güvenen ve aşının etkinliği konusunda endişe duymayan doktorlar arasında COVID-19 aşı tavsiyesi daha yüksekti. Sonuç: Hekimlerin bilgi sağlamada ve toplumda COVID-19 aşısı tereddütünü azaltmada önemli bir rolü olduğundan, hekimlerin bilgi ve endişelerinde iyileşme göz önünde bulundurulmalıdır.
Anahtar Kelime:

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  • World Health Organization (2021) WHO coronavirus disease (COVID-19) dashboard. Available from: https://co vid19.who.int/ (Accessed date: 19.05.2021)
  • Kursumovic E, Lennane S, Cook TM. Deaths in healthcare workers due to COVID-19: The need for robust data and analysis. Anaesthesia 2020;75(8):989-92. https://doi. org/10.1111/anae.15116
  • Integrated Surveillance of COVID-19 in Italy (2021). Available from: https://www.epicentro.iss.it/en/coronavirus/ bollettino/Infografica_29maggio%20ENG.pdf (Accessed date: 15.03.2021).
  • Integrated Surveillance of COVID-19 in Italy (2021). Available from: https://www.epicentro.iss.it/en/coronavirus/ sars-cov-2-dashboard (Accessed date: 19.05.2021).
  • Centers for Disease Control and Prevention (2021). Available from: https://covid.cdc.gov/covid-datatracker/?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fcases-updates%2Fcases-in-us. html#health-care-personnel (Accessed date: 19.05.2021).
  • Şimşek Yavuz S, Ünal S. Antiviral treatment of COVID-19. Turk J Med Sci 2020;21:50(SI-1):611-9. https://doi. org/10.3906/sag-2004-145
  • Scavone C, Brusco S, Bertini M, Sportiello L, Rafaniello C, Zoccoli A, et al. Current pharmacological treatments for COVID-19: What’s next?. Br J Pharmacol 2020;177(21):4813- 24. https://doi.org/10.1111/bph.15072
  • Esakandari H, Nabi-Afjadi M, Fakkari-Afjadi J, Farahmandian N, Miresmaeili SM, Bahreini E. A comprehensive review of COVID-19 characteristics. Biol Proced Online 2020;4:22(19):1-10. https://doi.org/10.1186/s12575- 020-00128-2
  • Food and Drug Administration (2020). COVID-19 vaccines. Available from: https://www.fda.gov/emergency-preparedness-and-response/coronavirus-disease-2019-covid-19/covid-19-vaccines (Accessed date: 11.05.2021).
  • World Health Organization (2019). Ten threats to global health in 2019. Available from: https://www.who.int/ news-room/spotlight/ten-threats-to-global-health-in-2019 (Accessed date: 17.12.2020).
  • Raosoft sample size calculator (2004). Available from: http://www.raosoft.com/samplesize.html (Accessed date: 17.12.2020).
  • Alvarado-Socarras JL, Vesga-Varela AL, Quintero-Lesmes DC, Fama-Pereira MM, Serrano-Diaz NC, Vasco M, et al. Perception of COVID-19 vaccination amongst physicians in Colombia. Vaccines 2021:9(3):287. https://doi. org/10.3390/vaccines9030287
  • Killian M, Detoc M, Berthelot P, Charles R, Gagneux-Brunon A, Lucht F, Pulcini C, et al. Vaccine hesitancy among general practitioners: Evaluation and comparison of their immunisation practice for themselves, their patients and their children. Eur J Clin Microbiol Infect Dis 2016;3:35(11):1837-43. https://doi.org/10.1007/s10096-016-2735-4
  • Gagneux-Brunon A, Detoc M, Bruel S, Tardy B, Rozaire O, Frappe P, et al. Intention to get vaccinations against COVID-19 in French healthcare workers during the first pandemic wave: A cross-sectional survey. J Hosp Infect 2020;108:168-73. https://doi.org/10.1016/j. jhin.2020.11.020
  • Papagiannis D, Rachiotis G, Malli F, Papathanasiou IV, Kotsiou O, Fradelos EC, et al. Acceptability of COVID-19 vaccination among Greek health professionals. Vaccines 2021:9(3):200. https://doi.org/10.3390/vacci nes9030200
  • Dubé E, Vivion M, E MacDonald N. Vaccine hesitancy, vaccine refusal and the anti-vaccine movement: Influence, impact and implications. Expert Rev Vaccines 2014;6:14(1):99- 117. https://doi.org/10.1586/14760584.2015.964212
  • Lu PJ, Srivastav A, Amaya A, Dever JA, Roycroft J, Kurtz MS, et al. Association of provider recommendation and offer and influenza vaccination among adults aged ≥18 years-United States. Vaccine 2018;10:36(6):890-8. https:// doi.org/10.1016/j.vaccine.2017.12.016
  • Karafillakis E, Larson HJ. The benefit of the doubt or doubts over benefits? A systematic literature review of perceived risks of vaccines in European populations. Vaccine 2017;29:35(37):4840-50. https://doi.org/10.1016/j.vaccine.2017.07.061
  • Craxì L, Casuccio A, Amodio E, Restivo V. Who should get COVID-19 vaccine first? A survey to evaluate hospital workers’ opinion. Vaccines 2021;9(3):189. https://doi. org/10.3390/vaccines9030189
  • World Health Organization (2021). Available from: Website https://covid19.who.int/region/euro/country/tr (Accessed date: 19.05.2021).
