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Managing controversy through consultation: a qualitative study of communication and trust around MMR vaccination decisions

McMurray, R.; Cheater, M.; Weighall, A.; Nelson, C.; Schweiger, M.; Mukherjee, S.

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Authors

R. McMurray

M. Cheater

A. Weighall

C. Nelson

M. Schweiger

S. Mukherjee



Abstract

Background: Controversy over the measles, mumps, and rubella (MMR) vaccine has reduced uptake, raising concerns of a future disease epidemic.Aims: To explore parents' accounts of decision making relating to the MMR vaccine controversy, identifying uptake determinants and education needs.Design of study: Qualitative interviews analysed using the ‘framework’ approach.Setting: Five general practices in the Leeds area, 2002–2003.Method: Sixty-nine interviews conducted with parents of children aged between 4 and 5 years, and 12 interviews with primary care practitioners, managers and immunisation coordinators serving participating sites. Participants were interviewed one-to-one in a place of their choice.Results: The vaccination decision is primarily a function of parental assessments of the relative acceptability and likelihood of possible outcomes. For most parents the evidence of science and medicine plays little role in the decision. Although local general practitioners and health visitors are trusted information sources, the influence of primary care providers on the vaccination decision is limited by concerns over consultation legitimacy, discussion opportunity, and perceptions of financial and political partiality. Parents and practitioners identify a need for new approaches to support decisions and learning when faced with this and similar healthcare controversies. These include new collaborative approaches to information exchange designed to transform rather than supplant existing parent knowledge as part of an ongoing learning process.Conclusion: The study identified new ways in which parents and practitioners need to be supported in order to increase understanding of medical science and secure more informed decisions in the face of health controversy.

Citation

McMurray, R., Cheater, M., Weighall, A., Nelson, C., Schweiger, M., & Mukherjee, S. (2004). Managing controversy through consultation: a qualitative study of communication and trust around MMR vaccination decisions. British Journal of General Practice, 54(504), 520-525

Journal Article Type Article
Publication Date Jul 1, 2004
Deposit Date Oct 1, 2010
Publicly Available Date Mar 28, 2024
Journal British Journal of General Practice
Print ISSN 0960-1643
Electronic ISSN 1478-5242
Publisher Royal College of General Practitioners
Peer Reviewed Peer Reviewed
Volume 54
Issue 504
Pages 520-525
Keywords Health services, Managed care, Measles-mumps-rubella vaccine, MMR vaccine, Trust, Vaccination.
Publisher URL http://bjgp.org/content/54/504/520
Related Public URLs http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1324804/?report=abstract

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