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Nonstructural barriers to adult vaccination
T Mark Doherty1, Fiona Ecarnot2, Jacques Gaillat3
1GSK, Copenhagen, Denmark.
Human Vaccines & Immunotherapeutics
|April 17, 2024
Summary
Low adult vaccination rates persist due to non-structural barriers. Strategies involving patient education and provider incentives are needed to improve vaccine uptake and prevent disease.
Area of Science:
- Public Health
- Preventive Medicine
- Health Services Research
Background:
- Adult vaccination coverage is suboptimal despite recommendations and improved access.
- Low coverage in an aging population increases the risk of preventable diseases, disability, and mortality, straining healthcare systems.
Purpose of the Study:
- To identify non-structural barriers affecting adult vaccination uptake.
- To discuss potential solutions and strategies to increase adult vaccination rates.
Main Methods:
- An Advisory Board meeting convened experts to discuss barriers and solutions.
- Analysis of non-structural factors influencing vaccine uptake, including patient and healthcare provider perspectives.
Main Results:
- Identified barriers include population heterogeneity, vaccine supply concerns, incentives/mandates, risk perception, HCP time constraints, trust, and education.
- Proposed 'push-pull' mechanisms: patient-focused strategies (lifelong prevention, confidence-building, trust, normalization) and provider-focused strategies (quality measurement, incentives).
Conclusions:
- Addressing non-structural barriers requires a dual approach targeting both patient engagement and healthcare provider performance.
- Implementing patient education, building trust, and incentivizing providers are crucial for enhancing adult vaccination coverage.
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