Evidence map›Paper›PMID 39982934›Full record

ArticlePloS one2025

Does integration matter? an international cross-sectional study on the relationship between perceived public health and primary care integration and COVID-19 vaccination rates.

Sumeet Sodhi, Rifka Chamali, Devarsetty Praveen, Manushi Sharma, Marcelo Garcia Dieguez, Robert Mash, Felicity Goodyear-Smith, David Ponka

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Sumeet SodhiBesrour Centre for Global Family Medicine, College of Family Physicians of Canada, Mississauga, Canada.
Rifka ChamaliBesrour Centre for Global Family Medicine, College of Family Physicians of Canada, Mississauga, Canada.
Devarsetty PraveenThe George Institute for Global Health India, New Delhi, India.
Manushi SharmaThe George Institute for Global Health India, New Delhi, India.
Marcelo Garcia DieguezCentre for Study of Health Professions Education, Universidad Nacional del Sur, Bahia Blanca, Argentina.ORCID 0000-0003-2117-0984
Robert MashFaculty of Medicine and Health Sciences, Department of Family and Emergency Medicine, Stellenbosch University, Stellenbosch, South Africa.
Felicity Goodyear-SmithDepartment of General Practice and Primary Health Care, University of Auckland, Auckland, New Zealand.
David PonkaBesrour Centre for Global Family Medicine, College of Family Physicians of Canada, Mississauga, Canada.ORCID 0000-0003-0902-8520

Funding

Gates Foundation INV-000970
6 · The paper itself

Abstract

backgroundImmunisation 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.

aimTo 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. DESIGN AND

settingA 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.

methodsCountries 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.

resultsA 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.

conclusionPerceived 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.

Indexed as

COVID-19COVID-19 VaccinesPrimary Health CarePublic HealthVaccinationVaccination CoverageAdultCross-Sectional StudiesFemaleHumansImmunization ProgramsMaleSARS-CoV-2Surveys and QuestionnairesCOVID-19 Vaccines

Identifiers

PMID39982934
PMCPMC11845041

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.