Abstract:
BACKGROUND:Influenza is a major cause of morbidity and mortality in Japan and worldwide, especially for people of >65 years old and those with high-risk medical conditions. Although the influenza vaccine is effective in reducing the morbidity and mortality, the vaccine coverage rate has not increased adequately in Japan, compared with western countries. OBJECTIVE:Our aim was to assess whether medical and personal characteristics are associated with receiving influenza vaccination in Japanese patients. METHODS:Out-patients of a city hospital were recruited for a case-control study between November 1998 and February 1999. Cases were 98 out-patients aged 18 years or older who received influenza vaccination. Controls were 112 non-vaccinated out-patients matched with cases for primary physician and date of clinic visit. The candidates were interviewed by telephone and asked to respond to a 26-item questionnaire. The data were analysed using multiple logistic regression models. RESULTS:The factors associated with the acceptance of influenza vaccination were: (i) recommendation by a family member and/or a close friend [odds ratio (OR) 17.74; 95% confidence interval (CI) 1.95-161.77]; (ii) belief in influenza vaccine efficacy (OR 10.55; 95% CI 3.42-32.49); (iii) having a family member and/or friends who had been vaccinated before (OR 6.44; 95% CI 2.37-17.50); (iv) physician's recommendation (OR 4.03; 95% CI 1.42-11.37); and (v) knowledge about the influenza vaccine (OR 3.06; 95% CI 1.02-9.20). Fear of adverse reactions (OR 0.21; 95% CI 0.07-0.66) was the sole factor associated with non-acceptance of influenza vaccine. CONCLUSION:Patients in Japan are likely to be greatly influenced by their family members or close friends in their decision of whether to accept influenza vaccination, unlike US patients who make health care decisions on their own. When implementing an influenza vaccination programme, this effect of cultural background observed in Japan should be taken into account in other countries.
journal_name
Fam Practjournal_title
Family practiceauthors
Takahashi O,Noguchi Y,Rahman M,Shimbo T,Goto M,Matsui K,Asai A,Onishi M,Koyama H,Sawada I,Yoshinaka T,Fukui Tdoi
10.1093/fampra/20.2.162subject
Has Abstractpub_date
2003-04-01 00:00:00pages
162-6issue
2eissn
0263-2136issn
1460-2229journal_volume
20pub_type
杂志文章相关文献
FAMILY PRACTICE文献大全abstract::This paper describes the results of a study of the handling of confidentiality by general practitioners. A sample of 272 general practitioners in the eastern part of the Netherlands was interviewed. The general practitioners were presented with 10 cases involving confidentiality and were asked what course of action th...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/7.1.34
更新日期:1990-03-01 00:00:00
abstract::Forty-seven patients in psychogeriatric day centre were analysed regarding use of resources, costs and well-being. The level of well-being was based on interviews with staff and relatives and related to the economic outcome--a cost utility analysis. A 6 month period prior to day care was compared with the first 6 mont...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/7.4.279
更新日期:1990-12-01 00:00:00
abstract::Positive consultations, where both the GP and the patient had a positive impression, were compared with negative consultations, where both the GP and the patient had a negative impression. The consultations were compared with respect to tasks listed by Pendelton et al. in their 'consultation map', constituting satisfy...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/9.1.61
更新日期:1992-03-01 00:00:00
abstract::Mothers' beliefs and evaluations of their child's illness were studied in a group of 30 mothers who had consulted a general practitioner because of a cough. Data were collected by tape-recorded semi-structured interviews conducted in their own homes. A major concern for mothers was their fear that their child was goin...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/10.2.193
更新日期:1993-06-01 00:00:00
abstract::With current moves towards an emphasis on the 'whole' patient rather than fragmenting the person into organ systems research methods need to be developed which reflect that emphasis and direct us in our endeavour as clinicians. It is possible to have a descriptive science of human behaviour which can be based upon cli...
journal_title:Family practice
pub_type: 临床试验,杂志文章,评审
doi:10.1093/fampra/4.4.311
更新日期:1987-12-01 00:00:00
abstract:BACKGROUND:Although both hospitalization and mortality due to heart failure (HF) have been widely studied, less is known about the impact of HF on disability and quality of life. AIM:To assess the degree of disability and quality of life in HF patients attended at family medicine centres. DESIGN AND SETTING:Cross-sec...
