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BMC health services research
Nov 10, 2022;22 (1): 1335.

Medical screening tests and vaccination among hospital-based physicians in Israel.

Sameeh Eltalakat, Berjas Abu Gariba, Roni Peleg, Daniel Kaplan, Yulia Treister-Goltzman
Author Information
  1. Sameeh Eltalakat: Department of Family Medicine and Siaal Research Center for Family Practice and Primary Care, Faculty of Health Sciences, Ben-Gurion University of the Negev, POB 653, 84105, Beer-Sheva, Israel.
  2. Berjas Abu Gariba: Department of Family Medicine and Siaal Research Center for Family Practice and Primary Care, Faculty of Health Sciences, Ben-Gurion University of the Negev, POB 653, 84105, Beer-Sheva, Israel.
  3. Roni Peleg: Department of Family Medicine and Siaal Research Center for Family Practice and Primary Care, Faculty of Health Sciences, Ben-Gurion University of the Negev, POB 653, 84105, Beer-Sheva, Israel.
  4. Daniel Kaplan: Ear, Nose, and Throat, and Head and Neck Surgery Ward, Soroka Medical Center, Beer-Sheva, Israel.
  5. Yulia Treister-Goltzman: Department of Family Medicine and Siaal Research Center for Family Practice and Primary Care, Faculty of Health Sciences, Ben-Gurion University of the Negev, POB 653, 84105, Beer-Sheva, Israel. yuliatr@walla.com.
PMID: 36357854 DOI: 10.1186/s12913-022-08714-8

Abstract

BACKGROUND: Very few studies have evaluated physician participation in screening tests and vaccinations. The aim was to evaluate attitudes and actual practice of screening tests and vaccinations among hospital-based physicians and to identify factors that predict actual performance.
METHODS: A cross-sectional study including 220 physicians in various specializations. The study was conducted between January 1, 2017 and December 10, 2017. The statistical analysis was performed during October, 2020 and completed in October 25, 2020.
RESULTS: The vast majority of physicians (94%) believed in the importance of screening tests for physicians, but less than half actually underwent the tests themselves. A high percentage of physicians measured their BMI (84.5%) and had a serum lipid profile test (67.7%) and complete blood counts (75%) over the previous five years, but less than a third of female physicians over 50 years of age had a mammogram and only 8% of the physicians over 50 had a fecal occult blood test. A high percentage of physicians were vaccinated for Hepatitis A and B, chickenpox and measles (66-96% for the various vaccinations), but only 41% had an influenza vaccination in the previous year. In a multivariate logistic regression model, physicians who believed that hospital physicians bore a responsibility for recommending screening tests to their patients were more likely to have their BMI and their blood pressure checked (OR = 2.234, P = 0.007). They were more likely to undergo laboratory testing (OR = 4.082, P < 0.0001) and tended to get vaccinated more (OR = 1.907, P = 0.051).
CONCLUSION: The rate of screening tests and vaccinations among hospital-based physicians is sub-optimal and very low for fecal occult blood testing and mammograms. Structured programs are required to implement screening tests and vaccinations among physicians.

Keywords

Immunization Mammography Occult blood test Physicians Preventive medicine Screening tests

