1 University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA.
2 Drexel University, Philadelphia, Pennsylvania, USA.
Qual Health Res. 2018 Nov;28(13):2071-2080. doi: 10.1177/1049732318782164. Epub 2018 Jun 27.
Understanding how pediatric practices handle parental vaccine hesitancy is important as it impacts the efficiency and effectiveness of pediatric practices. In total, 21 semi-structured interviews with pediatric practice staff within a primary care network were conducted between May 2012 and March 2013. Thematic analysis focused on the barriers and challenges of vaccine hesitancy and strategies to reduce the burden at the practice level. Barriers and challenges of vaccine hesitancy included time constraints, administrative challenges, financial challenges and strained patient-provider relationships. Strategies to minimize the burden of vaccine hesitancy included training for vaccine counseling, screening for vaccine hesitancy prior to immunization visits, tailored vaccine counseling, and primary care provider visits for follow-up immunization. Pediatric practices reported many challenges when caring for vaccine-hesitant families. Multiple strategies were identified to reduce the burden of vaccine hesitancy, which future studies should explore to determine how effective they are in increasing vaccine acceptance in pediatric practices.
了解儿科诊所如何处理家长对接种疫苗的犹豫态度非常重要，因为这会影响儿科诊所的效率和效果。2012 年 5 月至 2013 年 3 月期间，在一个初级保健网络中对儿科诊所工作人员进行了 21 次半结构化访谈。主题分析重点关注疫苗犹豫的障碍和挑战，以及在实践层面减轻负担的策略。疫苗犹豫的障碍和挑战包括时间限制、行政挑战、财务挑战和紧张的医患关系。减轻疫苗犹豫负担的策略包括疫苗咨询培训、在免疫接种就诊前筛查疫苗犹豫、量身定制的疫苗咨询，以及为后续免疫接种提供初级保健提供者就诊。儿科诊所报告说，在照顾对疫苗犹豫不决的家庭时遇到了许多挑战。确定了多种策略来减轻疫苗犹豫的负担，未来的研究应该探索这些策略在提高儿科诊所疫苗接种接受率方面的有效性。
