Adherence to Expanded Influenza Immunization Recommendations among Primary Care Providers - 12/02/12
, Lori A. Crane, PhD, MPH 4, 5, Pascale Wortley, MD, MPH 6, Matthew F. Daley, MD 1, 5, Laura P. Hurley, MD, MPH 7, Fran Dong, MS 2, Shannon Stokley, MPH 6, Christine I. Babbel, MSPH 5, Laura Seewald, BA 5, Claire Gahm, BA 5, L. Miriam Dickinson, PhD 2, 3, 5, Allison Kempe, MD, MPH 1, 2, 5
Reprint requests: Sean T. O’Leary, MD, MPH, University of Colorado, Department of Pediatrics, Mail Stop F443, 13199 E Montview Blvd, Suite 300, Aurora, CO 80045.Abstract |
Objective |
To assess practices regarding the expanded Advisory Committee on Immunization Practices (ACIP) recommendations for influenza vaccination in children among US pediatricians and family medicine physicians (FMs) and strategies to promote vaccination.
Study design |
We administered a survey between July and October 2009 to 416 pediatricians and 424 FMs from nationally representative networks.
Results |
The response rate was 75% (79% pediatricians, 70% FMs). FMs were less likely than pediatricians to report adherence to ACIP recommendations (35% vs 65%; adjusted risk ratio [RR], 0.60; 95% CI, 0.50-0.72). Most physicians (89% pediatricians and 89% FMs) reported using posters or pamphlets to encourage influenza vaccination, and 57% pediatricians and 41% FMs reported offering after hours dedicated influenza vaccination clinics. Only 23% pediatricians and 14% FMs reported providing written, telephone, or e-mail reminders to all children. Having dedicated influenza vaccination clinics after hours or weekends was associated with routine vaccination of all children (adjusted RR, 1.33; 95% CI, 1.15-1.57).
Conclusion |
In the first year of the expanded ACIP recommendations to immunize all eligible children against influenza, two-thirds of pediatricians and one-half of FMs reported adherence, although less than one-quarter were actively engaging in reminder/recall efforts. Practices that adhered to the ACIP recommendations were more likely to put a substantial effort into promoting vaccination opportunities.
Le texte complet de cet article est disponible en PDF.Mots-clés : AAP, AAFP, ACIP, FM, RR, VFC
Plan
| Funded by Centers for Disease Control and Prevention Potential Extramural Project (Grant MM-1040-08/08) through the Association of American Medical Colleges, Washington, DC. The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention or the US Department of Health and Human Services. The authors declare no conflicts of interest. |
Vol 160 - N° 3
P. 480 - mars 2012 Retour au numéro
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