References

  1. Kisling LA, Das M J. Prevention Strategies. In: StatPearls [Internet Treasure Island (FL). Treasure Island: StatPearls Publishing; 2020.
  2. Khalaila A, Margolin I, Peleg R. Health Related Absenteeism of Family Physicians in the Negev Region of Israel: A Cross-Sectional Study. J Community Health. 2016;41:924–31. [DOI: 10.1007/s10900-016-0172-z]
  3. Toyry S, Rasanen K, Kujala S, Aärimaa M, Juntunen J, Kalimo R, et al. Self-reported health, illness, and self-care among finnish physicians: a national survey. Arch Family Med. 2000;9:1079–85. [DOI: 10.1001/archfami.9.10.1079]
  4. Peleg A, Peleg R, Porath A, Horowitz Y. Hallway medicine: prevalence, characteristics and attitudes of hospital physicians. IMAJ. 1999;1:241–4. [PMID: 10731352]
  5. Gross CP, Mead LA, Ford DE, Klag MJ. Physician, heal Thyself? Regular source of care and use of preventive health services among physicians. Arch Intern Med. 2000;160:3209–14. [DOI: 10.1001/archinte.160.21.3209]
  6. Krist AH, Hochheimer CJ, Sabo RT, Puro J, Peele E, Lail-Kashiri P, et al. Patient, Clinician, and Communication Factors Associated with Colorectal Cancer Screening. J Am Board Fam Med. 2020;33:779–84. [DOI: 10.3122/jabfm.2020.05.190378]
  7. Wells KB, Lewis CE, Leake B, Ware Jr. WE. Do physicians preach what they practice? A study of physicians’ health habits and counseling practices. JAMA. 1984;252:2846–48. [DOI: 10.1001/jama.1984.03350200032016]
  8. Jiang V, Brooks EM, Tong ST, Heintzman J, Krist AH. Factors Influencing Uptake of Changes to Clinical Preventive Guidelines. J Am Board Fam Med. 2020;33:271–8. [DOI: 10.3122/jabfm.2020.02.190146]
  9. Tabenkin H. Recommendations of Israeli Taskforce: Health Promotion and Preventive Medicine [Hebrew]. In: Association of Fammily Physicians. 2013.
  10. Peleg R, Ostermich A, Gienco V, Portughiez E. Screening tests among family doctors: do we do as we preach? Public Health. 2013;127:282–9. [DOI: 10.1016/j.puhe.2012.12.010]
  11. Wiskar K. Physician health: A review of lifestyle behaviors and preventive health care among physicians. BCMJ. 2012;54:419–23.
  12. Frank E, Segura C. Health practices of Canadian physicians. Can Fam Physician. 2009;55:810–11. e7. [PMID: 19675268]
  13. Wools A, Dapper EA, de Leeuw JR. Colorectal cancer screening participation: a systematic review. Eur J Public Health. 2016;26:158–68. [DOI: 10.1093/eurpub/ckv148]
  14. Heena H, Durrani S, Riaz M, AlFayyad I, Tabasim R, Parvez G, et al. Knowledge, attitudes, and practices related to breast cancer screening among female health care professionals: a cross sectional study. BMC Womens Health. 2019;19:122. [DOI: 10.1186/s12905-019-0819-x]
  15. Atanasov P, Anderson BL, Cain J, Schulkin J, Dana J. Comparing physicians personal prevention practices and their recommendations to patients. J Healthc Qual. 2015;37:189–98. [DOI: 10.1111/jhq.12042]
  16. Diesner SC, Peutlberger S, Voitl P. Vaccination status of resident pediatricians and the potential risk for their patients - a cross-sectional questionnaire study in pediatric practices in Vienna. BMC Pediatr. 2019;19:153. [DOI: 10.1186/s12887-019-1529-0]
  17. Antinolfi F, Battistella C, Brunelli L, Malacarne F, Giuseppe Bucci F, Celotto D, et al. Absences from work among healthcare workers: are they related to influenza shot adherence? BMC Health Serv Res. 2020;20:763. [DOI: 10.1186/s12913-020-05585-9]
  18. Kalemaki D, Karakonstantis S, Galanakis E, Lionis C. Vaccination coverage of general practitioners: a cross-sectional study from Greece. Public Health. 2020;181:110–3. [DOI: 10.1016/j.puhe.2019.12.012]
  19. Durovic A, Widmer AF, Dangel M, Ulrich A, Battegay M, Tschudin-Sutter S. Low rates of influenza vaccination uptake among healthcare workers: Distinguishing barriers between occupational groups. Am J Infect Control. 2020;48:1139–43. [DOI: 10.1016/j.ajic.2020.02.004]
  20. Malatskey L, Bar Zeev Y, Polak R, Tzuk-Onn A, Frank E. A nationwide assessment of lifestyle medicine counseling: knowledge, attitudes, and confidence of Israeli senior family medicine residents. BMC Fam Pract. 2020;21:186. [DOI: 10.1186/s12875-020-01261-3]

MeSH Term

Humans
Female
Middle Aged
Cross-Sectional Studies
Israel
Vaccination
Physicians
Hospitals
Journal Article

Word Cloud

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