journal_title:Family practice
pub_type: 杂志文章,多中心研究
doi:10.1093/fampra/cmz017
更新日期:2019-11-18 00:00:00
abstract:BACKGROUND:A consulting method known as 'shared decision making' (SDM) has been described and operationalized in terms of several 'competences'. One of these competences concerns the discussion of the risks and benefits of treatment or care options-'risk communication'. Few data exist on clinicians' ability to acquire ...
journal_title:Family practice
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1093/fampra/cmh401
更新日期:2004-08-01 00:00:00
abstract:BACKGROUND:Previous studies have suggested that the attitudes of health professionals towards people with disability may be as negative as those of society. Further, even positive attitudes may not always be reflected in the health professional's behaviour. OBJECTIVE:The aim of this study was to examine GPs' (registra...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/18.4.419
更新日期:2001-08-01 00:00:00
abstract::Meta-analysis is a quantitative process of summary and interpretation which involves pooling information from independent studies concerning a single theme in order to draw conclusions. Greatly increased employment of meta-analysis is currently being advocated for clinical and policy decision making. However, the pres...
journal_title:Family practice
pub_type: 杂志文章,评审
doi:10.1093/fampra/13.4.397
更新日期:1996-08-01 00:00:00
abstract::Pregnant women's ailments may cause anxiety and reduce the quality of life. Sixty-five pregnant women were followed prospectively in antenatal care in general practice, and spontaneously reported ailments not associated with serious pregnancy complications were registered prospectively. The vast majority of pregnant w...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/9.3.270
更新日期:1992-09-01 00:00:00
abstract::The articles reviewed for this issue of 'Selections' concern potential therapies to prevent osteoporosis and cardiovascular disease in postmenopausal women. Each therapy is controversial and provokes more questions than answers. The most benign intervention is the administration of calcium to postmenopausal women whos...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/8.3.288
更新日期:1991-09-01 00:00:00
abstract:BACKGROUND:Prevalence of overweight in children has increased significantly in many countries in the past decades. Few parents identify their own children as overweight, especially very young children. Motivating parents is difficult, and interventions to attain normal weight often fail. OBJECTIVE:To explore parents' ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmt056
更新日期:2013-12-01 00:00:00
abstract::This paper examines the notions of adverse events, error, critical incidents and safety from the specific viewpoint of primary care. We conclude that each term can be defined, but existing work which we reviewed uses many of the terms interchangeably. We recognise that trying to access medical error objectively within...
journal_title:Family practice
pub_type: 杂志文章,评审
doi:10.1093/fampra/cmg302
更新日期:2003-06-01 00:00:00
abstract:BACKGROUND:Evaluation of health care contacts from first events alone often misses large amounts of potentially important data and may produce different results than evaluation of all data including recurrent events. OBJECTIVE:We aim to bring the different methodological approaches for analysing longitudinal health ca...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cml012
更新日期:2006-08-01 00:00:00
abstract::The present study was performed to investigate the predictive value of casual blood pressure recordings for mortality in a geographically defined population (n = 1917), for which the primary health care services are responsible. Isotonic regression of blood pressure on age was used to define groups with low, medium an...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/3.1.3
更新日期:1986-03-01 00:00:00
abstract:BACKGROUND:Ageing of the population results in an increasing number of people living with chronic diseases that can adversely affect their quality of life. Information on the impact of chronic diseases on quality of life can make health services more patient-centred. OBJECTIVES:The aim of this study was to determine t...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/17.2.159
更新日期:2000-04-01 00:00:00
abstract:BACKGROUND:Patients' religious beliefs can offer support at times of illness and disease. Therefore religious beliefs of patients are important in doctor-patient interaction. OBJECTIVE:To assess to what extent GPs pay attention to religious beliefs of patients in their daily work. METHODS:A postal questionnaire was s...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/17.3.230
更新日期:2000-06-01 00:00:00
abstract:BACKGROUND:Elderly patients' interaction with the GP may be improved through patient involvement techniques, and there is a variety of such techniques which improve patients' involvement in their own care, although little is known about their acceptability. OBJECTIVES:The aim of this study was to identify barriers and...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmh733
更新日期:2005-04-01 00:00:00
abstract:BACKGROUND:Little is known about doctors' decision-making processes in prescribing antidepressants and how this is handled. OBJECTIVE:To describe and understand doctors' strategies in prescribing mood-modifying drugs, especially when confronted with challenging patients or situations. METHODS:Face-to-face interviews ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmi094
更新日期:2006-02-01 00:00:00
abstract:BACKGROUND:Primary health care (PHC)-based reforms have had different results in Latin America. Little attention has been paid to the enablers of collective action capacities required to produce a comprehensive PHC approach. OBJECTIVE:To analyse the enablers of collective action capacities to transform health systems ...
