tetano
Editor, Senior Moderator
Vaccine. 2018 Jan 9. pii: S0264-410X(17)31759-0. doi: 10.1016/j.vaccine.2017.12.016. [Epub ahead of print]
[h=1]Association of provider recommendation and offer and influenza vaccination among adults aged ≥18 years - United States.[/h] Lu PJ[SUP]1[/SUP], Srivastav A[SUP]2[/SUP], Amaya A[SUP]3[/SUP], Dever JA[SUP]3[/SUP], Roycroft J[SUP]3[/SUP], Kurtz MS[SUP]3[/SUP], O'Halloran A[SUP]2[/SUP], Williams WW[SUP]4[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]BACKGROUND:[/h] Influenza vaccination has been recommended for all persons aged ≥6 months since 2010.
[h=4]METHODS:[/h] Data from the 2016 National Internet Flu Survey were analyzed to assess provider vaccination recommendations and early influenza vaccination during the 2016-17 season among adults aged ≥18 years. Predictive marginals from a multivariable logistic regression model were used to identify factors independently associated with early vaccine uptake by provider vaccination recommendation status.
[h=4]RESULTS:[/h] Overall, 24.0% visited a provider who both recommended and offered influenza vaccination, 9.0% visited a provider who only recommended but did not offer, 25.1% visited a provider who neither recommended nor offered, and 41.9% did not visit a doctor from July 1 through date of interview. Adults who reported that a provider both recommended and offered vaccine had significantly higher vaccination coverage (66.6%) compared with those who reported that a provider only recommended but did not offer (48.4%), those who neither received recommendation nor offer (32.0%), and those who did not visit a doctor during the vaccination period (28.8%). Results of multivariable logistic regression indicated that having received a provider recommendation, with or without an offer for vaccination, was significantly associated with higher vaccination coverage after controlling for demographic and access-to-care factors.
[h=4]CONCLUSIONS:[/h] Provider recommendation was significantly associated with influenza vaccination. However, overall, 67.0% of adults did not visit a doctor during the vaccination period or did visit a doctor but did not receive a provider recommendation. Evidence-based strategies such as client reminder/recall, standing orders, provider reminders, or health systems interventions in combination should be undertaken to improve provider recommendation and influenza vaccination coverage. Other factors significantly associated with a higher level of influenza vaccination included age ≥50 years, being Hispanic, having a college or higher education, having a usual place for medical care, and having public health insurance.
Published by Elsevier Ltd.
[h=4]KEYWORDS:[/h] Adult; Coverage; Influenza; Influenza vaccine; National Internet Flu Survey (NIFS); Provider recommendation; The Advisory Committee on Immunization Practices; Vaccination
PMID: 29329685 DOI: 10.1016/j.vaccine.2017.12.016
[h=1]Association of provider recommendation and offer and influenza vaccination among adults aged ≥18 years - United States.[/h] Lu PJ[SUP]1[/SUP], Srivastav A[SUP]2[/SUP], Amaya A[SUP]3[/SUP], Dever JA[SUP]3[/SUP], Roycroft J[SUP]3[/SUP], Kurtz MS[SUP]3[/SUP], O'Halloran A[SUP]2[/SUP], Williams WW[SUP]4[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]BACKGROUND:[/h] Influenza vaccination has been recommended for all persons aged ≥6 months since 2010.
[h=4]METHODS:[/h] Data from the 2016 National Internet Flu Survey were analyzed to assess provider vaccination recommendations and early influenza vaccination during the 2016-17 season among adults aged ≥18 years. Predictive marginals from a multivariable logistic regression model were used to identify factors independently associated with early vaccine uptake by provider vaccination recommendation status.
[h=4]RESULTS:[/h] Overall, 24.0% visited a provider who both recommended and offered influenza vaccination, 9.0% visited a provider who only recommended but did not offer, 25.1% visited a provider who neither recommended nor offered, and 41.9% did not visit a doctor from July 1 through date of interview. Adults who reported that a provider both recommended and offered vaccine had significantly higher vaccination coverage (66.6%) compared with those who reported that a provider only recommended but did not offer (48.4%), those who neither received recommendation nor offer (32.0%), and those who did not visit a doctor during the vaccination period (28.8%). Results of multivariable logistic regression indicated that having received a provider recommendation, with or without an offer for vaccination, was significantly associated with higher vaccination coverage after controlling for demographic and access-to-care factors.
[h=4]CONCLUSIONS:[/h] Provider recommendation was significantly associated with influenza vaccination. However, overall, 67.0% of adults did not visit a doctor during the vaccination period or did visit a doctor but did not receive a provider recommendation. Evidence-based strategies such as client reminder/recall, standing orders, provider reminders, or health systems interventions in combination should be undertaken to improve provider recommendation and influenza vaccination coverage. Other factors significantly associated with a higher level of influenza vaccination included age ≥50 years, being Hispanic, having a college or higher education, having a usual place for medical care, and having public health insurance.
Published by Elsevier Ltd.
[h=4]KEYWORDS:[/h] Adult; Coverage; Influenza; Influenza vaccine; National Internet Flu Survey (NIFS); Provider recommendation; The Advisory Committee on Immunization Practices; Vaccination
PMID: 29329685 DOI: 10.1016/j.vaccine.2017.12.016