Table II.

Factors that influence clinician recommendation of a Lyme disease vaccine

Vaccine benefits

• Protection for at-risk populations

• Decreased disease burden

• Decreased patient worry

• Added layer of protection

• Decreased healthcare costs

• Decreased clinician worry

Vaccine risks

• Side effects

• False sense of security

Facilitators for vaccine recommendation

• Guidelines from professional/scientific body

• Patient receptiveness

• Insurance coverage

• Patient awareness

Barriers to vaccine administration

• Cost

• Anti-vaccine sentiment

• Patient concern about vaccine safety

• Clinician confusion about contraindications