Addressing Vaccine Hesitancy: Clinical Guidance for Primary Care Physicians Working with Parents
Overview
Public Health
Authors
Affiliations
Objective: To provide primary care physicians with clinical guidance for addressing parental vaccine hesitancy.
Sources Of Information: The PubMed database was searched for English-language articles published in the 10 years before January 1, 2018. Search terms included or or or and or . References of identified articles were assessed for additional relevant articles. A separate gray literature search was conducted using Google to find best-practice guidelines from public health and health care organizations, knowledge translation materials for health care providers, and resources that could be used in discussions with parents about vaccines.
Main Message: Practical tips for addressing parental vaccine hesitancy in primary care include starting early, presenting vaccination as the default approach, building trust, being honest about side effects, providing reassurance on a robust vaccine safety system, focusing on protection of the child and community, telling stories, and addressing pain. Also provided are statements that providers could use in vaccination-related conversations; answers to commonly asked questions on benefits, safety, and immunologic aspects of vaccines; and links to a number of online resources for physicians and parents.
Conclusion: Vaccine-hesitant parents who are on the fence far outnumber vaccine refusers; therefore, counseling this group might be more effective. Reasons behind vaccine hesitancy are complex and encompass more than just a knowledge deficit. As a trusted source of information on vaccines, family physicians play a key role in driving vaccine acceptance.
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