Provider time and costs to vaccinate adult patients: Impact of time counseling without vaccination

Details

• Alternative Title:
  Vaccine
• Personal Author:
  Shen, Angela ; Khavjou, Olga ; King, Grant ; Bates, Laurel ; Zhou, Fangjun ; Leidner, Andrew J. ; Yarnoff, Benjamin
• Description:
  Amid provider reports of financial barriers as an impediment to adult immunization, this study explores the time and costs of vaccination in adult provider practices. Both a Vaccination Time-Motion Study and Vaccine Practice Management Survey were conducted (March - October 2017) in a convenience sample of 19 family medicine (FM), internal medicine (IM), and obstetrician-gynecology (OBGYN) practices, in nine states. Practices were directly observed during a one week period; estimates were collected of time spent on activities that could not be directly observed. Cost estimates were calculated by converting staff time for performed activities. In the time-motion study, FM and IM practices spent similar time conducting vaccination activities (median = 5 min per vaccination), while OBGYN practices spent more time (median = 29 min per vaccination). Combining results from the time-motion study and the practice management survey, the median costs of vaccination remained similar for FM practices and IM practices at $7 and $8 per vaccination, respectively, but was substantially higher for OBGYN practices at $43 per vaccination. Factors that contributed to higher costs among OBGYN practices were the increased time to counsel patients, administer vaccines, and to plan and manage vaccine supplies. In addition, 68% of OBGYN patients who were offered and counseled to receive vaccines declined to receive them. Counseling patients who ultimately do not go on to receive a vaccine may be an important cost factor. Lower costs of vaccination services may be achieved by increasing efficiencies in workflow or the volume of vaccinations.
• Subjects:
  Adult Vaccination Article Time-motion Vaccination Vaccine Counseling
• Source:
  Vaccine. 37(6):792-797
• Pubmed ID:
  30639460
• Pubmed Central ID:
  PMC6848970
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHS/United States
• Volume:
  37
• Issue:
  6
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:0d3bfa7ae30e62dc1c7d21aefef353170b316629ebccb0b5bf6c7f8e1223e53d
• Download URL:
  https://stacks.cdc.gov/view/cdc/83236/cdc_83236_DS1.pdf
• File Type:
  [PDF - 85.50 KB ]