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Physicians’ Use of Evidence-Based Strategies to Increase Adult Vaccination Uptake
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9-2020
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Source: Am J Prev Med. 59(3):e95-e103
[PDF-256.88 KB]
Details:
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Alternative Title:Am J Prev Med
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Personal Author:
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Description:Introduction:
The objectives were to assess among primary care physicians 1) use of evidence-based strategies to improve adult vaccination rates 2) the number of strategies employed simultaneously and characteristics associated with assessing adult vaccinations at each visit.
Methods:
Internet and mail survey between December 2015 and January 2016 of primary care physicians designed to be representative of the American College of Physician’s and American Academy of Family Physician’s memberships.
Results:
Response rate was 66% (617/935); 94% reported using electronic health records. Standing orders (84%), and electronic provider reminders at a visit (61%) were the most common strategies reported for influenza vaccine. Electronic provider reminders at a visit (53%) and recording a vaccination in an immunization registry (32%) were the most common strategies reported for all non-influenza vaccines. Most physicians reported using ≥ 2 strategies although this was more common for influenza (74%) than non-influenza (62%) vaccines. In multivariable analysis, physicians who reported assessing adult vaccinations at every patient visit were more likely to work in practices where decisions about purchasing and handling vaccines were made at a larger system level [Relative Risk (RR) 1.20, 95% Confidence Interval (CI) 1.04–1.40], and report using electronic provider reminders [RR 1.38, 95% CI 1.15–1.69] and standing orders [RR 1.45, 95% CI 1.21–1.75] for all non-influenza adult vaccines.
Conclusions:
Several strategies are being used, particularly for influenza vaccine. Investing in implementing standing orders and electronic clinical decision support for all routine adult vaccinations could support assessment of adult vaccinations at each visit and potentially improve adult vaccination rates.
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Source:
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Pubmed ID:32448550
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Pubmed Central ID:PMC9954642
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Funding:
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Volume:59
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Issue:3
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