Use of standardized patients to examine physicians' communication strategies when addressing vaccine refusal: A pilot study
Use of standardized patients to examine physicians' communication strategies when addressing vaccine refusal: A pilot study
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DOI：
10.1016/j.vaccine.2009.03.048
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发表时间：
2009-06-02
期刊：
影响因子：
5.5
通讯作者：
Marshall, Gary S.
中科院分区：
文献类型：
--
作者：
Bryant, Kristina A.;Wesley, Gina C.;Marshall, Gary S.
拒绝接种疫苗的报道越来越多，但很少有人直接观察医生和对疫苗持怀疑态度的父母之间的沟通。在一项试点研究中，一个标准化的病人假扮成一个准妈妈（标准化的母亲，SM）反对免疫接种会见了盲社区医生的借口下，产前采访。使用标准化问卷对说服性沟通策略进行评分。评估记录的成绩单是否符合美国儿科学会关于处理疫苗拒绝的建议。进行了9次接触，占该地区儿科诊所的16%和家庭诊所的3%。医生在倾听、保持眼神交流、与SM共度时光、使用可理解的术语和避免家长式姿态方面得分很高。在鼓励性问题、检查理解程度、确认SM关注的重要性和评估疫苗知识方面得分较低。中位记录的遭遇持续了19分钟。短信代表了一种新的策略，研究医生/家长沟通疫苗。(C)2009爱思唯尔有限公司版权所有。
Vaccine refusal is increasingly reported but few direct observations of the communication between physicians and parents skeptical about vaccines have been made. In a pilot study, a standardized patient posing as an expectant mother (standardized mother, SM) opposed to immunization met with blinded community physicians under the pretext of prenatal interviews. Persuasive communication strategies were scored using a standardized questionnaire. Recorded transcripts were evaluated for compliance with American Academy of Pediatrics recommendations for handling vaccine refusal. Nine encounters were conducted, representing 16% of pediatric and 3% of family practices in the area. Physicians scored high on listening, maintaining eye contact, spending time with the SM, using understandable terms, and avoiding a paternalistic posture. Lower scores were obtained on encouraging questions, checking for understanding, validating the importance of the SM's concerns, and assessing knowledge about vaccines. The median recorded encounter lasted 19 min. SMs represent a novel strategy for studying physician/parent communication about vaccines. (C) 2009 Elsevier Ltd. All rights reserved.