Skip to main content
OSTI.GOVU.S. Department of Energy Office of Scientific and Technical Information
U.S. Department of Energy
Office of Scientific and Technical Information
 

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

Journal Article · · American Journal of Preventive Medicine
 [1];  [2];  [2];  [3];  [3];  [4];  [2];  [5]
  1. Centers for Disease Control and Prevention (CDC), Atlanta, GA (United States). Immunization Services Div.; Oak Ridge Inst. for Science and Education (ORISE), Oak Ridge, TN (United States); DOE/OSTI
  2. Centers for Disease Control and Prevention (CDC), Atlanta, GA (United States). Immunization Services Div.
  3. Abt Associates, Cambridge, MA (United States)
  4. Centers for Disease Control and Prevention (CDC), Atlanta, GA (United States). Immunization Services Div.; Leidos, Inc., Atlanta, GA (United States)
  5. Centers for Disease Control and Prevention (CDC), Atlanta, GA (United States). Immunization Services Div.; Berry Technology Solutions, Inc., Peachtree City, GA (United States)
+ Show Author Affiliations
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.
Research Organization:
Oak Ridge Inst. for Science and Education (ORISE), Oak Ridge, TN (United States)
Sponsoring Organization:
U.S. Centers for Disease Control and Prevention (CDC); USDOE
Grant/Contract Number:
SC0014664
OSTI ID:
1623634
Alternate ID(s):
OSTI ID: 1782908
Journal Information:
American Journal of Preventive Medicine, Journal Name: American Journal of Preventive Medicine Journal Issue: 3 Vol. 55; ISSN 0749-3797
Publisher:
ElsevierCopyright Statement
Country of Publication:
United States
Language:
English

References (49)

