Factors influencing vaccination decisions in patients with inflammatory rheumatic and musculoskeletal disease: a qualitative approach
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Le résumé fourni par la source
INTRODUCTION: Patients with inflammatory rheumatic and musculoskeletal diseases (iRMD) have an increased risk of infections due to immunosuppression and autoimmune disease. While vaccinations are an important preventive strategy, vaccination coverage remains insufficient in Germany. The study aimed to identify barriers and facilitators for vaccination uptake from the perspective of iRMD patients, general practitioners (GPs), and rheumatologists. METHODS: We conducted semi-structured, qualitative interviews with German iRMD patients (n = 15), GPs (n = 10), and rheumatologists (n = 5). Data were analyzed using Kuckartz's structured content analysis. The analysis focused on attitudes towards vaccination, information needs, decision-making, and perceived role distribution in care. RESULTS: A trust-based doctor-patient relationship and consistent, comprehensible information promoted willingness to vaccinate. Barriers included uncertainties regarding immunosuppressants, unclear responsibilities between GPs and rheumatologists, and inconsistent or conflicting medical recommendations. Patients desired a proactive approach from physicians and clearly assigned responsibilities. Physicians emphasized interprofessional exchange but stated time and structural challenges. CONCLUSION: The results underline the importance of coordinated communication and clear responsibilities in the vaccination process for iRMD patients. To increase vaccination rates among patients with iRMD, the focus should be on targeted information services, improved allocation of tasks between GPs and rheumatologists, timely scheduling of vaccinations (ideally before initiating immunosuppressive therapy), clear responsibilities for initiating and coordination of vaccination, and a structured, transparent flow of evidence-based information between specialists. The results provide a basis for the development of practical intervention strategies to increase vaccination uptake in this high-risk group. TRIAL REGISTRATION: The study was registered at the German Register of Clinical Studies (DRKS): https://drks.de/search/de/trial/DRKS00031559 (Registration Date: 28.08.2023).
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Factors influencing vaccination decisions in patients with inflammatory rheumatic and musculoskeletal disease: a qualitative approach
- Date Crossref
- 07/01/2026
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University Hospitals of the Ruhr-University of Bochum pays non établi dans la noticeÉtablissement de santé
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Zimmer Biomet (Germany) pays non établi dans la noticeEntreprise
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Ruhr University Bochum Department of Medical Informatics pays non établi dans la noticeUniversité ou école supérieure
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Rheumazentrum Ruhrgebiet pays non établi dans la noticeÉtablissement de santé
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Universitätsklinik Marien Hospital Herne pays non établi dans la noticeÉtablissement de santé
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St. Josef-Hospital pays non établi dans la noticeÉtablissement de santé
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Klinikum Lippe pays non établi dans la noticeÉtablissement de santé
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Jena University Hospital Department of Internal Medicine IV (Gastroenterology pays non établi dans la noticeÉtablissement de santé
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BARMER GEK pays non établi dans la noticeÉtablissement de santé
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University Hospital Cologne pays non établi dans la noticeÉtablissement de santé
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Medical Faculty Institute of General Practice and Family Medicine (AM RUB) pays non établi dans la noticeUniversité ou école supérieure
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Department of Neurology and Stroke Unit pays non établi dans la noticeInstitution
University Hospitals of the Ruhr-University of Bochum, Zimmer Biomet (Germany) et Department of Medical Informatics — Ruhr University Bochum, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.