■家庭医生(FD)/全科医生(GP)是年轻人及其父母在人乳头瘤病毒(HPV)疫苗接种方面的主要联络点。然而,他们的建议受到沟通技巧的影响。
■在EU4Health项目下,保护欧洲,WONCAEurope领导了一项任务,在与年轻人及其父母讨论HPV及其疫苗接种时,确定和分析临床医生人际沟通技巧的策略。
■优势,弱点,机遇,使用定性数据进行威胁(SWOT)分析,重点是HPV疫苗的接受度和与目标人群的沟通。FD/GP,WONCA欧洲的成员,通过会议和电子邮件中的调查,使用便利和滚雪球抽样招募。
■来自36个国家的223个FD/GP参加。优势包括面对面的沟通,广泛用于促进HPV疫苗。弱点涉及财务限制,关于性别中立疫苗接种的知识有限,安全问题,磋商中的时间压力。机会包括保密,开放对话,FD/GP与目标人群之间的信任关系,继续医学教育,学校培训,和问答环节,以增加疫苗交流。威胁包括社会规范和文化,针对HPV的柱头,和反疫苗接种运动阻碍了关于HPV疫苗接种的讨论。
■培训FD/GP以解决知识差距至关重要,提高沟通技巧,并在讨论HPV疫苗接种时与患者保持信任关系。克服财务障碍并确保在整个欧洲都可以获得性别中立的疫苗接种计划也至关重要。在推荐疫苗时,应考虑通过网络和学校渠道提供准确的信息,并针对社会文化因素和不同需求开发面向社区的方法,以消除HPV疫苗的柱头。
面对面,基于信任的沟通是FDA/GP在所有国家推广HPV疫苗的力量和机会。缺乏免费的,国家实施的性别中立疫苗接种是一个需要改进的政策弱点。耻辱和疫苗犹豫构成了主要威胁,FD/GP必须主动解决哪些问题,在强有力的公共卫生政策的支持下。
UNASSIGNED: Family doctors (FDs)/General practitioners (GPs) are the key contact points for young people and their parents regarding Human Papillomavirus (HPV) vaccination. However, their recommendations are influenced by communication skills.
UNASSIGNED: Under the EU4Health project, PROTECT-EUROPE, WONCA Europe led a task to identify and analyse strategies for clinicians\' interpersonal communication skills when discussing HPV and its vaccination with young people and their parents.
UNASSIGNED: Strengths, Weaknesses, Opportunities, Threats (SWOT) analysis using qualitative data focused on HPV vaccine acceptance and communication with the target population. FDs/GPs, members of WONCA Europe, were recruited using convenience and snowball sampling through surveys at conferences and emails.
UNASSIGNED: 223 FDs/GPs from 36 countries participated. Strengths included face-to-face communication, extensively used to promote the HPV vaccine. Weaknesses involved financial constraints, limited knowledge about gender-neutral vaccination, safety concerns, and time pressure during the consultations. Opportunities included confidentiality, open dialogue, trusting relationship between FDs/GPs and the target population, continuing medical education, school training, and questions & answers sessions to increase vaccine communication. Threats included social norms and cultures, stigmas against HPV, and anti-vaccination movements hindering discussions on HPV vaccination.
UNASSIGNED: It is crucial to train FDs/GPs to address knowledge gaps, enhance communication skills, and maintain a trusting relationship with patients when discussing HPV vaccination. Overcoming financial barriers and ensuring gender-neutral vaccination programs are accessible across Europe are also essential. Providing accurate information through the web- and school-based channels and developing community-oriented approaches targeting sociocultural factors and different needs to eliminate HPV vaccine stigmas should be considered when recommending the vaccine.
Face-to-face, trust-based communication is a strength and opportunity for FDs/GPs to promote the HPV vaccine in all countries.The lack of free-of-charge, nationally implemented gender-neutral vaccination represents a policy weakness needing improvement.Stigma and vaccine hesitancy pose major threats, which FDs/GPs must proactively address, supported by robust public health policies.