Abstract
Introduction: Responding to a vaccine-related public health emergency involves a broad spectrum of provider types, some of whom may not routinely administer vaccines including obstetricians, pharmacists and other specialists. These providers may have less experience administering vaccines and thus less confidence or self-efficacy in doing so. Self-efficacy is known to have a significant impact on provider willingness to respond in emergency situations. Methods: We conducted a survey of 800 California vaccine providers to investigate standard of care, willingness to respond, and how vaccine-related standard of care impacts willingness to respond among these providers. We used linear regression to examine how willingness to respond was impacted by vaccine-related standard of care. Results: Forty percent of respondents indicated that they had participated in emergency preparedness training, actual disaster response, or surge capacity initiatives with significant differences among provider types for all measures (p=0.007). When asked to identify barriers to responding to a public health emergency, respondents indicated that staff size or capacity, training and resources were the top concerns. Respondents in practices with a higher vaccine-related standard of care had a higher willing to respond index (β=0.190, p=0.001). Respondents who had participated in emergency training or actual emergency response had a higher willing to respond index (β=1.323, p<0.0001). Conclusion: Our study suggests that concerns about staff size and surge capacity need to be more explicitly addressed in current emergency preparedness training efforts. In the context of boosting response willingness, larger practice environments stand to benefit from self-efficacy focused training and exercise efforts that also incorporate standard of care.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 196-201 |
| Number of pages | 6 |
| Journal | Vaccine |
| Volume | 31 |
| Issue number | 1 |
| DOIs | |
| State | Published - Dec 17 2012 |
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Keywords
- Pandemic
- Public health emergencies
- Public health preparedness
- Self-efficacy
- Standard of care
- Vaccine
- Willingness to respond
ASJC Scopus subject areas
- Immunology and Microbiology(all)
- Infectious Diseases
- Public Health, Environmental and Occupational Health
- veterinary(all)
- Molecular Medicine
Cite this
Vaccine-related standard of care and willingness to respond to public health emergencies : A cross-sectional survey of California vaccine providers. / Seib, Katherine; Barnett, Daniel J; Weiss, Paul S.; Omer, Saad B.
In: Vaccine, Vol. 31, No. 1, 17.12.2012, p. 196-201.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Vaccine-related standard of care and willingness to respond to public health emergencies
T2 - A cross-sectional survey of California vaccine providers
AU - Seib, Katherine
AU - Barnett, Daniel J
AU - Weiss, Paul S.
AU - Omer, Saad B.
PY - 2012/12/17
Y1 - 2012/12/17
N2 - Introduction: Responding to a vaccine-related public health emergency involves a broad spectrum of provider types, some of whom may not routinely administer vaccines including obstetricians, pharmacists and other specialists. These providers may have less experience administering vaccines and thus less confidence or self-efficacy in doing so. Self-efficacy is known to have a significant impact on provider willingness to respond in emergency situations. Methods: We conducted a survey of 800 California vaccine providers to investigate standard of care, willingness to respond, and how vaccine-related standard of care impacts willingness to respond among these providers. We used linear regression to examine how willingness to respond was impacted by vaccine-related standard of care. Results: Forty percent of respondents indicated that they had participated in emergency preparedness training, actual disaster response, or surge capacity initiatives with significant differences among provider types for all measures (p=0.007). When asked to identify barriers to responding to a public health emergency, respondents indicated that staff size or capacity, training and resources were the top concerns. Respondents in practices with a higher vaccine-related standard of care had a higher willing to respond index (β=0.190, p=0.001). Respondents who had participated in emergency training or actual emergency response had a higher willing to respond index (β=1.323, p<0.0001). Conclusion: Our study suggests that concerns about staff size and surge capacity need to be more explicitly addressed in current emergency preparedness training efforts. In the context of boosting response willingness, larger practice environments stand to benefit from self-efficacy focused training and exercise efforts that also incorporate standard of care.
AB - Introduction: Responding to a vaccine-related public health emergency involves a broad spectrum of provider types, some of whom may not routinely administer vaccines including obstetricians, pharmacists and other specialists. These providers may have less experience administering vaccines and thus less confidence or self-efficacy in doing so. Self-efficacy is known to have a significant impact on provider willingness to respond in emergency situations. Methods: We conducted a survey of 800 California vaccine providers to investigate standard of care, willingness to respond, and how vaccine-related standard of care impacts willingness to respond among these providers. We used linear regression to examine how willingness to respond was impacted by vaccine-related standard of care. Results: Forty percent of respondents indicated that they had participated in emergency preparedness training, actual disaster response, or surge capacity initiatives with significant differences among provider types for all measures (p=0.007). When asked to identify barriers to responding to a public health emergency, respondents indicated that staff size or capacity, training and resources were the top concerns. Respondents in practices with a higher vaccine-related standard of care had a higher willing to respond index (β=0.190, p=0.001). Respondents who had participated in emergency training or actual emergency response had a higher willing to respond index (β=1.323, p<0.0001). Conclusion: Our study suggests that concerns about staff size and surge capacity need to be more explicitly addressed in current emergency preparedness training efforts. In the context of boosting response willingness, larger practice environments stand to benefit from self-efficacy focused training and exercise efforts that also incorporate standard of care.
KW - Pandemic
KW - Public health emergencies
KW - Public health preparedness
KW - Self-efficacy
KW - Standard of care
KW - Vaccine
KW - Willingness to respond
UR - http://www.scopus.com/inward/record.url?scp=84870537356&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84870537356&partnerID=8YFLogxK
U2 - 10.1016/j.vaccine.2012.10.066
DO - 10.1016/j.vaccine.2012.10.066
M3 - Article
C2 - 23123022
AN - SCOPUS:84870537356
VL - 31
SP - 196
EP - 201
JO - Vaccine
JF - Vaccine
SN - 0264-410X
IS - 1
ER -