Table 2.
Healthcare provider attitudes about adult immunisation
| Synopsis of statements | Agreement | Nurses (%) | Physicians (%) | Pharmacists (%) | p Value |
|---|---|---|---|---|---|
| It is important for adults to receive all recommended vaccines according to provincial guidelines | Strongly agree/agree | 87.1 | 90.6 | 91.5 | 0.0085 |
| Neither agree nor disagree | 9.4 | 9.0 | 6.5 | ||
| Disagree/strongly disagree | 3.5 | 0.4 | 2.0 | ||
| Vaccines are more important for children than adults | Strongly agree/agree | 40.6 | 46.9 | 41.3 | 0.1370 |
| Neither agree nor disagree | 16.8 | 19.5 | 21.0 | ||
| Disagree/strongly disagree | 42.6 | 33.6 | 37.8 | ||
| Vaccines that are recommended for adults should be available free of charge | Strongly agree/agree | 91.6 | 86.0 | 81.8 | <0.0001 |
| Neither agree nor disagree | 5.9 | 11.5 | 9.3 | ||
| Disagree/strongly disagree | 2.5 | 2.5 | 9.0 | ||
| I do not have enough time to administer vaccines to adult patients | Strongly agree/agree | 15.8 | 25.1 | 33.5 | <0.0001 |
| Neither agree nor disagree | 31.2 | 19.8 | 35.8 | ||
| Disagree/strongly disagree | 53.0 | 55.0 | 30.8 | ||
| It is difficult to keep track of adult patients’ vaccine status | Strongly agree/agree | 70.3 | 68.1 | 83.0 | <0.0001 |
| Neither agree nor disagree | 14.4 | 16.3 | 11.0 | ||
| Disagree/strongly disagree | 15.3 | 15.6 | 6.0 | ||
| I think there should be a national electronic vaccine registry that keeps track of all the vaccines that I administer to my patients | Strongly agree/agree | 83.7 | 75.4 | 84.8 | 0.0041 |
| Neither agree nor disagree | 11.4 | 18.1 | 10.5 | ||
| Disagree/strongly disagree | 5.0 | 6.5 | 4.8 | ||
| It is important to inform adult patients about the benefits and risks of adult vaccinations | Strongly agree/agree | 96.0 | 91.5 | 93.8 | 0.2388 |
| Neither agree nor disagree | 3.0 | 6.7 | 5.3 | ||
| Disagree/strongly disagree | 1.0 | 1.8 | 1.0 | ||
| It is difficult to keep up with vaccination recommendations for adults | Strongly agree/agree | 54.5 | 54.7 | 64.3 | <0.0001 |
| Neither agree nor disagree | 16.3 | 19.8 | 22.0 | ||
| Disagree/strongly disagree | 29.2 | 25.5 | 13.8 | ||
| It is important to use patient encounters as an opportunity to ask about their vaccine status | Strongly agree/agree | 93.6 | 85.7 | 82.3 | 0.0065 |
| Neither agree nor disagree | 5.4 | 11.9 | 14.5 | ||
| Disagree/strongly disagree | 1.0 | 2.5 | 3.3 | ||
| I do not have adequate storage facilities to provide adult vaccines | Strongly agree/agree | 19.3 | 24.6 | 30.0 | 0.0002 |
| Neither agree nor disagree | 29.7 | 16.8 | 19.8 | ||
| Disagree/strongly disagree | 51.0 | 58.6 | 50.3 | ||
| I am not sufficiently reimbursed to make offering adult immunisation worthwhile | Strongly agree/agree | 12.4 | 43.7 | 52.3 | <0.0001 |
| Neither agree nor disagree | 42.6 | 23.7 | 33.0 | ||
| Disagree/strongly disagree | 45.0 | 32.6 | 14.8 | ||
| I use visits of children as an opportunity to update vaccinations on accompanying adults | Strongly agree/agree | 30.7 | 39.3 | 21.0 | <0.0001 |
| Neither agree nor disagree | 43.6 | 26.4 | 45.8 | ||
| Disagree/strongly disagree | 25.7 | 34.3 | 33.3 | ||
| I have a system in my practice to identify adults who have not received recommended vaccines | Strongly agree/agree | 34.7 | 34.0 | 11.3 | <0.0001 |
| Neither agree nor disagree | 27.7 | 22.5 | 22.5 | ||
| Disagree/strongly disagree | 37.6 | 43.5 | 66.3 | ||
| Do you feel the following infections/diseases can have an important impact on the health of adults? | |||||
| Influenza | Yes | 98.5 | 99.1 | 96.0 | 0.0122 |
| Pertussis | Yes | 84.7 | 86.7 | 82.8 | 0.0762 |
| Pneumonia (pneumococcal) | Yes | 99.5 | 98.8 | 98.0 | 0.4240 |
| Shingles | Yes | 93.6 | 91.3 | 92.8 | 0.8377 |
| Do you feel the following infections/diseases can be prevented by an adult vaccine? | |||||
| Influenza | Yes | 76.7 | 94.3 | 87.8 | <0.0001 |
| Pertussis | Yes | 79.2 | 92.9 | 88.5 | <0.0001 |
| Pneumonia (pneumococcal) | Yes | 80.7 | 91.0 | 91.5 | 0.0003 |
| Shingles | Yes | 59.9 | 85.0 | 83.5 | <0.0001 |
| Do you offer a vaccine to prevent the following infections/diseases? | |||||
| Influenza | Yes | 86.6 | 98.4 | 73.3 | <0.0001 |
| Pertussis | Yes | 48.5 | 70.1 | 26.0 | <0.0001 |
| Pneumonia (pneumococcal) | Yes | 67.8 | 95.4 | 66.5 | <0.0001 |
| Shingles | Yes | 26.2 | 65.7 | 47.8 | <0.0001 |
| Have you received a vaccine to prevent the following infections/diseases? | |||||
| Influenza | Yes | 84.2 | 96.5 | 82.3 | <0.0001 |
| Pertussis | Yes | 58.9 | 54.5 | 44.3 | <0.0001 |
| Pneumonia (pneumococcal) | Yes | 30.2 | 26.7 | 20.8 | 0.0022 |
| Shingles | Yes | 5.4 | 8.5 | 6.3 | 0.0809 |