01667nam a2200277 4500 ESSALUD 20260820162507.0 ta t pe ||||| |||| 00| 0 spa d BMG eng O’Leary, Sean T. Autor 54213 Childhood vaccine hesitancy páginas: 2134-2145 Vaccine hesitancy exists along a spectrum; most parents with hesitancy are motivated to protect their children but are often concerned about safety. Routine childhood vaccines recommended by the American Academy of Pediatrics have substantially reduced the incidence of disease and maintain a strong safety record. Clinicians are the most trusted source of vaccine information, and clear, confident recommendations are closely linked to higher uptake. Presumptive communication approaches are more effective than open-ended approaches, especially when paired with respectful dialogue. Empathy-driven, patient-centered strategies, including motivational interviewing, help address concerns, counter misinformation, and build trust while preserving relationships that may encourage future vaccination decisions. ALERGIA 7055 ENFERMEDADES INFANTILES 53890 SISTEMAS FAMILIARES Y COMUNICACIÓN 54214 INMUNIZACIÓN ENFERMEDADES INFECCIOSAS 6776 NEONATOLOGÍA 11478 POLÍTICA SANITARIA 2322 Danchin, Margie 54215 22717 22648 Massachusetts NEJM Group NEJM011 The New England Journal of Medicine ESSALUD 0028-4793 ARTICULOS 2026-08-20 sqb 22844 22844