Article Figures & Data
Figures
- Figure 1.
Randomized controlled trial of a practice facilitator outreach program to support family physicians in encouraging COVID-19 vaccine uptake.
COVID-19 = coronavirus disease 2019.
- Figure 2.
Intervention engagement among family physicians (N = 300).
- Figure 3.
Timing of physicians’ acceptance of practice facilitation, November 2021-March 2022 (N = 90).
- Figure 4.
Factors affecting intervention engagement mapped onto multilevel framework.a
a Multilevel framework of Chaudoir et al.19
Tables
- Table 1.
Resources and Supports Offered to Family Physicians in the Intervention Group by Practice Facilitators
Technical support (remote) to access government COVaxON Vaccination Management System and merge data with clinic electronic medical records Written materials (e-mail) including scripts for administrative staff to call patients and e-mail templates for outreach campaign Information on website that allows practices to access robocalling and suggested templates Trained medical student volunteers to act as delegates to contact patients on physician’s behalf (Supplemental Appendix 2) Communication templates and resources, including FAQs, to address common questions and build vaccine confidence Option to connect patients to trained community ambassadors (lay health advisors) COVaxON = electronic documentation system used to document coronavirus disease 2019 (COVID-19) vaccinations in Ontario; FAQs = frequently asked questions.
Characteristic No. (%) Accepted intervention supports Yes 9 (60) No 6 (40) Gender Female 9 (60) Male 6 (40) Years practicing medicine, mean (SD) 21.7 (12) Type of practice Fee for service 3 (20) Family health teama 6 (40) Family health groupb 6 (40) Practice location Urban 11 (73) Rural 4 (27) ↵a A family health team is a group of health care providers working together to provide care. Physicians agree to provide a broad array of services, and they accept a blended model of funding including capitation, fees for services, and bonuses for achieving prevention targets.
↵b A family health group is a group of physicians responsible for a panel of patients and has relatively few interdisciplinary care clinicians. They are reimbursed on a fee-for-service basis with bonuses.
Medical student volunteer support Physicians requested students with same language or culture as patient population
Useful method to encourage vaccine uptake
Increased follow-up from patients at clinic, owing to other issues brought up during check-in by student
Students might not respond, delay calling patients, or decide to drop out of program
Physician concerns for patient privacy
Student help decreased burden on staff
Students increase workload and therefore cannot accept
Discontinued program because of too many patient follow-up calls as a result of student telephone callsRobocalls Do not require much additional work to implement
Physicians unsure if they will help; however, there is a low cost to implement; therefore, they were willing
Reminders might not be helpful for patients because vaccine uptake is a sensitive subject
Hesitancy that patients might not respond well to calls from someone they do not know
Important to offer in languages other than EnglishFAQ document for physicians Some asked for FAQ documents, but limited feedback regarding if they used it or if it was helpful
Some found FAQ document and hesitancy guide worthwhile to answer patient questions, but others felt not necessaryVerbal/e-mail scripts Staff found e-mail templates useful
No feedback on whether verbal scripts were used by clinic staff
Physicians and staff asked for templates for mass e-mails to patients
Clinic does not have e-mail contact information for all patientsIT support Electronic reporting useful for identifying unvaccinated patients and for contacting patients, but practices needed support to access
Requested long-term technical support from practice facilitators for other proactive preventive careFAQ = frequently asked question; IT = information technology.
SUPPLEMENTAL MATERIALS IN PDF FILE BELOW
- Shuldiner_Supp.pdf -
PDF file
- Shuldiner_Supp.pdf -
