The effect of recent changes in federal preventive guidance on patients and primary care practice.

Among 568 respondents from 47 states, over sampled for family medicine and with demographic characteristics similar to national primary care characteristics in terms of rurality, size, ownership, and percent in direct primary care, clinicians report that patients are increasingly hesitant about vaccines and preventive services.

Most responding clinicians (58%) report spending more visit time explaining the evidence behind clinical recommendations, and 61% report patients more frequently are seeking information from non-medical sources.

42% of non-rural clinicians reporting new hesitancy about childhood vaccinations.