{"doi":"10.1186/s12875-024-02665-1","title":"When clinicians and patients disagree on vaccination: what primary care clinicians can learn from COVID-19-vaccine-hesitant patients about communication, trust, and relationships in healthcare","abstract":"BACKGROUND: In the United States, discourse on COVID-19 vaccination has become polarized, and the positions of public health officials are met with skepticism by many vaccine-hesitant Americans. This polarization may impact future vaccination efforts as well as clinician-patient relationships. METHODS: We interviewed 77 vaccine-hesitant patients and 41 clinicians about COVID-19 vaccination communication in primary care as part of a Veterans Affairs (VA) trial evaluating a vaccine-communication intervention. This paper reports the findings of a qualitative analysis focused on one aspect of those interviews-the disconnect between primary care clinicians' and patients' perceptions about COVID-19 vaccination communication and decision-making. RESULTS: Rapid qualitative analysis of semi-structured interviews revealed fundamental differences in how clinicians and patients understood and described the reasoning, values, and concerns underlying COVID-19 vaccine hesitancy. These differences were significant and value-laden; they included negative judgments that could undermine communication between clinicians and patients and, over time, erode trust and empathy. CONCLUSION: We advocate for empathic listening and suggest communication strategies to bridge the divide between clinicians and vaccine-hesitant patients.","journal":"BMC Primary Care","year":2024,"id":449674,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":5,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9585,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1269958,"name":"Hajra Usman","orcid":null,"position":1,"is_corresponding":false},{"id":1269959,"name":"Nicole A. Woodruff","orcid":null,"position":2,"is_corresponding":false},{"id":1269960,"name":"Haley Mehlman","orcid":null,"position":3,"is_corresponding":false},{"id":1269467,"name":"Leah Tobey-Moore","orcid":"0000-0003-4721-1756","position":4,"is_corresponding":false},{"id":1269468,"name":"Beth Ann Petrakis","orcid":"0000-0003-0193-7367","position":5,"is_corresponding":false},{"id":1269961,"name":"Karen Anderson Oliver","orcid":null,"position":6,"is_corresponding":false},{"id":1269469,"name":"Adam Kaplan","orcid":"0000-0002-1412-0607","position":7,"is_corresponding":false},{"id":247420,"name":"Jeffrey M. Pyne","orcid":"0000-0001-9501-6053","position":8,"is_corresponding":false},{"id":1140860,"name":"Jennifer K. Manuel","orcid":"0000-0001-7457-3408","position":9,"is_corresponding":false},{"id":487130,"name":"Beth DeRonne","orcid":"0000-0002-5123-0661","position":10,"is_corresponding":false},{"id":1269962,"name":"Dan Bertenthal","orcid":null,"position":11,"is_corresponding":false},{"id":360895,"name":"Karen H. Seal","orcid":"0000-0002-6676-9117","position":12,"is_corresponding":false},{"id":487124,"name":"Natalie Purcell","orcid":"0000-0002-0582-9235","position":0,"is_corresponding":true}],"reference_count":41,"raw_metadata":null,"created_at":"2026-07-19T02:02:20.585759Z","pmid":"39633281","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}