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Provider adoption of pneumococcal conjugate vaccine and the impact of vaccine shortages.
Ambul Pediatr. 2005 May-Jun; 5(3):157-64.AP

Abstract

OBJECTIVES

To 1) determine the factors associated with provider acceptance of pneumococcal conjugate vaccine and 2) describe how providers prioritize pneumococcal conjugate vaccine during shortages.

DESIGN/METHODS

During April-November 2002, we conducted a mailed survey of rural and urban Colorado practitioners who provided routine pediatric immunizations. Three groups were surveyed: 1) all immunization providers (n = 51) in 2 geographically large rural areas, identified through a regional immunization registry; 2) all providers (n = 61) from private pediatric practices in metropolitan Denver that were actively participating in the same registry; and 3) all family physicians (n = 244) from the same urban areas as the pediatric practices.

RESULTS

Response rate was 60%. Provider adoption of pneumococcal conjugate vaccine was strong: 66% of urban family physicians, 84% of rural providers, and 98% of urban pediatric providers always recommended pneumococcal conjugate vaccine to healthy children < or = 23 months old when vaccine supplies were adequate. In multivariate analysis, vaccine nonadopters were significantly more likely than adopters to report financial barriers to vaccination (odds ratio [OR] 3.17, 95% confidence interval [CI] 1.58, 6.35) and concerns about vaccine safety (OR 3.37, 95% CI 1.37, 8.26). Eighty-nine percent of respondents had encountered pneumococcal conjugate vaccine shortages. During shortages, children <5 years old with a chronic medical condition were considered the highest priority for vaccination.

CONCLUSIONS

While provider acceptance of pneumococcal conjugate vaccine appears high, concerns about vaccine safety, cost, and availability exist, and these concerns will need to be addressed to maximize prevention of invasive pneumococcal disease in children.

Authors+Show Affiliations

Department of Pediatrics, University of Colorado Health Sciences Center, Denver, Colorado 80218, USA. daley.matthew@tchden.orgNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

15913409

Citation

Daley, Matthew F., et al. "Provider Adoption of Pneumococcal Conjugate Vaccine and the Impact of Vaccine Shortages." Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association, vol. 5, no. 3, 2005, pp. 157-64.
Daley MF, Crane LA, Beaty BL, et al. Provider adoption of pneumococcal conjugate vaccine and the impact of vaccine shortages. Ambul Pediatr. 2005;5(3):157-64.
Daley, M. F., Crane, L. A., Beaty, B. L., Barrow, J., Pearson, K., Stevenson, J. M., Berman, S., & Kempe, A. (2005). Provider adoption of pneumococcal conjugate vaccine and the impact of vaccine shortages. Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association, 5(3), 157-64.
Daley MF, et al. Provider Adoption of Pneumococcal Conjugate Vaccine and the Impact of Vaccine Shortages. Ambul Pediatr. 2005 May-Jun;5(3):157-64. PubMed PMID: 15913409.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Provider adoption of pneumococcal conjugate vaccine and the impact of vaccine shortages. AU - Daley,Matthew F, AU - Crane,Lori A, AU - Beaty,Brenda L, AU - Barrow,Jennifer, AU - Pearson,Kellyn, AU - Stevenson,John M, AU - Berman,Stephen, AU - Kempe,Allison, PY - 2005/5/26/pubmed PY - 2005/7/1/medline PY - 2005/5/26/entrez SP - 157 EP - 64 JF - Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association JO - Ambul Pediatr VL - 5 IS - 3 N2 - OBJECTIVES: To 1) determine the factors associated with provider acceptance of pneumococcal conjugate vaccine and 2) describe how providers prioritize pneumococcal conjugate vaccine during shortages. DESIGN/METHODS: During April-November 2002, we conducted a mailed survey of rural and urban Colorado practitioners who provided routine pediatric immunizations. Three groups were surveyed: 1) all immunization providers (n = 51) in 2 geographically large rural areas, identified through a regional immunization registry; 2) all providers (n = 61) from private pediatric practices in metropolitan Denver that were actively participating in the same registry; and 3) all family physicians (n = 244) from the same urban areas as the pediatric practices. RESULTS: Response rate was 60%. Provider adoption of pneumococcal conjugate vaccine was strong: 66% of urban family physicians, 84% of rural providers, and 98% of urban pediatric providers always recommended pneumococcal conjugate vaccine to healthy children < or = 23 months old when vaccine supplies were adequate. In multivariate analysis, vaccine nonadopters were significantly more likely than adopters to report financial barriers to vaccination (odds ratio [OR] 3.17, 95% confidence interval [CI] 1.58, 6.35) and concerns about vaccine safety (OR 3.37, 95% CI 1.37, 8.26). Eighty-nine percent of respondents had encountered pneumococcal conjugate vaccine shortages. During shortages, children <5 years old with a chronic medical condition were considered the highest priority for vaccination. CONCLUSIONS: While provider acceptance of pneumococcal conjugate vaccine appears high, concerns about vaccine safety, cost, and availability exist, and these concerns will need to be addressed to maximize prevention of invasive pneumococcal disease in children. SN - 1530-1567 UR - https://www.unboundmedicine.com/medline/citation/15913409/Provider_adoption_of_pneumococcal_conjugate_vaccine_and_the_impact_of_vaccine_shortages_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1530-1567(05)60195-5 DB - PRIME DP - Unbound Medicine ER -