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Does integration matter? an international cross-sectional study on the relationship between perceived public health and primary care integration and COVID-19 vaccination rates
by
Garcia Dieguez, Marcelo
, Chamali, Rifka
, Sodhi, Sumeet
, Ponka, David
, Mash, Robert
, Goodyear-Smith, Felicity
, Praveen, Devarsetty
, Sharma, Manushi
in
Adult
/ Bivariate analysis
/ Community involvement
/ COVID-19
/ COVID-19 - epidemiology
/ COVID-19 - prevention & control
/ COVID-19 vaccines
/ COVID-19 Vaccines - administration & dosage
/ Cross-Sectional Studies
/ Data analysis
/ Evaluation
/ Female
/ Forecasts and trends
/ Humans
/ Immunization
/ Immunization Programs
/ Integration
/ Male
/ Management
/ Pandemics
/ Perceptions
/ Primary care
/ Primary Health Care
/ Public Health
/ Public health administration
/ SARS-CoV-2
/ Subgroups
/ Surveys and Questionnaires
/ Vaccination
/ Vaccination - statistics & numerical data
/ Vaccination Coverage - statistics & numerical data
/ Vaccines
2025
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Does integration matter? an international cross-sectional study on the relationship between perceived public health and primary care integration and COVID-19 vaccination rates
by
Garcia Dieguez, Marcelo
, Chamali, Rifka
, Sodhi, Sumeet
, Ponka, David
, Mash, Robert
, Goodyear-Smith, Felicity
, Praveen, Devarsetty
, Sharma, Manushi
in
Adult
/ Bivariate analysis
/ Community involvement
/ COVID-19
/ COVID-19 - epidemiology
/ COVID-19 - prevention & control
/ COVID-19 vaccines
/ COVID-19 Vaccines - administration & dosage
/ Cross-Sectional Studies
/ Data analysis
/ Evaluation
/ Female
/ Forecasts and trends
/ Humans
/ Immunization
/ Immunization Programs
/ Integration
/ Male
/ Management
/ Pandemics
/ Perceptions
/ Primary care
/ Primary Health Care
/ Public Health
/ Public health administration
/ SARS-CoV-2
/ Subgroups
/ Surveys and Questionnaires
/ Vaccination
/ Vaccination - statistics & numerical data
/ Vaccination Coverage - statistics & numerical data
/ Vaccines
2025
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Does integration matter? an international cross-sectional study on the relationship between perceived public health and primary care integration and COVID-19 vaccination rates
by
Garcia Dieguez, Marcelo
, Chamali, Rifka
, Sodhi, Sumeet
, Ponka, David
, Mash, Robert
, Goodyear-Smith, Felicity
, Praveen, Devarsetty
, Sharma, Manushi
in
Adult
/ Bivariate analysis
/ Community involvement
/ COVID-19
/ COVID-19 - epidemiology
/ COVID-19 - prevention & control
/ COVID-19 vaccines
/ COVID-19 Vaccines - administration & dosage
/ Cross-Sectional Studies
/ Data analysis
/ Evaluation
/ Female
/ Forecasts and trends
/ Humans
/ Immunization
/ Immunization Programs
/ Integration
/ Male
/ Management
/ Pandemics
/ Perceptions
/ Primary care
/ Primary Health Care
/ Public Health
/ Public health administration
/ SARS-CoV-2
/ Subgroups
/ Surveys and Questionnaires
/ Vaccination
/ Vaccination - statistics & numerical data
/ Vaccination Coverage - statistics & numerical data
/ Vaccines
2025
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Does integration matter? an international cross-sectional study on the relationship between perceived public health and primary care integration and COVID-19 vaccination rates
Journal Article
Does integration matter? an international cross-sectional study on the relationship between perceived public health and primary care integration and COVID-19 vaccination rates
2025
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Overview
Immunisation against COVID-19 is crucial for controlling the pandemic, yet global challenges persist in vaccine coverage and equitable distribution. A well-integrated primary health care approach can enhance vaccination programmes.
To explore the relationship between perceived PC (primary care)-PH (public health) integration, as well as other vaccination program implementation factors, and national COVID-19 vaccination coverage.
A convenience sample of self-identified primary care professionals completed an online survey on COVID-19 vaccination programme implementation and their perceptions of PC-PH integration.
Countries with ≥5 responses were included in the data analysis. COVID-19 vaccination implementation approach and perceived PC-PH integration against COVID-19 vaccination coverage was investigated using bivariate and subgroup analyses, Spearman correlation, and linear regression.
A total of 394 responses from 32 countries were analysed. Participants included primary care providers, academics, and researchers. The median national COVID-19 vaccination coverage was 28.41% at time of study. Perceived barriers included patient hesitancy and vaccine supply shortages, while facilitators included vaccine product choices, equity, and community engagement. The study revealed a positive relationship between perceptions of PC-PH integration and national vaccination coverage in upper-middle and lower-middle income countries.
Perceived PC-PH integration increased with decreasing economic quartiles and this perception was linked to actual national vaccination coverage. Integration may be especially important for countries with lesser vaccine supply. High-income countries may benefit from increased collaboration between PC and PH to enhance vaccination efficiency. The findings contribute to understanding the role of PC-PH integration in vaccination programmes in different settings.
Publisher
Public Library of Science,Public Library of Science (PLoS)
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