title: [The commitment of French general practitioners to vaccination: the DIVA study (Determinants of Vaccination Intentions)].
abstract: OBJECTIVE
  Vaccination is an effective way to reduce morbidity and mortality related to infectious diseases. In France, primary care physicians are the main administrators of vaccines. Our objective was to conduct an exploratory qualitative study with primary care physicians to identify determinants of their commitment to vaccination.
  
  
  METHODS
  A qualitative research study was conducted with 36 primary care physicians from different geographical regions in France. Six focus group discussions, following a semi-structured interview guide, were held. Qualitative analysis based on coding of the transcribed discussions was performed to identify the factors influencing primary care physicians’ attitudes toward vaccination. These factors were then organized into themes. Saturation was also evaluated.
  
  
  RESULTS
  Diphtheria, tetanus, poliomyelitis, measles, mumps, rubella, hepatitis B, tuberculosis, pneumococcal infections, meningococcus, human papillomavirus, rotavirus, pertussis, varicella and flu vaccinations were all discussed in each focus group. Saturation was reached from the fourth focus group. Forty identified determinants were divided into six themes: vaccine characteristics, disease characteristics, primary care physicians’ past experience, practical aspects, expected benefits and primary care physician-patient relationship.
  
  
  CONCLUSIONS
  This study identified the behavioural and organizational determinants influencing primary care physicians’ attitudes toward vaccination. These attitudes and determinants varied according to diseases and vaccines. The identified determinants and themes were used as a basis for the development of a questionnaire evaluating the Determinant of Vaccination Intentions (DIVA) of primary care physicians.
authors.forename: Luc
authors.initials: L
authors.lastname: Martinez
authors.forename: Béatrice
authors.initials: B
authors.lastname: Tugaut
authors.forename: François
authors.initials: F
authors.lastname: Raineri
authors.forename: Benoit
authors.initials: B
authors.lastname: Arnould
authors.forename: Didier
authors.initials: D
authors.lastname: Seyler
authors.forename: Pascale
authors.initials: P
authors.lastname: Arnould
authors.forename: Khadra
authors.initials: K
authors.lastname: Benmedjahed
authors.forename: Guillaume
authors.initials: G
authors.lastname: Coindard
authors.forename: François
authors.initials: F
authors.lastname: Denis
authors.forename: Jean-Luc
authors.initials: JL
authors.lastname: Gallais
authors.forename: Didier
authors.initials: D
authors.lastname: Duhot
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D005260:Female; D017144:Focus Groups; D005602:France; D058005:General Practitioners; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010817:Physician-Patient Relations; D014611:Vaccination