Primary care physician perspectives on reimbursement for childhood immunizations

Pediatrics
Gary L FreedSarah J Clark

Abstract

The purpose of this research was to explore physicians' attitudes and behaviors related to vaccine financing issues within their practice. Amid the increasing number of vaccine doses recommended for children and adolescents, anecdotal reports suggest that physicians are facing increasing financial pressures from vaccine purchase and administration and may stop providing vaccines altogether to privately insured children. Whether these sentiments are widely held among immunization providers is unknown. We conducted a cross-sectional mail survey from July to September 2007 of a random sample of 1280 US pediatricians and family physicians engaged in direct patient care. Main outcome measures included delay in the purchase of specific vaccines for financial reasons; reported decrease in profit margin from immunizations; and practice consideration of whether to stop providing all vaccines to privately insured children. The response rate was 70% for pediatricians and 60% for family physicians. Approximately half of the respondents reported that their practice had delayed the purchase of specific vaccines for financial reasons (49%) and experienced decreased profit margin from immunizations (53%) in the previous 3 years. Twenty-one per...Continue Reading

References

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Citations

May 10, 2012·Maternal and Child Health Journal·Teri L MaloSusan T Vadaparampil
Nov 10, 2010·Annals of Family Medicine·Doug Campos-OutcaltHerbert F Young
Dec 15, 2010·Current Opinion in Pediatrics·Robert A Bednarczyk, Guthrie S Birkhead
Feb 23, 2011·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Elyse Olshen KharbandaUNKNOWN SAHM Committee on Adolescent Vaccination
Dec 21, 2011·Sexually Transmitted Diseases·Elissa MeitesLauri E Markowitz
Apr 26, 2019·Medical Care·Benjamin YarnoffCarolyn B Bridges
Jan 9, 2010·Pediatrics·Guthrie S BirkheadJon R Almquist
Oct 3, 2012·Pediatrics·Emily V McCormickJudith Shlay
Dec 28, 2011·Pediatrics·Herschel R LessinUNKNOWN Committee On Infectious Diseases

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