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Health care provider attitudes and practices regarding adolescent immunizations: a qualitative study.

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Title: Health care provider attitudes and practices regarding adolescent immunizations: a qualitative study.
Authors: Humiston SG (AUTHOR), Albertin C (AUTHOR), Schaffer S (AUTHOR), Rand C (AUTHOR), Shone LP (AUTHOR), Stokley S (AUTHOR), Szilagyi PG (AUTHOR)
Source: Patient Education & Counseling. Apr2009, Vol. 75 Issue 1, p121-127. 7p.
Abstract: OBJECTIVE: Assess health care providers' attitudes and practices regarding adolescent immunizations, including factors that either impede or facilitate vaccination. METHODS: Focus groups-In 2005, 3 focus groups were conducted in Monroe County, NY for (1) urban primary care physicians (PCPs); (2) suburban PCPs; and (3) nurses from practices represented in PCP groups. Audiotaped discussions were transcribed and analyzed using Atlas.ti. Key informant interviews-We recruited knowledgeable informants (18 physicians, 6 nurses) from across the US. The authors conducted in-depth telephone interviews with the participants, typed their interview notes, and sent them to the participant for verification. Separately for nurses, urban physicians, and suburban physicians results for each question were listed and reviewed by the authors. Themes were added to those from the focus groups. RESULTS: Three overarching themes were identified: professional buy-in (e.g., reimbursement, professional organization recommendations, disease and vaccine characteristics, office consensus); parent/adolescent buy-in (e.g., school requirements, perception of MD recommendations, cost and insurance coverage, media reports, disease and vaccine characteristics, 'vaccine fatigue'), and delivery factors (e.g., vaccine supply, ordering, timing and scheduling, consent). CONCLUSIONS: Providers identified intertwined system issues that color their attitudes about adolescent immunization. PRACTICE IMPLICATIONS: Buy-in and delivery factors must be addressed before high immunization rates will be achieved. [ABSTRACT FROM AUTHOR]
Copyright of Patient Education & Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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PubType: Academic Journal
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  Data: Health care provider attitudes and practices regarding adolescent immunizations: a qualitative study.
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  Data: <searchLink fieldCode="JN" term="%22Patient+Education+%26+Counseling%22">Patient Education & Counseling</searchLink>. Apr2009, Vol. 75 Issue 1, p121-127. 7p.
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: OBJECTIVE: Assess health care providers' attitudes and practices regarding adolescent immunizations, including factors that either impede or facilitate vaccination. METHODS: Focus groups-In 2005, 3 focus groups were conducted in Monroe County, NY for (1) urban primary care physicians (PCPs); (2) suburban PCPs; and (3) nurses from practices represented in PCP groups. Audiotaped discussions were transcribed and analyzed using Atlas.ti. Key informant interviews-We recruited knowledgeable informants (18 physicians, 6 nurses) from across the US. The authors conducted in-depth telephone interviews with the participants, typed their interview notes, and sent them to the participant for verification. Separately for nurses, urban physicians, and suburban physicians results for each question were listed and reviewed by the authors. Themes were added to those from the focus groups. RESULTS: Three overarching themes were identified: professional buy-in (e.g., reimbursement, professional organization recommendations, disease and vaccine characteristics, office consensus); parent/adolescent buy-in (e.g., school requirements, perception of MD recommendations, cost and insurance coverage, media reports, disease and vaccine characteristics, 'vaccine fatigue'), and delivery factors (e.g., vaccine supply, ordering, timing and scheduling, consent). CONCLUSIONS: Providers identified intertwined system issues that color their attitudes about adolescent immunization. PRACTICE IMPLICATIONS: Buy-in and delivery factors must be addressed before high immunization rates will be achieved. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Patient Education & Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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