Generalist and Subspecialist Physicians' Knowledge, Attitudes, and Practices Regarding Influenza and Pneumococcal Vaccinations for Elderly and Other High-Risk Patients: A Nationwide Survey journal December 2001
Tdap Vaccination During Pregnancy and Microcephaly and Other Structural Birth Defects in Offspring journal November 2016
Pharmacists as immunizers: a survey of community pharmacists’ willingness to administer adult immunizations journal February 2015
Pneumococcal Vaccination in General Internal Medicine Practice: Current Practice and Future Possibilities journal October 2008
Monitoring seasonal influenza vaccination coverage among pregnant women in the United States journal September 2012
Obstetrician–Gynecologists' Practices and Perceived Knowledge Regarding Immunization journal September 2009
Use of Immunization Information Systems in Primary Care journal February 2017
Barriers to Adult Immunization journal July 2008
The impact of pharmacist immunization programs on adult immunization rates: A systematic review and meta-analysis journal July 2016
Primary care physician perspectives on providing adult vaccines journal February 2011
Financing and systems barriers to seasonal influenza vaccine delivery in community settings journal December 2011
Influenza and pertussis vaccination coverage in pregnant women journal April 2015
Primary care physicians’ perspective on financial issues and adult immunization in the Era of the Affordable Care Act journal January 2017
Adult pneumococcal vaccination: a review of physician and patient barriers journal January 2002
A New Vaccine to Prevent Herpes Zoster journal May 2015
Calibration Estimators in Survey Sampling journal June 1992
Vaccine attitudes and practices among obstetric providers in New York State following the recommendation for pertussis vaccination during pregnancy journal February 2015
National Survey of Primary Care Physicians Regarding Herpes Zoster and the Herpes Zoster Vaccine journal March 2008
Studying Physician Knowledge, Attitudes, and Practices Regarding the Herpes Zoster Vaccine to Address Perceived Barriers to Vaccination journal January 2013
Changes in and Current Status of Obstetrician-Gynecologists’ Knowledge, Attitudes, and Practice Regarding Immunization journal January 2009
Recommendations from the National Vaccine Advisory Committee: Standards for Adult Immunization Practice journal March 2014
Delivering Influenza Vaccine to High-Risk Adults: Subspecialty Physician Practices journal August 2012
Pharmacists’ Attitudes Toward Worklife: Results From a National Survey of Pharmacists journal May 2004
Vaccines Provided by Family Physicians journal November 2010
Influenza Vaccination Coverage Among Pregnant Women — United States, 2014–15 Influenza Season journal September 2015
Surveillance of Vaccination Coverage among Adult Populations — United States, 2015 journal May 2017
Social and psychological factors underlying adult vaccination behavior: lessons from seasonal influenza vaccination in the US and the UK journal August 2013
Barriers to the Use of Herpes Zoster Vaccine journal May 2010
U.S. Physicians’ Perspective of Adult Vaccine Delivery journal February 2014
Visits for Primary Care Services to Primary Care and Specialty Care Physicians, 1999 and 2007 journal October 2012
Adult pneumococcal vaccination: a review of physician and patient barriers journal January 2002
Pharmacy-based immunizations growing, improving journal March 2014
Influenza vaccination coverage among pregnant women–National 2009 H1N1 Flu Survey (NHFS) journal June 2011
Meeting the Challenges of Immunizing Adults journal December 2015
Human papillomavirus vaccine uptake and barriers: Association with perceived risk, actual risk and race/ethnicity among female students at a New York State university, 2010 journal April 2011
Seasonal influenza vaccination in adults: Practice and attitudes about collaborative delivery with community vaccinators journal November 2011
Efficacy of an Adjuvanted Herpes Zoster Subunit Vaccine in Older Adults journal May 2015
Promoting the immunization neighborhood: Benefits and challenges of pharmacies as additional locations for HPV vaccination journal February 2016
Community pharmacies as sites of adult vaccination: A systematic review journal August 2016
Knowledge, Attitudes, and Practices of Obstetrician-Gynecologists Regarding Influenza Prevention and Treatment Following the 2009 H1N1 Pandemic journal October 2015
Attitudes and Practices of Obstetrician–Gynecologists Regarding Influenza Vaccination in Pregnancy journal January 2011
Studying Physician Knowledge, Attitudes, and Practices Regarding the Herpes Zoster Vaccine to Address Perceived Barriers to Vaccination journal January 2013
Changes in and Current Status of Obstetrician-Gynecologists’ Knowledge, Attitudes, and Practice Regarding Immunization journal January 2009
Efforts to Improve Immunization Coverage during Pregnancy among Ob-Gyns journal January 2016
Vaccine responsiveness in the elderly: best practice for the clinic journal May 2014
Practical Considerations in Raking Survey Data journal June 2009
Influenza vaccine for high-risk non-elderly adults: A national survey of subspecialists journal May 2008
U.S. Physicians’ Perspective of Adult Vaccine Delivery journal February 2014
Recommended Immunization Schedule for Adults Aged 19 Years or Older, United States, 2017* journal February 2017

Cited By (2)

Assessment of the factors influencing primary care physicians’ approach to vaccination of adult risk groups in Istanbul, Turkey journal January 2019
Logistical and structural challenges are the major obstacles for family medicine physicians’ ability to administer adult vaccines journal November 2018

Similar Records

Adult immunization policies in advanced economies: vaccination recommendations, financing, and vaccination coverage
Journal Article · Thu Jan 24 19:00:00 EST 2013 · International Journal of Public Health · OSTI ID:1816639
Complete Genome Sequence of Bordetella pertussis Pelita III, the Production Strain for an Indonesian Whole-Cell Pertussis Vaccine
Journal Article · Wed Apr 26 20:00:00 EDT 2017 · Genome Announcements · OSTI ID:1629752
Screening and Brief Interventions for Alcohol Use During Pregnancy: Practices Among US Primary Care Clinicians, DocStyles 2019
Journal Article · Wed Apr 12 20:00:00 EDT 2023 · Preventing Chronic Disease · OSTI ID:2471263

Related Subjects

60 APPLIED LIFE SCIENCES
General &amp; Internal Medicine
Public
Environmental &amp; Occupational Health