Table 4 Perceived barriers to vaccination

Quote 6

Patient misunderstanding

« At school, people say : “how come you haven’t been vaccinated by your physician ?” (then we answer) “But at that time, it (the vaccination schedule) was different.” To people’s eyes, we’ve become less trustworthy. » (FGF, female, GP, 47, rural practice)

Quote 7

Complexity of indications

« I mean, given the actual criteria encouraging the practice of BCG vaccination (…), telling the patient whether or not to get vaccinated, according to his geographic and ethnic origins, it is not always obvious.» (FGR, man, GP, 50, mixed practice)

Quote 8

Different medical practices

« It is difficult for me to give a different medical advice by saying "Hepatitis B vaccine, let’s go for it!" while another physician told the same patient not to get vaccinated immediately » (FGF, man, GP, 43, mixed practice)

Quote 9

Lack of scientific justification

« There still isn’t any evidence showing the efficacy of HPV vaccine» (FGP, man, GP, 57, urban practice)

Quote 10

Inadequate aftercare

« I met two young girls who (…) came to see me without their child health notebooks. They were 7- and 9-years old, I was wondering which vaccine to administrate? No one could tell me which vaccines they have had since birth. » (FGF, female, GP, 58, rural practice)

Quote 11

Insufficient information broadcasting

« I also have the feeling that there is little information broadcasted at the national level, I would say generally that we are the only ones who give this information, thereby losing our credibility as physicians » (FGR, man, GP, 57, rural practice)

Quote 12

Negative impact of mass media campaign

« I got the feeling that patients lose trust in medication, especially vaccines. I think that the mass media campaign around the influenza A(H1N1) vaccination led to bad publicity. I experience this unwavering mistrust in my daily practice; for instance, when you were referring to the hepatitis B vaccine episode, which has deeply marked patients and physicians. » (FGR, man, GP, 50, mixed practice)

Quote 13

Mistrust of institutions

« As for me, I still have the feeling that there is a great loss of trust from the patients toward the public authorities, be it the media or even the official authorities. » (FGR, man, GP, 39, rural practice)