Costa-Pinto Jessica, Willaby Harold W, Leask Julie, Wood Nicholas, Marshall Helen, Danchin Margie
Department of General Medicine, The Royal Children's Hospital, Melbourne, Victoria, Australia.
School of Public Health, University of Sydney, Sydney, New South Wales, Australia.
J Paediatr Child Health. 2017 Sep;53(9):855-861. doi: 10.1111/jpc.13587. Epub 2017 May 31.
Health-care providers are crucial in maintaining parental confidence in vaccination. Health-care providers are the most commonly accessed resource by parents for vaccine-related information and are highly trusted. We investigated paediatricians' (i) frequency of vaccine discussions; (ii) specific vaccine-related topics discussed; (iii) perceived role in childhood vaccination; (iv) challenges faced when having discussions; (v) confidence in vaccine-related knowledge and communication skills; and (vi) interest in online education and training.
We invited members of the Australian Paediatric Research Network to complete an online Research Electronic Data Capture survey in 2015-2016.
Of 383 active Australian Paediatric Research Network members, 165 (43%) completed the online survey. A total of 61% reported 'frequently' or 'almost always' having vaccine-related discussions, with 15% 'rarely' having them. 'Lack of time' was the most commonly reported barrier to having vaccine discussions (54%). Vaccine necessity was most commonly discussed (33%), followed by vaccine safety (24%), general vaccine concerns (23%) and catch-up schedules (23%). While only 25% of paediatricians lacked confidence in their vaccine-related knowledge and 11% in their communication skills, most expressed interest in online training to address vaccine knowledge (62%) and communication skills (53%).
Paediatricians play a key role in maintaining public confidence in vaccination. However, opportunities to address concerns are not being maximised by Australian paediatricians. There is a need and desire for training and resources to increase vaccine knowledge and communication skills for paediatricians, to optimise the frequency and effectiveness of vaccine discussions with parents and to ensure ongoing high immunisation coverage rates in Australia.
医疗保健提供者对于维持家长对疫苗接种的信心至关重要。医疗保健提供者是家长获取疫苗相关信息最常利用的资源，且深受信任。我们调查了儿科医生（i）疫苗讨论的频率；（ii）所讨论的特定疫苗相关话题；（iii）在儿童疫苗接种中所感知到的角色；（iv）讨论时所面临的挑战；（v）对疫苗相关知识和沟通技巧的信心；以及（vi）对在线教育和培训的兴趣。
我们邀请澳大利亚儿科研究网络的成员在2015 - 2016年完成一项在线研究电子数据采集调查。
在383名活跃的澳大利亚儿科研究网络成员中，165名（43%）完成了在线调查。共有61%的人报告“经常”或“几乎总是”进行疫苗相关讨论，15%的人“很少”进行此类讨论。“时间不足”是报告中进行疫苗讨论最常见的障碍（54%）。最常讨论的是疫苗必要性（33%），其次是疫苗安全性（24%）、一般疫苗问题（23%）和补种计划（23%）。虽然只有25%的儿科医生对其疫苗相关知识缺乏信心，11%的人对其沟通技巧缺乏信心，但大多数人表示有兴趣参加在线培训以提升疫苗知识（62%）和沟通技巧（53%）。
儿科医生在维持公众对疫苗接种的信心方面发挥着关键作用。然而，澳大利亚的儿科医生并未充分利用机会来解决相关问题。需要并渴望提供培训和资源，以增加儿科医生的疫苗知识和沟通技巧，优化与家长进行疫苗讨论的频率和效果，并确保澳大利亚持续保持高免疫接种率。
