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. 2016 Jul 29;17:98. doi: 10.1186/s12875-016-0502-3

Table 2.

Reasons for not advising specific vaccinations despite STIKO-recommendation and in the absence of any contraindication (multiple answers possible)

Totala (n = 1230) General practitioners (n = 774) Physician assistantsa (n = 456)
Tetanus (n = 90) Influenza (n = 141) Pneumococcal (n = 183) Tetanus (i = 76) Influenza (n = 113) Pneumococcal (n = 148) Tetanus (n = 14) Influenza (n = 28) Pneumococcal (n = 35)
No. (%) No. (%) No. (%) No. (%) No (%) No (%) No. (%) No (%) No. (%)
Disease is harmless 0 4 (2.8) 3 (1.6) 0 2 (1.8) 2 (1.4) 0 2 (7.1) 1 (2.9)
Forgot to advise 65 (72.2) 74 (52.5) 129 (70.5) 56 (73.7) 60 (53.1) 107 (72.3) 9 (64.3) 14 (50.0) 22 (62.9)
Vaccine is ineffective 2 (2.2) 21 (14.9) 9 (4.9) 2 (2.6) 19 (16.8) 9 (6.1) 0 2 (7.1) 0
Does not feel responsible for vaccinations 7 (7.8) 3 (2.1) 4 (2.2) 5 (6.6) 0 0 2 (14.3) 3 (10.7) 4 (11.4)
Vaccine is not safe 1 (1.1) 19 (13.5) 12 (6.6) 1 (1.3) 13 (11.5) 10 (6.8) 0 6 (21.4) 2 (5.7)
Was not aware of recommendation 5 (5.6) 2 (1.4) 4 (2.2) 5 (6.6) 2 (1.8) 2 (1.4) 0 0 2 (5.7)
Risk of the patient to catch disease is low 21 (23.3) 38 (27.0) 51 (27.9) 18 (23.7) 33 (29.2) 43 (29.1) 3 (21.4) 5 (17.9) 8 (22.9)
Accounting is too complicated 3 (3.3) 3 (2.1) 3 (1.6) 1 (1.3) 1 (0.9) 1 (0.7) 2 (14.3) 2 (7.1) 2 (5.7)
Reimbursement does not compensate the effort 8 (8.9) 11 (7.8) 9 (4.9) 4 (5.3) 7 (6.2) 4 (2.7) 4 (28.6) 4 (14.3) 5 (14.3)

aOnly Physician Assistants included that stated to be (partly) responsible for vaccination advises in their practice