Clinicians? and Pharmacists? Reported Implementation of Vaccination Practices for Adults [electronic resource]

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Tác giả:

Ngôn ngữ: eng

Ký hiệu phân loại: 616.907 Diseases

Thông tin xuất bản: Oak Ridge, Tenn. : Oak Ridge, Tenn. : Oak Ridge Institute for Science and Education ; Distributed by the Office of Scientific and Technical Information, U.S. Dept. of Energy, 2018

Mô tả vật lý: Size: p. 308-318 : , digital, PDF file.

Bộ sưu tập: Metadata

ID: 260169

 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.
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