journal_title:Family practice
pub_type: 杂志文章,多中心研究
doi:10.1093/fampra/cmw038
更新日期:2016-06-01 00:00:00
abstract:BACKGROUND:It is generally considered that a significant proportion of 'inappropriate' demand for GP services is generated by consultations for minor ailments. How GPs manage minor ailments is likely to affect how patients perceive and handle similar illnesses in the future. Whilst this potentially has significant impl...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/18.6.581
更新日期:2001-12-01 00:00:00
abstract::A group of 317 overweight men and 565 overweight women was compared with an age-matched normal control group of 444 men and 627 women in order to establish whether hypertension was more often recorded in the obese group. This was done by analysing the continuous morbidity registration of four general practices with a ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/4.1.11
更新日期:1987-03-01 00:00:00
abstract:BACKGROUND:The North Trent scheme to address the problem of GPs whose performance gives cause for concern was implemented in 1997. This paper describes the structure and process of the scheme and evaluates the main outcomes. METHODS:We used non-participant observation and semi-structured interviews with representative...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/18.2.123
更新日期:2001-04-01 00:00:00
abstract:BACKGROUND:The safety of non-steroids anti-inflammatory drugs (NSAIDs) in the context of pharyngitis is doubtful with contradictory results in the literature. OBJECTIVE:To evaluate the risk of peritonsillar abscess (PTA) associated to NSAIDs consumption during a pharyngitis episode observed in primary care. METHOD:A ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmy111
更新日期:2019-07-31 00:00:00
abstract:OBJECTIVE:The purpose of this study was to assess the effectiveness of GPs personally handing out to their patients booklets about minor ailments and self-limiting health problems (minor illnesses). METHODS:The study was a pre-test-post-test, control group design and took place in seven general practices. The particip...
journal_title:Family practice
pub_type: 杂志文章,多中心研究
doi:10.1093/fampra/cmh703
更新日期:2005-02-01 00:00:00
abstract:BACKGROUND:While health systems are striving for patient-centered care, they have little evidence to guide them on how to engage patients in their care, or how this may affect patient experiences and outcomes. OBJECTIVE:To explore which specific patient-centered aspects of care were best associated with depression imp...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmw068
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:The approach to health and disease can either be salutogenic (origins of health) or pathogenic (disease causing), which thus makes recovery a concept featuring several different angles. Antonovsky, with his concept of salutogenesis, tried to reach a more complete understanding of its favourable effects on he...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/16.5.515
更新日期:1999-10-01 00:00:00
abstract:BACKGROUND:In the UK, general practitioners (GPs) are the most commonly used providers of care for emotional concerns. OBJECTIVE:To update and synthesize literature on barriers and facilitators to GP-patient communication about emotional concerns in UK primary care. DESIGN:Systematic review and qualitative synthesis....
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmaa002
更新日期:2020-09-05 00:00:00
abstract::Upper respiratory tract infections (URTIs) are a common reason for presentation to general practitioners. The current study used computerised consultation records of 100,222 patients from 17 general practices in New Zealand for the 12-month period 1 July 1991-30 June 1992. URTIs were noted in 8.9% of all consultations...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/12.2.166
更新日期:1995-06-01 00:00:00
abstract:Aim:Multimorbidity is a growing phenomenon in primary care, and knowledge of the influence of social determinants on its evolution is vital. The aim of this study was to understand the relationship between multimorbidity and immigration, taking into account length of residence in the host country and area of origin of ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmx048
更新日期:2017-11-16 00:00:00