tetano
Editor, Senior Moderator
Acad Pediatr. 2018 Jul 18. pii: S1876-2859(18)30463-7. doi: 10.1016/j.acap.2018.07.003. [Epub ahead of print]
[h=1]Potential strategies to achieve universal influenza vaccination for children: provider attitudes in two states.[/h] Saville A[SUP]1[/SUP], Szilagyi P[SUP]2[/SUP], Helmkamp L[SUP]3[/SUP], Albertin C[SUP]4[/SUP], Gurfinkel D[SUP]5[/SUP], Vangela S[SUP]6[/SUP], Dickinson LM[SUP]7[/SUP], Zhou X[SUP]8[/SUP], Roth H[SUP]9[/SUP], Kempe A[SUP]10[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]OBJECTIVES:[/h] Childhood influenza vaccination rates remain sub-optimal. Provider perceptions on strategies to achieve universal vaccination are needed. We assessed perceptions and attitudes of primary care providers across two states regarding two strategies to potentially bolster rates: Centralized-Reminder/Recall (C-R/R), such as R/R from state immunization registries; and influenza vaccination by complementary community vaccinators (CCV), such as retail pharmacies, schools and health departments.
[h=4]METHODS:[/h] We sent a mailed survey to a representative sample of providers across Colorado (CO) and New York (NY). Questions included: R/R activities for influenza vaccine; preferences and attitudes about the health department sending C-R/R notices for influenza vaccine; and attitudes about CCVs. Bivariate analyses assessed provider perceptions and compared perceptions by state.
[h=4]RESULTS:[/h] The overall response rate was 56% (n=590/1052). Twenty-two percent of providers in CO and 33% in NY performed practice-based R/R for all patients during the 2015-2016 influenza season. Eighty-one percent of providers in both states preferred the health department or had no preference for who sent C-R/R for influenza vaccine to their patients; most preferred to include their practice names on C-R/R messages. Many providers in both CO (75%) and NY (46%, p<0.001) agree that their patients like the option of having CCV where children can receive influenza vaccine. Some providers expressed concerns regarding potential loss of income and/or difficulty documenting receipt of influenza vaccine at CCVs.
[h=4]CONCLUSIONS:[/h] Most providers support C-R/R and many support complementary community vaccinators to increase influenza vaccination rates. Collaborations between traditional primary care providers and CCVs might boost coverage.
Copyright ? 2018. Published by Elsevier Inc.
[h=4]KEYWORDS:[/h] Centralized reminder/recall; Complementary community vaccinators; Influenza vaccine; Provider opinions; Provider survey; Universal influenza vaccination
PMID: 30031132 DOI: 10.1016/j.acap.2018.07.003
[h=1]Potential strategies to achieve universal influenza vaccination for children: provider attitudes in two states.[/h] Saville A[SUP]1[/SUP], Szilagyi P[SUP]2[/SUP], Helmkamp L[SUP]3[/SUP], Albertin C[SUP]4[/SUP], Gurfinkel D[SUP]5[/SUP], Vangela S[SUP]6[/SUP], Dickinson LM[SUP]7[/SUP], Zhou X[SUP]8[/SUP], Roth H[SUP]9[/SUP], Kempe A[SUP]10[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]OBJECTIVES:[/h] Childhood influenza vaccination rates remain sub-optimal. Provider perceptions on strategies to achieve universal vaccination are needed. We assessed perceptions and attitudes of primary care providers across two states regarding two strategies to potentially bolster rates: Centralized-Reminder/Recall (C-R/R), such as R/R from state immunization registries; and influenza vaccination by complementary community vaccinators (CCV), such as retail pharmacies, schools and health departments.
[h=4]METHODS:[/h] We sent a mailed survey to a representative sample of providers across Colorado (CO) and New York (NY). Questions included: R/R activities for influenza vaccine; preferences and attitudes about the health department sending C-R/R notices for influenza vaccine; and attitudes about CCVs. Bivariate analyses assessed provider perceptions and compared perceptions by state.
[h=4]RESULTS:[/h] The overall response rate was 56% (n=590/1052). Twenty-two percent of providers in CO and 33% in NY performed practice-based R/R for all patients during the 2015-2016 influenza season. Eighty-one percent of providers in both states preferred the health department or had no preference for who sent C-R/R for influenza vaccine to their patients; most preferred to include their practice names on C-R/R messages. Many providers in both CO (75%) and NY (46%, p<0.001) agree that their patients like the option of having CCV where children can receive influenza vaccine. Some providers expressed concerns regarding potential loss of income and/or difficulty documenting receipt of influenza vaccine at CCVs.
[h=4]CONCLUSIONS:[/h] Most providers support C-R/R and many support complementary community vaccinators to increase influenza vaccination rates. Collaborations between traditional primary care providers and CCVs might boost coverage.
Copyright ? 2018. Published by Elsevier Inc.
[h=4]KEYWORDS:[/h] Centralized reminder/recall; Complementary community vaccinators; Influenza vaccine; Provider opinions; Provider survey; Universal influenza vaccination
PMID: 30031132 DOI: 10.1016/j.acap.2018.07.003