Articlehybrid2018

Clinicians’ and Pharmacists’ Reported Implementation of Vaccination Practices for Adults

Chelsea S. Lutz · Carla L. Black · Sarah W. Ball · Rebecca G. Devlin · Anup Srivastav · Amy Parker Fiebelkorn +1 more

36 citations0/0 files storedAmerican Journal of Preventive Medicine

No readable copy stored yet — this record is metadata only.

Vaccine Coverage and Hesitancy Clinical practice guidelines implementation Intramuscular injections and effects

Abstract

INTRODUCTION: Despite the proven effectiveness of immunization in preventing morbidity and mortality, adult vaccines remain underutilized. The objective of this study was to describe clinicians' and pharmacists' self-reported implementation of the Standards for Adult Immunization Practice ("the Standards"; i.e., routine assessment, recommendation, and administration/referral for needed vaccines, and documentation of administered vaccines, including in immunization information systems). METHODS: Two Internet panel surveys (one among clinicians and one among pharmacists) were conducted during February-March 2017 and asked respondents about their practice's implementation of the Standards. T-tests assessed associations between clinician medical specialty, vaccine type, and each component of the Standards (March-August 2017). RESULTS: Implementation of the Standards varied substantially by vaccine and provider type. For example, >80.0% of providers, including obstetrician/gynecologists and subspecialists, assessed for and recommended influenza vaccine. However, 24.3% of obstetrician/gynecologists and 48.9% of subspecialists did not stock influenza vaccine for administration. Although zoster vaccine was recommended by >89.0% of primary care providers, <58.0% stocked the vaccine; by contrast, 91.6% of pharmacists stocked zoster vaccine. Vaccine needs assessments, recommendations, and stocking/referrals also varied by provider type for pneumococcal; tetanus, diphtheria, acellular pertussis; tetanus diphtheria; human papillomavirus; and hepatitis B vaccines. CONCLUSIONS: This report highlights gaps in access to vaccines recommended for adults across the spectrum of provider specialties. Greater implementation of the Standards by all providers could improve adult vaccination rates in the U.S. by reducing missed opportunities to recommend vaccinations and either vaccinate or refer patients to vaccine providers.

Citations in this library

Stored only when both papers are in the corpus — 36 citations exist upstream.

References

2017Surveillance of Vaccination Coverage among Adult Populations — United States, 2015 2008Barriers to Adult Immunization 2017Advisory Committee on Immunization Practices Recommended Immunization Schedule for Adults Aged 19 Years or Older — United States, 2017 2001Generalist and Subspecialist Physicians' Knowledge, Attitudes, and Practices Regarding Influenza and Pneumococcal Vaccinations for Elderly and Other High-Risk Patients 2016Community pharmacies as sites of adult vaccination: A systematic review 2014Recommendations from the National Vaccine Advisory Committee: Standards for Adult Immunization Practice 2015Influenza Vaccination Coverage Among Pregnant Women — United States, 2014–15 Influenza Season 2014U.S. Physicians’ Perspective of Adult Vaccine Delivery

Cited by

20252025 Concise Clinical Guidance: An ACC Expert Consensus Statement on Adult Immunizations as Part of Cardiovascular Care 2019The essential role of pharmacists facilitating vaccination in older adults: the case of Herpes Zoster 2022Real-world evidence on adherence and completion of the two-dose recombinant zoster vaccine and associated factors in U.S. adults, 2017–2021 2022Accessibility of adult immunizations in pharmacies compared to physician offices in low-income communities

Imported from OpenAlex (CC0) — nothing here is generated.