Immunising older Australians: Pre-COVID-19 associations of opportunistic immunisation in general practice registrar consultations.
Aust J Gen Pract
; 51(10): 793-797, 2022 10.
Article
in En
| MEDLINE
| ID: mdl-36184864
ABSTRACT
BACKGROUND AND OBJECTIVES:
Vaccine uptake in older Australians is suboptimal. This exploratory study aims to establish the associations of opportunistic older person immunisation in general practice registrars' practice.METHOD:
This study was a cross-sectional analysis of data from the Registrar Clinical Encounters in Training (ReCEnT) study. Univariate and multivariable regressions explored associations between vaccine recommendations and patient, registrar, practice and consultation factors.RESULTS:
A total of 2839 registrars provided data on 74,436 consultations. Associations of lower odds of immunisation included Aboriginal and Torres Strait Islander peoples (odds ratio [OR] 0.69; 95% confidence interval [CI] 0.50, 0.96), rural/remote practice location (OR 0.75; 95% CI 0.58, 0.98, compared with major cities) and in areas of greater relative socioeconomic disadvantage (OR per decile 1.03; 95% CI 1.01, 1.05). Patients new to the practice (OR 2.46; 95% CI 2.06, 2.94), or to the registrar (2.02; 95% CI 1.87, 2.18) had higher odds of receiving an immunisation.DISCUSSION:
Our findings suggest that general practice registrars may be proactively facilitating immunisation in new patients, but that inequities in vaccination persist.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
General Practice
/
COVID-19
Type of study:
Guideline
/
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limits:
Aged
/
Humans
Country/Region as subject:
Oceania
Language:
En
Journal:
Aust J Gen Pract
Year:
2022
Document type:
Article