Fisher Kimberly A, Singh Sonal, Stone Rosalie Torres, Nguyen Ngoc, Crawford Sybil, Mazor Kathleen M
Division of Health Systems Science, Department of Medicine, UMass Chan Medical School, Worcester, MA 01655, USA; Division of Pulmonary and Critical Care Medicine, Department of Medicine, UMass Chan Medical School, Worcester, MA 01655, USA.
Division of Health Systems Science, Department of Medicine, UMass Chan Medical School, Worcester, MA 01655, USA; Department of Family and Community Medicine, UMass Chan Medical School, Worcester, MA 01655, USA.
Patient Educ Couns. 2024 Oct;127:108369. doi: 10.1016/j.pec.2024.108369. Epub 2024 Jul 1.
To describe primary care providers' (PCPs) perspectives on discussing COVID-19 vaccination with their patients.
All PCPs from 11 primary care clinics at 3 health systems were invited to participate. Focus groups were conducted between December 2021-January 2022, and were recorded and transcribed. Participants were asked about their experience communicating about the COVID-19 vaccine. Themes and subthemes were inductively identified using thematic analysis.
40 PCPs participated. All PCPs viewed discussing COVID-19 vaccination as high priority. Strategies for promoting COVID-19 vaccination included influencing what people think and feel, building trust and leveraging their relationship with patients, and practical strategies such as on-site vaccination. Most strategies aimed at influencing what people think and feel and leveraging relationships were viewed as generally ineffective. On-site vaccine availability was identified as the most influential factor. PCPs expressed frustration by their interactions with vaccine hesitant patients, leading them to truncate their communication with these patients.
Despite using a broad range of strategies, most PCPs were unable to change the strongly held beliefs among the most vaccine hesitant patients that were often informed by misinformation and mistrust.
Promising strategies for promoting vaccination include social/relational (expressing empathy) and practical (on-site COVID-19 vaccine availability).
描述基层医疗服务提供者（PCP）在与患者讨论新冠病毒疫苗接种方面的观点。
邀请了3个医疗系统中11家基层医疗诊所的所有PCP参与。在2021年12月至2022年1月期间开展了焦点小组讨论，并进行了录音和转录。参与者被问及他们在交流新冠病毒疫苗方面的经验。使用主题分析法归纳确定主题和子主题。
40名PCP参与。所有PCP都将讨论新冠病毒疫苗接种视为高度优先事项。促进新冠病毒疫苗接种的策略包括影响人们的想法和感受、建立信任以及利用他们与患者的关系，以及诸如现场接种等实际策略。大多数旨在影响人们想法和感受以及利用关系的策略被认为总体上无效。现场提供疫苗被确定为最具影响力的因素。PCP对与疫苗犹豫患者的互动表示沮丧，这导致他们缩短与这些患者的沟通。
尽管使用了广泛的策略，但大多数PCP无法改变最犹豫接种疫苗患者中因错误信息和不信任而形成的坚定信念。
促进疫苗接种的有前景的策略包括社会/关系层面（表达同理心）和实际层面（现场提供新冠病毒疫苗）。
