As the U.S. ticks upward of 26.6 million coronavirus cases, the long-awaited COVID-19 vaccine is being distributed nationwide. Yet uptake rates are lower than expected and health officials have found themselves confronted with another barrier to containing the virus: vaccine hesitancy.
Defined by the World Health Organization as a delay in acceptance or refusal of vaccines despite availability of vaccination services, vaccine hesitancy (also referred to as vaccination hesitancy) can have a devastating impact on infection and death rates in a pandemic like COVID-19. For this reason, it is imperative that solutions to address vaccine hesitancy are swiftly identified and implemented.
People refuse vaccines for a variety of complex reasons. History shows that some parents believe vaccinations cause the very illness the vaccine protects against. Others are swayed by false information that is spread about vaccines. Racial and ethnic disparities have had a significant impact on vaccine uptake – with mistrust of the health care system cited as the primary reason. Experts have categorized the many factors influencing vaccine hesitancy into the 3 Cs:
Key to the concept of vaccine hesitancy is recognizing that while some will refuse the vaccine outright, others can be influenced in a positive way towards vaccination.
While it is important to understand the reasons for vaccine hesitancy, today’s healthcare providers can benefit from a toolbox of strategies and techniques to encourage COVID-19 vaccination. Below are some of these best practices.
For black and brown people, mistrust of the healthcare system is intertwined with systemic racism. Meghan Lane-Fall, MD, MSHP, an associate professor and vice-chair of Inclusion, Diversity, and Equity in Anesthesiology and Critical Care at the Perelman School of Medicine, points out, “There have been so many instances of our communities being abused, misused, misled, that this is what we see as a result. We have to acknowledge that history.”
For health care providers treating culturally diverse patients, it is important to position yourself as an advocate, says Kenya Pitt, manager of Human Resources of the Clinical Practices of the University of Pennsylvania. “…it’s really critical to sit in a seat of non-criticism, to create safe spaces where people feel like they can come to you and you will listen,” she says.
Avoid statistics – Research suggests that it is not numbers, predictions, or outcomes that motivate people to get a vaccine. Instead, appeal to a patient’s core values and beliefs, such as maintaining good health and protecting loved ones.
The good news is that progress is being made. According to the Kaiser Family Foundation’s COVID-19 Vaccine Monitor, vaccine hesitancy decreased from 39% in December 2020 to 31% in January 2021, and the desire to get the vaccine as soon as possible increased from 34% to 41% during the same period. With the right messaging, approach, and understanding, we could be hearing less about vaccine hesitancy and much more about vaccine uptake in the months ahead.
Note: This article represents a compilation of information published by others and does not constitute medical, legal, financial, or consulting advice. All information is believed to be current and accurate at the time of posting. References and links to third parties do not constitute an endorsement, sponsorship, or warranty, expressed or implied.