Barriers and enablers to implementation of COVID‐19 vaccine programs in a rural and regional Queensland: A provider perspective

Oversby, Shannen; Hamilton, Elizabeth M.; Ratsch, Angela; Kitchener, Scott

doi:10.1111/ajr.13046

Cited by 1 publication

(1 citation statement)

References 25 publications

(58 reference statements)

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“… 26 Additionally, frontline healthcare providers in Ontario often felt responsible for communicating rapidly shifting COVID-19 policy changes to their patients, adding further complexity—and sometimes confusion—to their vaccination recommendations. 55 Research in other countries has also described operational barriers faced by providers, 56 as well as broader contextual challenges, such as the politicisation of COVID-19 vaccines, 57 polarisation of media, shifts in public perceptions of virus-related and vaccine-related risks, and increases in vaccination misinformation 58 that influenced physicians’ interactions with patients. Our findings add to this body of work, illustrating the integral role of contextual and health system factors related to the pandemic response on physicians’ roles, recommendations and interactions with families.…”

Section: Discussionmentioning

confidence: 99%

Physicians’ perspectives on COVID-19 vaccinations for children: a qualitative exploration in Ontario, Canada

Hodwitz,

Wigle,

Juando-Prats

et al. 2024

BMJ Open

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ObjectivesParents’ decisions to vaccinate their children against COVID-19 are complex and often informed by discussions with primary care physicians. However, little is known about physicians’ perspectives on COVID-19 vaccinations for children or their experiences counselling parents in their decision-making. We explored physicians’ experiences providing COVID-19 vaccination recommendations to parents and their reflections on the contextual factors that shaped these experiences.DesignWe conducted an interpretive qualitative study using in-depth interviews. We analyzed the data using reflexive thematic analysis and a socioecological framework.SettingThis study involved primary care practices associated with The Applied Research Group for Kids (TARGet Kids!) primary care research network in the Greater Toronto Area, Ontario, Canada.ParticipantsParticipants were 10 primary care physicians, including family physicians, paediatricians and paediatric subspecialists.ResultsParticipants discussed elements at the individual level (their identity, role, and knowledge), the interpersonal level (their relationships with families, responsiveness to parents’ concerns, and efforts to build trust) and structural level (contextual factors related to the evolving COVID-19 climate, health system pandemic response, and constraints on care delivery) that influenced their experiences providing recommendations to parents. Our findings illustrated that physicians’ interactions with families were shaped by a confluence of their own perspectives, their responses to parents’ perspectives, and the evolving landscape of the broader pandemic.ConclusionsOur study underscores the social and relational nature of vaccination decision-making and highlights the multiple influences on primary care physicians’ experiences providing COVID-19 vaccination recommendations to parents. Our findings offer suggestions for future COVID-19 vaccination programmes for children. Delivery of new COVID-19 vaccinations for children may be well suited within primary care offices, where trusting relationships are established, but physicians need support in staying knowledgeable about emerging information, communicating available evidence to parents to inform their decision-making and dedicating time for vaccination counselling.

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