A process evaluation of how the routine vaccination programme is implemented at GP practices in England.

Implement Sci · 2018 · PMC6198492 · PMID 30348182

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an increasing trendno p-value reported

However, vaccine hesitancy is an increasing trend in high-income countries and interventions to reduce hesitancy require specific training to implement effectively [ 36 , 37 ].

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.