How French physicians manage with a future change in the primary vaccination of infants against diphtheria, tetanus, pertussis and poliomyelitis? A qualitative study with focus groups.

Karine Lungarde 1, 2 Fanette Blaizeau 2 Isabelle Auger-Aubin 3 Daniel Floret 4, 5 Serge Gilberg 5, 6 Christine Jestin 7 Thomas Hanslik 2, 8 Corinne Le Goaster 5 Daniel Lévy-Bruhl 9 Thierry Blanchon 2 Louise Rossignol 1, 2, *
* Auteur correspondant
1 Département de médecine générale
2 ESIM - Epidémiologie des maladies infectieuses et modélisation
3 Département de Médecine Générale
4 Prévention vaccinale : savoir, expliquer et convaincre
5 Secrétariat général
6 Département de médecine générale
7 Direction des Affaires Scientifiques
8 Service de Médecine Interne
9 Unité des maladies à prévention vaccinale
Abstract : BACKGROUND: As in other European countries, the French vaccination schedule changes according to epidemiological and socio-economic situations. Further changes are planned for 2013, including the withdrawal of one dose for primary vaccination against diphtheria, tetanus, polio, pertussis and Haemophilus influenzae. A partnership between the French Technical Vaccination Committee and the French Institute for Health and Medical Research designed a study to assess primary care physicians' agreement about this modification. METHODS: Qualitative study with focus groups and semi-structured interviews in France. Four focus groups were conducted with physicians, supplemented by four individual interviews. RESULTS: The physicians of the survey had accepted the suggested vaccination schedule well. A few concerns had been underlined: fear of less follow-up care for infants resulting from the removal of one visit driven by the primary vaccination; fear of loss of vaccine efficacy; suspicion of the existence of financial arguments at the origin of this change; and adjustment to current vaccination schedule. Several suggestions were made: providing strong support from health authorities; developing stable and simple recommendations; providing effective tools for monitoring patient's vaccination status. CONCLUSIONS: Physicians' opinions suggested a good acceptance of a possible change about primary vaccination against diphtheria, tetanus, polio, pertussis and Haemophilus influenzae. Physicians' suggestions resulted from this qualitative study on a new vaccination schedule. It showed how that their involvement was feasible for preparing the implementation of a new vaccination schedule.
keyword : Qualitative research Vaccination Primary care
Type de document :
Article dans une revue
BMC Family Practice, BioMed Central, 2013, 14 (1), pp.85. 〈10.1186/1471-2296-14-85〉
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Karine Lungarde, Fanette Blaizeau, Isabelle Auger-Aubin, Daniel Floret, Serge Gilberg, et al.. How French physicians manage with a future change in the primary vaccination of infants against diphtheria, tetanus, pertussis and poliomyelitis? A qualitative study with focus groups.. BMC Family Practice, BioMed Central, 2013, 14 (1), pp.85. 〈10.1186/1471-2296-14-85〉. 〈inserm-00838536〉

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