Brand Damianne, Giruzzi Megan, Giruzzi Nick, Vaitla Kavya, Krebill-Prather Rose, Dang Juliet, McKeirnan Kimberly
Pharmacotherapy Department, Yakima Campus, Washington State University, Yakima, WA 98901, USA.
Pharmacotherapy Department, Spokane Campus, Washington State University, Spokane, WA 99202, USA.
Vaccines (Basel). 2025 May 10;13(5):505. doi: 10.3390/vaccines13050505.
: Patients have historically trusted healthcare providers to be a reliable source of health information. However, with the recent pandemic and subsequent recovery, understanding and developing patients' trust has become even more important, especially regarding vaccine acceptance. The objective of this work is to explore the current level of trust that rural patients have in their healthcare providers concerning influenza vaccination and related recommendations and its impact on vaccine uptake in a rural county in Washington State. : An anonymous survey was conducted by a survey research center using a random sampling of 3000 addresses for people living in Yakima County in Washington State. Yakima County has a high percentage of people who identify as Hispanic or Latino/a and is a medically underserved area. The survey was designed to evaluate factors influencing the decision to be vaccinated against influenza and the level of trust in information from healthcare providers. : Results showed that participants who had been vaccinated against influenza in the previous five years were more likely to trust the advice of their primary care provider ( < 0.001), specialty care provider ( < 0.001), pharmacist ( = 0.02), and nurse ( = 0.002). People who were not vaccinated against influenza in the last five years were statistically more likely to report that a recommendation from a healthcare provider would not make a difference in their decision ( < 0.001). People who were vaccinated were more likely to utilize healthcare providers as a source of information about the influenza vaccine ( < 0.001) and people who were unvaccinated were more likely to use their own personal research as a trusted information source ( = 0.04). : Healthcare providers continue to be well regarded and trusted by their patients, especially in rurally located counties, though work still needs to be carried out around influenza vaccination importance messaging. This work identified that all healthcare providers need to work collaboratively to reinforce vaccination guideline recommendations and to both provide education and continue successful access-to-vaccination strategies to promote influenza prevention.
从历史上看，患者一直信任医疗服务提供者是健康信息的可靠来源。然而，随着近期的疫情及其后的恢复，理解和培养患者的信任变得更加重要，尤其是在疫苗接受度方面。这项工作的目的是探讨华盛顿州一个农村县的农村患者对其医疗服务提供者在流感疫苗接种及相关建议方面的当前信任水平，以及这种信任对疫苗接种率的影响。
一个调查研究中心通过对华盛顿州亚基马县居住的3000个地址进行随机抽样，开展了一项匿名调查。亚基马县有很高比例的人自认为是西班牙裔或拉丁裔，且是医疗服务不足地区。该调查旨在评估影响接种流感疫苗决策的因素以及对医疗服务提供者信息的信任程度。
结果显示，在过去五年中接种过流感疫苗的参与者更有可能信任其初级保健提供者的建议（<0.001）、专科护理提供者的建议（<0.001）、药剂师的建议（=0.02）和护士的建议（=0.002）。在过去五年中未接种流感疫苗的人在统计学上更有可能报告医疗服务提供者的建议对其决策没有影响（<0.001）。接种过疫苗的人更有可能将医疗服务提供者作为流感疫苗信息的来源（<0.001），而未接种疫苗的人更有可能将自己的个人研究作为可信赖的信息来源（=0.04）。
医疗服务提供者仍然受到患者的高度尊重和信任，尤其是在农村地区的县，不过在流感疫苗接种重要性信息传递方面仍需开展工作。这项工作表明，所有医疗服务提供者需要协同合作，强化疫苗接种指南建议，提供教育并持续实施成功的疫苗接种获取策略，以促进流感预防。
