Healthcare Providers’ Vaccine Perceptions, Hesitancy, and Recommendation to Patients: A Systematic Review
Despite vaccines’ effectiveness in reducing the rate of preventable diseases, vaccine hesitancy has threatened public health and economies worldwide. Healthcare providers’ (HCP) communications and behavior strongly influence patient receptivity and uptake. The goal of this review was to examine HCP...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-07-01
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| Series: | Vaccines |
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| Online Access: | https://www.mdpi.com/2076-393X/9/7/713 |
| _version_ | 1797525972825669632 |
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| author | Cheryl Lin Jewel Mullen Danielle Smith Michaela Kotarba Samantha J. Kaplan Pikuei Tu |
| author_facet | Cheryl Lin Jewel Mullen Danielle Smith Michaela Kotarba Samantha J. Kaplan Pikuei Tu |
| author_sort | Cheryl Lin |
| collection | DOAJ |
| description | Despite vaccines’ effectiveness in reducing the rate of preventable diseases, vaccine hesitancy has threatened public health and economies worldwide. Healthcare providers’ (HCP) communications and behavior strongly influence patient receptivity and uptake. The goal of this review was to examine HCP vaccine perceptions, knowledge, and reservations and how these attitudes affect their recommendations and vaccination practices. Primary research studies published by 16 September 2020 were searched in PubMed, Web of Science, Embase, CINAHL, and PsycINFO. A 14-item scale was developed for survey study and risk of bias appraisal (SSRBA). In total, 96 papers from 34 countries were included, covering 17 vaccines (HPV and influenza vaccines the most studied). Recommendation was positively associated with provider knowledge and experience, beliefs about disease risk, and perceptions of vaccine safety, necessity, and efficacy. HCP vaccination attitudes and practices varied across specialties, vaccines, and countries; demographic impact was inconclusive. Barriers included anticipation of patient/parental concerns or refusal, lacking clear guidelines, time constraints, and cost. For HPV, vaccines were more often recommended to older, female adolescents and by physicians who discussed sexual health. HCPs are vital advocates for patients and the public, but studies indicated a prevalence of provider hesitancy pertaining to inadequate knowledge, low vaccine confidence, and suboptimal uptake themselves. Improving HCP knowledge and assuring their access to information they deem trustworthy are essential to supporting HCPs‘ role as “trusted messengers” to promote vaccine acceptance. |
| first_indexed | 2024-03-10T09:20:38Z |
| format | Article |
| id | doaj.art-3d56d5ffc24d47e9b6b7611e901db2a3 |
| institution | Directory Open Access Journal |
| issn | 2076-393X |
| language | English |
| last_indexed | 2024-03-10T09:20:38Z |
| publishDate | 2021-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Vaccines |
| spelling | doaj.art-3d56d5ffc24d47e9b6b7611e901db2a32023-11-22T05:11:54ZengMDPI AGVaccines2076-393X2021-07-019771310.3390/vaccines9070713Healthcare Providers’ Vaccine Perceptions, Hesitancy, and Recommendation to Patients: A Systematic ReviewCheryl Lin0Jewel Mullen1Danielle Smith2Michaela Kotarba3Samantha J. Kaplan4Pikuei Tu5Policy and Organizational Management Program, Duke University, Durham, NC 27705, USADell Medical School, The University of Texas at Austin, Austin, TX 78712, USAPolicy and Organizational Management Program, Duke University, Durham, NC 27705, USAPolicy and Organizational Management Program, Duke University, Durham, NC 27705, USAMedical Center Library and Archives, Duke University, Durham, NC 27710, USAPolicy and Organizational Management Program, Duke University, Durham, NC 27705, USADespite vaccines’ effectiveness in reducing the rate of preventable diseases, vaccine hesitancy has threatened public health and economies worldwide. Healthcare providers’ (HCP) communications and behavior strongly influence patient receptivity and uptake. The goal of this review was to examine HCP vaccine perceptions, knowledge, and reservations and how these attitudes affect their recommendations and vaccination practices. Primary research studies published by 16 September 2020 were searched in PubMed, Web of Science, Embase, CINAHL, and PsycINFO. A 14-item scale was developed for survey study and risk of bias appraisal (SSRBA). In total, 96 papers from 34 countries were included, covering 17 vaccines (HPV and influenza vaccines the most studied). Recommendation was positively associated with provider knowledge and experience, beliefs about disease risk, and perceptions of vaccine safety, necessity, and efficacy. HCP vaccination attitudes and practices varied across specialties, vaccines, and countries; demographic impact was inconclusive. Barriers included anticipation of patient/parental concerns or refusal, lacking clear guidelines, time constraints, and cost. For HPV, vaccines were more often recommended to older, female adolescents and by physicians who discussed sexual health. HCPs are vital advocates for patients and the public, but studies indicated a prevalence of provider hesitancy pertaining to inadequate knowledge, low vaccine confidence, and suboptimal uptake themselves. Improving HCP knowledge and assuring their access to information they deem trustworthy are essential to supporting HCPs‘ role as “trusted messengers” to promote vaccine acceptance.https://www.mdpi.com/2076-393X/9/7/713immunizationvaccine hesitancyhealthcare personnelcommunicationpandemiccommunicable diseases |
| spellingShingle | Cheryl Lin Jewel Mullen Danielle Smith Michaela Kotarba Samantha J. Kaplan Pikuei Tu Healthcare Providers’ Vaccine Perceptions, Hesitancy, and Recommendation to Patients: A Systematic Review Vaccines immunization vaccine hesitancy healthcare personnel communication pandemic communicable diseases |
| title | Healthcare Providers’ Vaccine Perceptions, Hesitancy, and Recommendation to Patients: A Systematic Review |
| title_full | Healthcare Providers’ Vaccine Perceptions, Hesitancy, and Recommendation to Patients: A Systematic Review |
| title_fullStr | Healthcare Providers’ Vaccine Perceptions, Hesitancy, and Recommendation to Patients: A Systematic Review |
| title_full_unstemmed | Healthcare Providers’ Vaccine Perceptions, Hesitancy, and Recommendation to Patients: A Systematic Review |
| title_short | Healthcare Providers’ Vaccine Perceptions, Hesitancy, and Recommendation to Patients: A Systematic Review |
| title_sort | healthcare providers vaccine perceptions hesitancy and recommendation to patients a systematic review |
| topic | immunization vaccine hesitancy healthcare personnel communication pandemic communicable diseases |
| url | https://www.mdpi.com/2076-393X/9/7/713 |
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