Article

Immunizations in adulthood.

Department of Family Medicine and Clinical Epidemiology, University of Pittsburgh School of Medicine, 3518 Fifth Avenue, Pittsburgh, PA 15261, USA.
Primary Care Clinics in Office Practice (impact factor: 1.01). 10/2002; 29(3):649-65. pp.649-65
Source: PubMed

ABSTRACT Vaccine preventable diseases continue to be a sizable burden to adults in the United States. Despite availability of safe and effective vaccines, immunization rates remain low. While various patient, clinician, and system factors can be barriers to adult vaccination, physicians recommendations to their patients to receive the vaccinations for which they are indicated is strongly related to a patient's receipt of these immunizations.

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    Article: Improving immunization rates: initial results from a team-based, systems change approach.
    Cara Egan Reynolds, Vincenza Snow, Amir Qaseem, Lia Verbonitz
    [show abstract] [hide abstract]
    ABSTRACT: The American College of Physicians (ACP) developed a quality improvement (QI) program to address deficiencies in immunization rates, primarily for influenza, and determine the program's impact on adult immunization. An interventional study using a pre-post design. Three cohorts of physician practices were invited from a random sample of 2000 to attend 1-day training sessions in 2004, 2005, and 2006 in Philadelphia, Pennsylvania. Participants performed data abstractions and developed QI plans. Baseline data were compared with follow-up. Fifty-five practices received training, 39 practices provided baseline data, and 11 practices provided follow-up data, reporting on 4208 patients. Baseline rates for influenza were 51% for cohort 1, 42% for cohort 2, and 59% for cohort 3. Follow-up data collection is ongoing. Rates increased for patients with private insurance and patients aged 50 to 64 years, suggesting that many providers attending the training were unaware of the need to vaccinate these patients.
    American Journal of Medical Quality 23(3):176-83. · 1.64 Impact Factor
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.

Keywords

adult vaccination
 
adults
 
clinician
 
effective vaccines
 
immunization rates
 
patients
 
physicians recommendations
 
United States
 
vaccinations
 

Tammy A Santibanez