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    Vaccine hesitancy and healthcare providers

    While most people vaccinate according to the recommended schedule, this success is challenged by individuals
    and groups who delay or refuse vaccines. The aim of this article is to review studies on vaccine
    hesitancy among healthcare providers (HCPs), and the influences of their own vaccine confidence and
    vaccination behaviour on their vaccination recommendations to others.
    The search strategy was developed in Medline and then adapted across several multidisciplinary mainstream
    databases including Embase Classic & Embase, and PschInfo. All foreign language articles were
    included if the abstract was available in English.
    A total of 185 articles were included in the literature review. 66% studied the vaccine hesitancy among
    HCPs, 17% analysed concerns, attitudes and/or behaviour of HCPs towards vaccinating others, and 9%
    were about evaluating intervention(s). Overall, knowledge about particular vaccines, their efficacy and
    safety, helped to build HCPs own confidence in vaccines and their willingness to recommend vaccines
    to others. The importance of societal endorsement and support from colleagues was also reported.
    In the face of emerging vaccine hesitancy, HCPs still remain the most trusted advisor and influencer of
    vaccination decisions. The capacity and confidence of HCPs, though, are stretched as they are faced with
    time constraints, increased workload and limited resources, and often have inadequate information or
    training support to address parents’ questions. Overall, HCPs need more support to manage the quickly
    evolving vaccine environment as well as changing public, especially those who are reluctant or refuse
    vaccination. Some recommended strategies included strengthening trust between HCPs, health authorities
    and policymakers, through more shared involvement in the establishment of vaccine
    recommendations.



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