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Establishing a Dialogue with a Patient on Vaccination (Scientific Review)

https://doi.org/10.31631/2073-3046-2021-20-1-114-124

Abstract

Relevance. Vaccine prophylaxis is the most cost-effective and affordable means of controlling infectious diseases. At the same time, there is a great regional diversity in the number of people who refuse vaccination. In our country, according to several large studies, there is a relatively low adherence to vaccination compared to other European countries. It is common to have doubts and questions about immunization in adult patients or parents who vaccinate their children. A decrease in vaccination coverage of the population can lead to an increase in the incidence of infections preventable by immunization. At the same time, measures to promote vaccination used by preventive health care systems in various countries are insufficient. This increases the likelihood for doctors of various specialties to meet in their daily activities with patients' questions and concerns about vaccination

.The purpose of this work was to highlight the practical aspects of building a dialogue with patients who have doubts about vaccination.

Conclusions. Successful communication is based on the doctor's ability to build a confidential dialogue based on confidence in the decency and goodwill of all its participants. Based on the study, the following conclusions can be drawn. An alarming trend in recent years is the increasing number of patients who doubt the effectiveness of vaccination. For hesitant patients, the doctor is one of the most important sources of information about vaccines. The doctor's ability to clearly and confidently build a dialogue about vaccination helps to dispel the patient's doubts and is the most effective means of increasing adherence to immunization of the population.

About the Authors

K. D. Ermolenko
Research and Clinical Center for Infectious Diseases
Russian Federation

Konstantin D. Ermolenko – Cand. Sci. (Med.), scientifi researcher department of Intestinal Infections of Pediatric 

St. Petersburg



S. M. Kharit
Research and Clinical Center for Infectious Diseases; Saint-Petersburg State Pediatric Medical University
Russian Federation
Susanna M. Kharit – Dr. Sci. (Med.), Professor, Head of the Department of Prevention of Infectious Diseases of Pediatric Research and Clinical Center for Infectious Diseases, Chief Specialist for Vaccine Prevention of the City Health Committee of St. Petersburg; Professor of the Department of Infectious Diseases in ChildrenSt. Petersburg


A. A. Ruleva
Research and Clinical Center for Infectious Diseases; Saint-Petersburg State Pediatric Medical University
Russian Federation
Anna A. Ruleva – Cand. Sci. (Med.), scientific researcher of the Department of Prevention of Pediatric Research and Clinical Center for Infectious Diseases, St. Petersburg, Russia; Assistant of the Department of Infectious Diseases in ChildrenSt. Petersburg


L. Yu. Drozdova
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation

Lyubov Yu. Drozdova – Cand. Sci. (Med.), Head of the Polyclinic Therapy Laboratory at the National Medical Research Center for Therapy and Preventive Medicine of the Ministry of Health of the Russian Federation, Chief Specialist in Preventive Medicine of the Ministry of Health of Russia

Moscow

 



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Review

For citations:


Ermolenko K.D., Kharit S.M., Ruleva A.A., Drozdova L.Yu. Establishing a Dialogue with a Patient on Vaccination (Scientific Review). Epidemiology and Vaccinal Prevention. 2021;20(1):114-124. (In Russ.) https://doi.org/10.31631/2073-3046-2021-20-1-114-124

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ISSN 2073-3046 (Print)
ISSN 2619-0494 (Online)