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探索阿拉伯联合酋长国医疗保健提供者中的疫苗犹豫现象:一项定性研究。

Exploring vaccine hesitancy among healthcare providers in the United Arab Emirates: a qualitative study.

作者信息

Elbarazi Iffat, Al-Hamad Sania, Alfalasi Salma, Aldhaheri Ruwaya, Dubé Eve, Alsuwaidi Ahmed R

机构信息

Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, UAE.

Department of Pediatrics, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, UAE.

出版信息

Hum Vaccin Immunother. 2021 Jul 3;17(7):2018-2025. doi: 10.1080/21645515.2020.1855953. Epub 2020 Dec 28.

Abstract

Healthcare providers (HCPs) are at the frontline to curb the spread of vaccine hesitancy in the community. However, HCPs themselves may delay or refuse vaccines. In light of the emerging vaccine hesitancy in the United Arab Emirates (UAE), we aimed to explore HCPs doubts and concerns regarding vaccination. We conducted face-to-face interviews with 33 HCPs from 7 ambulatory healthcare services in the Al Ain region, UAE. An interview guide was developed based on the European Center for Disease Prevention and Control guide for vaccine hesitancy among HCPs. An inductive thematic framework was employed to explore the main and emerging themes conceptualizing the predisposing, reinforcing, and enabling factors that influence HCPs' hesitancy regarding vaccinations for themselves and while recommending, prescribing, or discussing vaccines with their patients. The sample included general practitioners, family physicians, nurses, pharmacists, and other administrative staff. The major themes included positive predisposing factors such as trust in the system and the government, previous education, and social responsibility. Positive enabling factors included affordability and availability of vaccination services. Many participants were hesitant to receive the mandatory influenza vaccination. Misinformation regarding vaccines on social media was a major concern. However, HCPs showed little interest in being active on social media. Most participants reported never receiving any training on how to address vaccine hesitancy among patients. Because HCPs play an important role in influencing patients' decisions regarding undergoing vaccination, their confidence in addressing vaccine hesitancy must be improved.

摘要

医疗保健提供者(HCPs)处于遏制社区疫苗犹豫情绪传播的前沿。然而,HCPs自身可能会延迟或拒绝接种疫苗。鉴于阿拉伯联合酋长国(阿联酋)出现的疫苗犹豫情况,我们旨在探究HCPs对疫苗接种的疑虑和担忧。我们对阿联酋艾因地区7家门诊医疗服务机构的33名HCPs进行了面对面访谈。基于欧洲疾病预防控制中心针对HCPs疫苗犹豫情况的指南制定了访谈指南。采用归纳主题框架来探究主要和新出现的主题,这些主题将影响HCPs自身接种疫苗以及在向患者推荐、开处方或讨论疫苗时的犹豫情绪的易感、强化和促成因素概念化。样本包括全科医生、家庭医生、护士、药剂师和其他行政人员。主要主题包括积极的易感因素,如对系统和政府的信任、先前的教育和社会责任。积极的促成因素包括疫苗接种服务的可承受性和可及性。许多参与者对接种强制性流感疫苗犹豫不决。社交媒体上关于疫苗的错误信息是一个主要担忧。然而,HCPs对在社交媒体上活跃表现出兴趣寥寥。大多数参与者报告从未接受过任何关于如何应对患者疫苗犹豫情绪的培训。由于HCPs在影响患者接种疫苗的决策方面发挥着重要作用,必须提高他们应对疫苗犹豫情绪的信心。

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