3.08.2015

On Speaking to Patients About Vaccines


I gave a presentation in business school about how to talk with patients about vaccines.  The intended audience was doctors who are struggling with their conversations with patients about vaccines.  I have included a brief transcript of my talk below.  To doctors, I hope you find this somewhat novel approach useful.

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Measles.  Influenza.  Chickenpox.  These diseases are very contagious, potentially fatal, but all are preventable with a simple vaccination.  Now I am not here to tell you about how effective vaccines are.  The research has been done extensively, the facts are all out there, and we are all aware of them.  So why is it that only a third of adults get their flu vaccines and only half of all children get their flu vaccines?  Obviously, the way we have been talking to our patients about vaccines is ineffective.  Today, I am going to tell you about a different way to talk to our patients about vaccines.

The medical community has been bombarding patients with facts, facts, and facts, but is it working?  Even though those facts are completely valid, there are still patients who do not believe them.  What we are missing is an emotional connection.

People don’t make decisions based on logic, but based on emotions.  That’s why telling patients about vaccine facts doesn’t work.  Make your facts come to life with a story.  Statistical numbers will come to life if you give each number a face, a name, a story.  In order to change patient behavior, we need an emotional connection.  Without a story, the facts don’t mean anything.

Does this mean we should neglect all the facts about vaccines?  No.  What I am saying is that for patients who do not believe in our facts, we have to use a different approach to connect with them.  You may say “But I don’t have any stories.”  There are actually a lot of stories about vaccines.  Let me give you an example of one story.

This is the story of Ayzlee McCarthy.  She is a very healthy 3-year old who lived in a small town in Iowa.  Like any other little girl, she loved Frozen.  She loved Dora the Explorer…Doc McStuffins.  She loved her “big girl bed”.  She was really proud that she just completed potty training.  As you can see from her photos, she has a big smile, an infectious excitement for life.  She had a wonderful Christmas with her family.  She spent the day after Christmas running around the house.  But on the 27th, she became disoriented and was rushed to the hospital.  She was diagnosed with the flu.  On the 29th, she woke up with labored breathing and racing heart.  Ayzlee breathed so hard that she told her mom, 'Mommy, I done.  I done…I so tired!”  Her mom is actually a respiratory therapist, and she remarked, “I’ve had elderly patients tell me those things before they pass, but not a 3-year-old and not my own child!”

The mom told Ayzlee that she loved her as the doctors intubated her.  Ayzlee’s heart stopped beating as the mom watched the procedure from the hallway.  They tried to revive her 3 times.  Her mom told the doctors “Keep doing it.”  By the time Ayzlee’s dad arrived, Ayzzlee still had a weak heart rate.  The parents went in and told their little girl they loved her one last time.  She died minutes later.  She was buried on New Year’s Day this year.

The story here is that flu kills very quickly.

The flu shot can save a life.  The measles shot can save a life.  Vaccines save lives.

What is a story that you can use to share with your patients?

I leave you today with this quote from an American writer and bestseller author.  He said, “When dealing with people, remember you are not dealing with creatures of logic, but creatures of emotion.”  By changing our own behavior toward our patients, I believe that it is possible to change their behavior.

Go ahead, tell a story.  A story will help them figure out what all these facts mean.