Vaccine hesitancy and healthcare providers
Vaccine hesitancy and healthcare providers
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DOI：
10.1016/j.vaccine.2016.10.042
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发表时间：
2016-12-20
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：
Paterson, Pauline;Meurice, Francois;Larson, Heidi J.
虽然大多数人根据推荐的时间表接种疫苗，但推迟或拒绝接种疫苗的个人和团体对这一成功提出了挑战。本文的目的是回顾医疗保健提供者对疫苗的犹豫不决的研究，以及他们自己的疫苗信心和接种行为对他们向他人推荐疫苗的影响。搜索策略是在Medline上开发的，然后在包括Embase Classic&Embase和Pschinfo在内的几个多学科主流数据库中进行调整。如果摘要是英文的，则纳入所有外文文章。文献综述共纳入185篇文章。66%的受调查者研究了疫苗接种的迟疑性，17%的受检者分析了受检者对接种其他疫苗的担忧、态度和/或行为，9%的受试者对干预措施进行了评估(S)。总体而言，对特定疫苗及其有效性和安全性的了解有助于建立初级卫生保健方案自身对疫苗的信心，以及它们向他人推荐疫苗的意愿。报告还指出了社会认可和同事支持的重要性。面对新出现的疫苗犹豫不决，HCP仍然是疫苗接种决策中最值得信赖的顾问和影响者。然而，由于面临时间限制、工作量增加和资源有限，以及往往没有足够的信息或培训支持来解决家长的问题，初级保健方案的能力和信心都很有限。总体而言，HCP需要更多的支持来管理快速演变的疫苗环境以及不断变化的公众，特别是那些不愿或拒绝接种疫苗的人。一些建议的战略包括通过更多地共同参与制定疫苗建议，加强初级卫生保健方案、卫生当局和政策制定者之间的信任。(C)2016年提交人。爱思唯尔有限公司出版。
While most people vaccinate according to the recommended schedule, this success is challenged by individuals and groups who delay or refuse vaccines. The aim of this article is to review studies on vaccine hesitancy among healthcare providers (HCPs), and the influences of their own vaccine confidence and vaccination behaviour on their vaccination recommendations to others.The search strategy was developed in Medline and then adapted across several multidisciplinary mainstream databases including Embase Classic & Embase, and Pschlnfo. All foreign language articles were included if the abstract was available in English.A total of 185 articles were included in the literature review. 66% studied the vaccine hesitancy among HCPs, 17% analysed concerns, attitudes and/or behaviour of HCPs towards vaccinating others, and 9% were about evaluating intervention(s). Overall, knowledge about particular vaccines, their efficacy and safety, helped to build HCPs own confidence in vaccines and their willingness to recommend vaccines to others. The importance of societal endorsement and support from colleagues was also reported.In the face of emerging vaccine hesitancy, HCPs still remain the most trusted advisor and influencer of vaccination decisions. The capacity and confidence of HCPs, though, are stretched as they are faced with time constraints, increased workload and limited resources, and often have inadequate information or training support to address parents' questions. Overall, HCPs need more support to manage the quickly evolving vaccine environment as well as changing public, especially those who are reluctant or refuse vaccination. Some recommended strategies included strengthening trust between HCPs, health authorities and policymakers, through more shared involvement in the establishment of vaccine recommendations. (C) 2016 The Authors. Published by Elsevier Ltd.