ORS PACA, Observatoire Régional de la Santé Provence-Alpes-Côte d'Azur, Marseille, France.
Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, Marseille, France.
Int J Qual Stud Health Well-being. 2020 Dec;15(1):1757336. doi: 10.1080/17482631.2020.1757336.
Vaccine hesitancy is common in France, including among general practitioners (GPs). We aimed to understand vaccine hesitant GPs' views towards vaccines. : We conducted in-depth interviews that were thematically analysed. We found that, facilitated by health scandals and vaccine controversies-that according to participants were not effectively handled by health authorities-the implicit contract existing between health authorities and GPs has been ruptured. This contract implies that health authorities support GPs in making vaccine recommendations by addressing GPs' own concerns, providing them with adequate and up-to-date information and advice, and involving them in vaccine decision-making. In turn, GPs encourage vaccination to reach vaccine coverage targets. The rupture of this implicit contract has led to a breach in trust in the health authorities and the vaccines that they recommend.
疫苗犹豫在法国很常见，包括在全科医生（GP）中。我们旨在了解对疫苗持犹豫态度的 GP 的看法。我们进行了深入的访谈，并进行了主题分析。我们发现，由于健康丑闻和疫苗争议——根据参与者的说法，这些问题并没有被卫生当局有效地处理——健康当局和 GP 之间存在的隐含合同已经破裂。该合同意味着，卫生当局通过解决 GP 自身的担忧、向他们提供充分和最新的信息和建议以及让他们参与疫苗决策，来支持 GP 做出疫苗推荐。反过来，GP 鼓励接种疫苗以达到疫苗接种覆盖率目标。这种隐含合同的破裂导致了对卫生当局及其推荐疫苗的信任破裂。
