General practitioners' concerns about childhood immunisation and suggestions for improving professional support and vaccine uptake.

Communicable disease and public health Pub Date : 2004-12-01

R Henderson, K Oates, H Macdonald, W C S Smith

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Abstract

In recent years childhood vaccination has been vigorously debated. Professional and parental confidence in the measles, mumps and rubella (MMR) vaccine in particular has been shaken, as reflected by its decreased uptake. A semi-structured postal questionnaire survey of general practitioners (GPs) working in the Highland region of Scotland was undertaken to assess their views on vaccination issues. A 73% response rate was achieved. Of respondents 28% expressed concerns about the possible side effects of MMR. Of GPs 98% thought it was 'likely' that the benefits of the DTP-Hib, polio and men C vaccines outweighed the possible risks. For the first and second doses of MMR 92% and 86%, respectively, believed this to be true. Approximately three quarters of GPs described themselves 'very confident' in discussing the DTP-Hib vaccine with parents, compared with 57% for MMR. Some respondents were misinformed regarding the adverse events associated with the MMR vaccine. There is professional concern about MMR. Initiatives to support GPs in promoting vaccination in order to improve immunisation rates are discussed.

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全科医生对儿童免疫接种的关注及改善专业支持和疫苗接种的建议。

近年来，关于儿童接种疫苗的争论一直很激烈。专业人员和家长对麻疹、腮腺炎和风疹(MMR)疫苗的信心尤其受到了动摇，这反映在其吸收率下降上。对苏格兰高地地区的全科医生(全科医生)进行了半结构化的邮政问卷调查，以评估他们对疫苗接种问题的看法。有效率达73%。28%的受访者对MMR可能产生的副作用表示担忧。在全科医生中，98%的人认为DTP-Hib、脊髓灰质炎和丙型男性疫苗的好处“可能”大于可能的风险。对于第一剂和第二剂MMR，分别有92%和86%的人认为这是正确的。大约四分之三的全科医生表示，他们在与父母讨论百白破- hib疫苗时“非常有信心”，而在与父母讨论MMR疫苗时这一比例为57%。一些答复者被错误告知与MMR疫苗相关的不良事件。有专业人士对MMR感到担忧。讨论支持全科医生推广疫苗接种的措施，以提高免疫接种率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Communicable disease and public health

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