Journal
JOURNAL OF CLINICAL MEDICINE
Volume 2, Issue 4, Pages 242-259Publisher
MDPI AG
DOI: 10.3390/jcm2040242
Keywords
Canada; vaccination; decision-making; physicians; midwives; knowledge; attitudes; practices
Categories
Funding
- Canadian Institutes of Health Research [MOP-115012]
- Quebec Ministry of Health
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Even if vaccination is often described as one of the great achievements of public health, results of recent studies have shown that parental acceptance of vaccination is eroding. Health providers' knowledge and attitudes about vaccines are important determinants of their own vaccine uptake, their intention to recommend vaccines to patients and the vaccine uptake of their patients. The purpose of this article is to compare how midwives and physicians address vaccination with parents during pregnancy and in postpartum visits. Thirty semi-structured interviews were conducted with midwives and physicians practicing in the province of Quebec, Canada. Results of our analysis have shown that physicians adopt an education-information stance when discussing vaccination with parents in the attempt to convince parents to vaccinate. In contrast, midwives adopted a neutral stance and gave information on the pros and cons of vaccination to parents while leaving the final decision up to them. Findings of this study highlight the fact that physicians and midwives have different views regarding their role and responsibilities concerning vaccination. It may be that neither of these approaches is optimal in promoting vaccination uptake.
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