Influenza vaccination in the 2009-2010 pandemic season: the experience of primary care physicians.

Abstract:

OBJECTIVES:Determine among a representative sample of pediatricians (Peds), family medicine (FM), and general internal medicine (GIM) physicians in the 2009-2010 influenza season physicians': 1) practices and experiences with delivery of seasonal and pH1N1 influenza vaccines; and 2) anticipated and experienced barriers. METHODS:Two US national surveys administered 7/2009-10/2009 (before pH1N1 distribution) and 3/2010-6/2010 (after pH1N1 distribution) to 416 Peds, 424 FM and 432 GIM. RESULTS:Of respondents who received both surveys, 62% (776/1253) completed both. Overall, 98% reported administering seasonal influenza vaccine and 86% pH1N1, with 70% reporting that working with public health in delivery of pH1N1 was a positive experience. Due to limited supplies of pH1N1, 63% of providers reported prioritizing who received vaccine even within high risk groups. Pre-distribution, 71% perceived that patient/parental safety concerns about pH1N1 would be a barrier, and post-distribution 72% perceived it had been a barrier. Physician concern about safety decreased, with 44% reporting safety a barrier pre-distribution and 12% post-distribution (p<0.001). CONCLUSIONS:In the setting of a pandemic most primary care physicians collaborated with public health in delivery of pH1N1. Physicians faced challenges with patient/parent safety concerns about pH1N1 and supply issues with pH1N1 that required physicians to prioritize who received vaccine.

journal_name

Prev Med

journal_title

Preventive medicine

authors

O'Leary ST,Stokley S,Crane LA,Allison MA,Hurley LP,Wortley P,Babbel CI,Beaty BL,Gahm C,Kempe A

doi

10.1016/j.ypmed.2012.04.014

subject

Has Abstract

pub_date

2012-07-01 00:00:00

pages

68-71

issue

1

eissn

0091-7435

issn

1096-0260

pii

S0091-7435(12)00156-9

journal_volume

55

pub_type

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