TY - JOUR
T1 - Increasing adolescent immunization rates in primary care
T2 - Strategies physicians use and would consider implementing
AU - Humiston, Sharon G.
AU - Serwint, Janet R.
AU - Szilagyi, Peter G.
AU - Vincelli, Phyllis A.
AU - Dhepyasuwan, Nui
AU - Rand, Cynthia M.
AU - Schaffer, Stanley J.
AU - Blumkin, Aaron K.
AU - Curtis, C. Robinette
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Centers for Disease Control and Prevention (CDC), National Center for Immunizations & Respiratory Diseases, Atlanta, GA (Grant 1U01P00012), and the CTSI (Grant UL RR024160).
PY - 2013/8
Y1 - 2013/8
N2 - Strategies to increase adolescent immunization rates have been suggested, but little is documented about which strategies clinicians actually use or would consider. In spring 2010, we surveyed primary care physicians from 2 practice-based research networks (PBRNs): Greater Rochester PBRN (GR-PBRN) and national pediatric COntinuity Research NETwork (CORNET). Network clinicians received mailed or online surveys (response rate 76%, n = 148). The GR-PBRN patient population (51% suburban, 33% rural, and 16% urban) differed from that served by CORNET (85% urban). For nonseasonal vaccines recommended for adolescents, many GR-PBRN and CORNET practices reported using nurse prompts to providers at preventive visits (61% and 52%, respectively), physician education (53% and 53%), and scheduled vaccine-only visits (91% and 82%). Strategies not used that clinicians frequently indicated they would consider included patient reminder/recall and prompts to providers via nurses or electronic health records. As preventive visits and immunization recommendations grow more complex, using technology to support immunization delivery to adolescents might be effective.
AB - Strategies to increase adolescent immunization rates have been suggested, but little is documented about which strategies clinicians actually use or would consider. In spring 2010, we surveyed primary care physicians from 2 practice-based research networks (PBRNs): Greater Rochester PBRN (GR-PBRN) and national pediatric COntinuity Research NETwork (CORNET). Network clinicians received mailed or online surveys (response rate 76%, n = 148). The GR-PBRN patient population (51% suburban, 33% rural, and 16% urban) differed from that served by CORNET (85% urban). For nonseasonal vaccines recommended for adolescents, many GR-PBRN and CORNET practices reported using nurse prompts to providers at preventive visits (61% and 52%, respectively), physician education (53% and 53%), and scheduled vaccine-only visits (91% and 82%). Strategies not used that clinicians frequently indicated they would consider included patient reminder/recall and prompts to providers via nurses or electronic health records. As preventive visits and immunization recommendations grow more complex, using technology to support immunization delivery to adolescents might be effective.
KW - adolescent immunization
KW - immunization
KW - vaccination
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U2 - 10.1177/0009922813483359
DO - 10.1177/0009922813483359
M3 - Article
C2 - 23580625
AN - SCOPUS:84881043919
SN - 0009-9228
VL - 52
SP - 710
EP - 720
JO - Clinical pediatrics
JF - Clinical pediatrics
IS - 8
ER -