02386nas a2200373   4500000000100000008004100001653001300042653002600055653002200081653001900103653002300122653001800145653002400163653002100187653002200208653002400230100001100254700001300265700001400278700001500292700001800307700001300325700001400338700001400352700001300366700001600379700001300395700001300408700001200421700001100433245009200444520146200536022001401998       2016                            d10aVaccines10aUser-centred research10aStudent education10aRisk–benefit10aPrecision medicine10aPatient voice10aPatient empowerment10aPatient Advocacy10aOutcomes research10aCultural competency1 aHolt D1 aBouder F1 aElemuwa C1 aGaedicke G1 aKhamesipour A1 aKisler B1 aKochhar S1 aKutalek R1 aMaurer W1 aObermeier P1 aSeeber L1 aTrusko B1 aGould S1 aRath B00aThe importance of the patient voice in vaccination and vaccine safety-are we listening?3 a<p>Much has been written about the patient-physician relationship over the years. This relationship is essential in maintaining trust in the complex arena of modern diagnostic techniques, treatment and prevention, including vaccines and vaccine safety. However, a great deal of this material was written from the viewpoint of clinicians and academics. The patient voice may be positive or negative, fragmented or complex. Information sources are weighed and treated differently, according to the value system and risk perceptions of the individual. In post-trust societies, when people have less confidence in health authorities, communication needs to be more than a paternalistic top-down process. Notions of empowerment and individual patient choice are becoming crucial in medical care. The 'voice of the patient', which includes healthy individuals receiving vaccines, needs to be heard, considered and addressed. With respect to childhood immunizations, this will be the voice of the parent or caregiver. The key to addressing any concerns could be to listen more and to develop a communication style that is trust-based and science-informed. Regulatory agencies are encouraging clinical and patient-reported outcomes research under the umbrella of personalized medicine, and this is an important step forward. This paper attempts to reflect the paradigm shift towards increasing attention to the patient voice in vaccination and vaccine safety.</p>
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