Effect of patient COVID-19 vaccine hesitancy on hospital care team perceptions  

作　　者：Inbar Caspi Ophir Freund Omer Pines Odelia Elkana Jacob N Ablin Gil Bornstein 

机构地区：[1]Internal Medicine Department B,Tel-Aviv Sourasky Medical Center and Sackler Faculty of Medicine,Tel Aviv University,Tel Aviv 6423906,Israel [2]Behavioral Sciences Department,Academic College of Tel Aviv-Yaffo,Tel Aviv 6818211,Israel [3]Internal Medicine Department H,Tel Aviv Sourasky Medical Center and Sackler School of Medicine,Tel Aviv 6423906,Israel

出　　处：《World Journal of Clinical Cases》2023年第4期821-829,共9页世界临床病例杂志

摘　　要：BACKGROUND The coronavirus disease 2019(COVID-19)pandemic posed new challenges in patient care worldwide.Vaccinations,which have proven efficacious in lowering the COVID-19 hospital burden,are still avoided by large populations.We,therefore,hypothesized that hospital care teams would have worse perceptions regarding the characteristics and care of patients with vaccine hesitancy.AIM To evaluate whether patient vaccine hesitancy affected the hospital care team(HCT)perceptions.METHODS We performed a prospective clinical study using structured questionnaires.We approached physicians and nurses with previous experience caring for COVID-19patients from 11 medical centers across Israel during the fourth COVID-19 surge(September and October 2021).The participants completed a questionnaire with the following parts:(1)Sociodemographic characteristics;(2)Assessment of anger(STAXI instrument)and chronic workplace stress(Shirom-Melamed burnout measure);and(3)Three tools to assess the effect of patient vaccine hesitancy on the HCT perceptions(the difficult doctor-patient relation questionnaire,the medical staff perception of patient’s responsibility questionnaire and the characterological derogation questionnaire).Results were evaluated according to each part of the questionnaire and the questionnaire as a whole.Associations between HCT perceptions and their baseline characteristics,anger or chronic workplace stress were assessed.RESULTS The HCT experienced their relationship with unvaccinated patients as more difficult(P<0.001,Cohen’s d=0.85),perceived unvaccinated patients as responsible for their medical condition(P<0.001,d=1.39)and perceived vaccinated patients as having a higher character value(P<0.001,d=1.03).Unvaccinated patients were considered selfish(P<0.001),less mature(P<0.001)and less satisfying to care for(P<0.001).The relationship with unvaccinated patients was more difficult among HCT with higher burnout(r=0.37,n=66,P=0.002).No correlations with baseline characteristics were found.All three study tools sho

关 键 词：COVID-19 VACCINATION Hesitancy Patient care Doctor-patient relationship ATTITUDES 

分 类 号：R563.1[医药卫生—呼吸系统]