Vaccine hesitancy among healthcare workers in Europe: A qualitative study
Vaccine hesitancy among healthcare workers in Europe: A qualitative study
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DOI：
10.1016/j.vaccine.2016.08.029
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发表时间：
2016-09-22
期刊：
影响因子：
5.5
通讯作者：
Larson, Heidi J.
中科院分区：
文献类型：
--
作者：
Karafillakis, Emilie;Dinca, Irina;Larson, Heidi J.
医护人员（HCW）通常被认为是患者最值得信赖的疫苗相关信息来源。然而，有证据表明，一些HCW对疫苗犹豫不决。这项研究包括65个半结构化的采访，在克罗地亚，法国，希腊和罗马尼亚的疫苗供应商，以调查HCW可能对疫苗接种的关注。结果显示，所有四个国家的疫苗提供者都存在疫苗犹豫。所有国家最重要的关切是对疫苗副作用的恐惧。新的疫苗被挑出来，因为人们认为缺乏对疫苗安全性和有效性的测试。此外，虽然保健工作者对卫生当局表示高度信任，但由于认为有经济利益和缺乏关于副作用的沟通，对制药公司也有强烈的不信任。所有国家都报告说，医生有责任对犹豫不决的病人作出反应。人们还认为，关切问题是针对具体国家和具体情况的。提高对疫苗信心的战略应适应各国具体的政治、社会、文化和经济背景。此外，虽然大多数干预措施侧重于教育和改善有关疫苗安全性、有效性或疫苗需求的信息，但本研究提出的问题确定了需要解决的其他犹豫决定因素。我们必须审慎诠释受访医务人员的意见是否具代表性。这是一项小样本量的定性研究，包括疫苗接种率较低或犹豫更为普遍的地理区域，它反映了个体参与者对该主题的信念和态度。由于医务工作者有可能影响患者的疫苗接种率，因此提高他们对疫苗接种的信心并让他们参与针对患者疫苗犹豫的活动至关重要。(C)2016由Elsevier Ltd.出版
Healthcare workers (HCWs) are often referred to as the most trusted source of vaccine-related information for their patients. However, the evidence suggests that a number of HCWs are vaccine-hesitant. This study consists of 65 semi-structured interviews with vaccine providers in Croatia, France, Greece, and Romania to investigate concerns HCWs might have about vaccination. The results revealed that vaccine hesitancy is present in all four countries among vaccine providers. The most important concern across all countries was the fear of vaccine side effects. New vaccines were singled out due to perceived lack of testing for vaccine safety and efficacy. Furthermore, while high trust in health authorities was expressed by HCWs, there was also strong mistrust of pharmaceutical companies due to perceived financial interests and lack of communication about side effects. The notion that it is a doctor's responsibility to respond to hesitant patients was reported in all countries. Concerns were also seen to be country- and context-specific. Strategies to improve confidence in vaccines should be adapted to the specific political, social, cultural and economic context of countries. Furthermore, while most interventions focus on education and improving information about vaccine safety, effectiveness, or the need for vaccines, concerns raised in this study identify other determinants of hesitancy that need addressing. The representativeness of the views of the interviewed HCWs must be interpreted with caution. This a qualitative study with a small sample size that included geographical areas where vaccination uptake was lower or where hesitancy was more prevalent and it reflects individual participants' beliefs and attitudes toward the topic. As HCWs have the potential of influencing patient vaccination uptake, it is crucial to improve their confidence in vaccination and engage them in activities targeting vaccine hesitancy among their patients. (C) 2016 Published by Elsevier Ltd.