  • Kim JH, Marks F, Clemens JD. Looking beyond COVID-19 vaccine phase 3 trials. Nat Med 2021;27(2):205-11. https://doi.org/10.1038/s41591-021-01230-y
APA Doğan C, Kara E, Demirkan K, Tecen Yücel K, Kaynar E, Unal S (2022). Approaches of the Physicians on COVID-19 Vaccination: An Online Survey from Türkiye. , 453 - 465. 10.5578/flora.20229709
Chicago Doğan Cansu Zeynep,Kara Emre,Demirkan Kutay,Tecen Yücel Kamer,Kaynar Esra Kutsal,Unal Serhat Approaches of the Physicians on COVID-19 Vaccination: An Online Survey from Türkiye. (2022): 453 - 465. 10.5578/flora.20229709
MLA Doğan Cansu Zeynep,Kara Emre,Demirkan Kutay,Tecen Yücel Kamer,Kaynar Esra Kutsal,Unal Serhat Approaches of the Physicians on COVID-19 Vaccination: An Online Survey from Türkiye. , 2022, ss.453 - 465. 10.5578/flora.20229709
AMA Doğan C,Kara E,Demirkan K,Tecen Yücel K,Kaynar E,Unal S Approaches of the Physicians on COVID-19 Vaccination: An Online Survey from Türkiye. . 2022; 453 - 465. 10.5578/flora.20229709
Vancouver Doğan C,Kara E,Demirkan K,Tecen Yücel K,Kaynar E,Unal S Approaches of the Physicians on COVID-19 Vaccination: An Online Survey from Türkiye. . 2022; 453 - 465. 10.5578/flora.20229709
IEEE Doğan C,Kara E,Demirkan K,Tecen Yücel K,Kaynar E,Unal S "Approaches of the Physicians on COVID-19 Vaccination: An Online Survey from Türkiye." , ss.453 - 465, 2022. 10.5578/flora.20229709
ISNAD Doğan, Cansu Zeynep vd. "Approaches of the Physicians on COVID-19 Vaccination: An Online Survey from Türkiye". (2022), 453-465. https://doi.org/10.5578/flora.20229709
APA Doğan C, Kara E, Demirkan K, Tecen Yücel K, Kaynar E, Unal S (2022). Approaches of the Physicians on COVID-19 Vaccination: An Online Survey from Türkiye. Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi, 27(3), 453 - 465. 10.5578/flora.20229709
Chicago Doğan Cansu Zeynep,Kara Emre,Demirkan Kutay,Tecen Yücel Kamer,Kaynar Esra Kutsal,Unal Serhat Approaches of the Physicians on COVID-19 Vaccination: An Online Survey from Türkiye. Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi 27, no.3 (2022): 453 - 465. 10.5578/flora.20229709
MLA Doğan Cansu Zeynep,Kara Emre,Demirkan Kutay,Tecen Yücel Kamer,Kaynar Esra Kutsal,Unal Serhat Approaches of the Physicians on COVID-19 Vaccination: An Online Survey from Türkiye. Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi, vol.27, no.3, 2022, ss.453 - 465. 10.5578/flora.20229709
AMA Doğan C,Kara E,Demirkan K,Tecen Yücel K,Kaynar E,Unal S Approaches of the Physicians on COVID-19 Vaccination: An Online Survey from Türkiye. Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi. 2022; 27(3): 453 - 465. 10.5578/flora.20229709
Vancouver Doğan C,Kara E,Demirkan K,Tecen Yücel K,Kaynar E,Unal S Approaches of the Physicians on COVID-19 Vaccination: An Online Survey from Türkiye. Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi. 2022; 27(3): 453 - 465. 10.5578/flora.20229709
IEEE Doğan C,Kara E,Demirkan K,Tecen Yücel K,Kaynar E,Unal S "Approaches of the Physicians on COVID-19 Vaccination: An Online Survey from Türkiye." Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi, 27, ss.453 - 465, 2022. 10.5578/flora.20229709
ISNAD Doğan, Cansu Zeynep vd. "Approaches of the Physicians on COVID-19 Vaccination: An Online Survey from Türkiye". Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi 27/3 (2022), 453-465. https://doi.org/10.5578/flora.20229709