Use of Immunization Information Systems in Primary Care

Details

• Alternative Title:
  Am J Prev Med
• Personal Author:
  Kempe, Allison ; Hurley, Laura P. ; Cardemil, Cristina V. ; Allison, Mandy A. ; Crane, Lori A. ; Brtnikova, Michaela ; Beaty, Brenda L. ; Pabst, Laura J. ; Lindley, Megan C.
• Description:
  Introduction
  
  Immunization information systems (IISs) are highly effective for increasing vaccination rates but information about how primary care physicians use them is limited.
  
  Methods
  
  Pediatricians, family physicians (FPs), and general internists (GIMs) were surveyed by e-mail and mail from January 2015 to April 2015 from all states with an existing IIS. Providers were recruited to be representative of national provider organization memberships. Multivariable log binomial regression examined factors associated with IIS use (October 2015–April 2016).
  
  Results
  
  Response rates among pediatricians, FPs, and GIMs, respectively, were 75% (325/435), 68% (310/459), and 63% (272/431). A proportion of pediatricians (5%), FPs (14%), and GIMs (48%) did not know there was a state/local IIS; 81%, 72%, and 27% reported using an IIS (p < 0.0001). Among those who used IISs, 64% of pediatricians, 61% of FPs, and 22% of GIMs thought the IIS could tell them a patient’s immunization needs; 22%, 29%, and 51% did not know. The most frequently reported major barriers to use included the IIS not updating the electronic medical record (29%, 28%, 35%) and lack of ability to submit data electronically (22%, 27%, 31%). Factors associated with lower IIS use included FP (adjusted risk ratio=0.85; 95% CI=0.75, 0.97) or GIM (adjusted risk ratio=0.33; 95% CI=0.25, 0.42) versus pediatric specialty and older versus younger provider age (adjusted risk ratio=0.96; 95 CI%=0.94, 0.98).
  
  Conclusions
  
  There are substantial gaps in knowledge of IIS capabilities, especially among GIMs; barriers to interoperability between IISs and electronic medical records affect all specialties. Closing these gaps may increase use of proven IIS functions including decision support and reminder/recall.
  
  
• Keywords:
  Adult Age Factors Decision Support Systems, Clinical Electronic Health Records Electronic Mail Female General Practitioners Humans Immunization Programs Information Systems Male Middle Aged Pediatricians Physicians, Family Primary Health Care Professional Practice Gaps Surveys And Questionnaires Vaccination

  More +
• Source:
  Am J Prev Med. 52(2):173-182
• Pubmed ID:
  27639786
• Pubmed Central ID:
  PMC5253311
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/ ; U01 IP000849/IP/NCIRD CDC HHSUnited States/ ; U01 IP001072/IP/NCIRD CDC HHSUnited States/
• Volume:
  52
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:98203da8c05f98225b2ea9df02a4456fb223eb59c3554413d7ab4832b15c2f05
• Download URL:
  https://stacks.cdc.gov/view/cdc/43931/cdc_43931_DS1.pdf
• File Type:
  [PDF - 1.58 MB ]