U.S. clinicians' and pharmacists' reported barriers to implementation of the Standards for Adult Immunization Practice

Vaccine
Anup SrivastavDavid K Kim

Abstract

The Standards for Adult Immunization Practice (Standards), revised in 2014, emphasize that adult-care providers assess vaccination status of adult patients at every visit, recommend vaccination, administer needed vaccines or refer to a vaccinating provider, and document vaccinations administered in state/local immunization information systems (IIS). Providers report numerous systems- and provider-level barriers to vaccinating adults, such as billing, payment issues, lower prioritization of vaccines due to competing demands, and lack of information about the use and utility of IIS. Barriers to vaccination result in missed opportunities to vaccinate adults and contribute to low vaccination coverage. Clinicians' (physicians, physician assistants, nurse practitioners) and pharmacists' reported barriers to assessment, recommendation, administration, referral, and documentation, provider vaccination practices, and perceptions regarding their adult patients' attitudes toward vaccines were evaluated. Data from non-probability-based Internet panel surveys of U.S. clinicians (n = 1714) and pharmacists (n = 261) conducted in February-March 2017 were analyzed using SUDAAN. Weighted proportion of reported barriers to assessment, recommendat...Continue Reading

Citations

May 15, 2020·Journal of American College Health : J of ACH·Susan CalebLinda Y Fu
Feb 13, 2020·Human Vaccines & Immunotherapeutics·Giorgia Della PollaItalo Francesco Angelillo
Jul 3, 2020·SAGE Open Medicine·Amber Y Darr, Sarah Gottfried
Oct 1, 2020·Digestive Diseases and Sciences·Ryan SmithFreddy Caldera
Oct 21, 2020·Journal of the American Pharmacists Association : JAPhA·Maurice N TranPeggy Odegard
May 26, 2020·Journal of the American Pharmacists Association : JAPhA·Elizabeth T SkoyPaul Carson
Mar 18, 2021·The International Journal of Pharmacy Practice·Natalie GauldRhiannon Braund
Feb 20, 2021·American Journal of Respiratory and Critical Care Medicine·Justin R Ortiz, Tina V Hartert
May 31, 2021·Journal of the American Pharmacists Association : JAPhA·Andrzej KulczyckiRichard Shewchuk

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