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Immunisation policy: from compliance to concordance?

J Gervase Vernon1

  • 1gervase@jth.demon.co.uk [corrected]

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
|July 2, 2003
PubMed
Summary

Public trust in immunisation is crucial for public health. Addressing parental concerns and fostering dialogue can improve vaccine uptake and policy.

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Area of Science:

  • Public Health
  • Sociology of Health
  • Immunisation Studies

Background:

  • Immunisation is a key public health strategy, yet faces public suspicion and declining vaccine uptake.
  • Historical and recent events, such as pertussis and MMR vaccine scares, highlight public concerns.

Purpose of the Study:

  • To explore concepts like herd immunity, altruism, and informed consent in relation to immunisation.
  • To review sociological research on immunisation, including parental concerns about trust and side effects.
  • To propose a new framework for UK immunisation policy.

Main Methods:

  • Review of historical, quantitative, and qualitative sociological research on immunisation.
  • Explanation of Streefland's five perspectives on immunisation.
  • Description of 'concordance' as a dialogue between perspectives.

Main Results:

  • Parental concerns include loss of trust in health professionals and worries about vaccine side effects.
  • Sociological research reveals diverse perspectives on immunisation.

Conclusions:

  • Current UK immunisation policy often assumes passive compliance.
  • A shift towards active public involvement and respect for diverse views is recommended.
  • The concept of concordance offers a model for improved dialogue and policy.

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