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 

作者机构：Internal Medicine Department BTel-Aviv Sourasky Medical Center and Sackler Faculty of MedicineTel Aviv UniversityTel Aviv 6423906Israel Behavioral Sciences DepartmentAcademic College of Tel Aviv-YaffoTel Aviv 6818211Israel Internal Medicine Department HTel Aviv Sourasky Medical Center and Sackler School of MedicineTel Aviv 6423906Israel 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2023年第11卷第4期

页      面：821-829页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：COVID-19 Vaccination Hesitancy Patient care Doctor-patient relationship Attitudes 

摘      要：BACKGROUND The coronavirus disease 2019(COVID-19)pandemic posed new challenges in patient care ***,which have proven efficacious in lowering the COVID-19 hospital burden,are still avoided by large ***,therefore,hypothesized that hospital care teams would have worse perceptions regarding the characteristics and care of patients with vaccine *** To evaluate whether patient vaccine hesitancy affected the hospital care team(HCT)*** We performed a prospective clinical study using structured *** 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 *** between HCT perceptions and their baseline characteristics,anger or chronic workplace stress were *** The HCT experienced their relationship with unvaccinated patients as more difficult(P0.001,Cohen’s d=0.85),perceived unvaccinated patients as responsible for their medical condition(P0.001,d=1.39)and perceived vaccinated patients as having a higher character value(P0.001,d=1.03).Unvaccinated patients were considered selfish(P0.001),less mature(P0.001)and less satisfying to care for(P0.001).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 characte