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Additional visit burden for universal influenza vaccination of US school-aged children and adolescents.
Arch Pediatr Adolesc Med. 2008 Nov; 162(11):1048-55.AP

Abstract

OBJECTIVE

To estimate the additional primary care visits needed for universal influenza vaccination of all US children and adolescents if all vaccinations occurred in primary care settings.

DESIGN

Cross-sectional design.

SETTING

Well-child care and other visits to primary care practices from the 2003-2004 Medical Expenditure Panel Survey.

PARTICIPANTS

Children aged 5 to 18 years (n = 3047) with a usual source of care. Main Outcome Measure Percentage of children needing 0, 1, or 2 additional visits to be immunized against influenza in a 3-, 4-, or 5-month vaccination window.

RESULTS

In a 3-month window, if only well-child care visits were used for first immunization, 97% of 5- and 6-year-olds and 98% of 7- and 8-year-olds would need 1 or 2 additional visits for complete vaccination; 95% of 9- to 18-year-olds would need 1 visit. If instead all visits were used for immunization, 90% of 5- and 6-year-olds and 91% of 7- and 8-year-olds would need 1 or 2 visits; 78% of 9- to 18-year-olds would need 1 visit. Expanding the window to 4 or 5 months slightly reduces the need for additional visits. Nationally, using all opportunities for vaccination, 42 million additional visits would be needed in a generous 5-month window.

CONCLUSIONS

Most children and adolescents would need additional visits for universal influenza vaccination, even if all existing visits were used as vaccination opportunities. Efficient methods for vaccinating large numbers of children and adolescents are needed if primary care practices are to provide influenza vaccine for all children.

Authors+Show Affiliations

Department of Pediatrics, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA. cynthia_rand@urmc.rochester.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

18981353

Citation

Rand, Cynthia M., et al. "Additional Visit Burden for Universal Influenza Vaccination of US School-aged Children and Adolescents." Archives of Pediatrics & Adolescent Medicine, vol. 162, no. 11, 2008, pp. 1048-55.
Rand CM, Szilagyi PG, Yoo BK, et al. Additional visit burden for universal influenza vaccination of US school-aged children and adolescents. Arch Pediatr Adolesc Med. 2008;162(11):1048-55.
Rand, C. M., Szilagyi, P. G., Yoo, B. K., Auinger, P., Albertin, C., & Coleman, M. S. (2008). Additional visit burden for universal influenza vaccination of US school-aged children and adolescents. Archives of Pediatrics & Adolescent Medicine, 162(11), 1048-55. https://doi.org/10.1001/archpedi.162.11.1048
Rand CM, et al. Additional Visit Burden for Universal Influenza Vaccination of US School-aged Children and Adolescents. Arch Pediatr Adolesc Med. 2008;162(11):1048-55. PubMed PMID: 18981353.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Additional visit burden for universal influenza vaccination of US school-aged children and adolescents. AU - Rand,Cynthia M, AU - Szilagyi,Peter G, AU - Yoo,Byung-Kwang, AU - Auinger,Peggy, AU - Albertin,Christina, AU - Coleman,Margaret S, PY - 2008/11/5/pubmed PY - 2008/12/17/medline PY - 2008/11/5/entrez SP - 1048 EP - 55 JF - Archives of pediatrics & adolescent medicine JO - Arch Pediatr Adolesc Med VL - 162 IS - 11 N2 - OBJECTIVE: To estimate the additional primary care visits needed for universal influenza vaccination of all US children and adolescents if all vaccinations occurred in primary care settings. DESIGN: Cross-sectional design. SETTING: Well-child care and other visits to primary care practices from the 2003-2004 Medical Expenditure Panel Survey. PARTICIPANTS: Children aged 5 to 18 years (n = 3047) with a usual source of care. Main Outcome Measure Percentage of children needing 0, 1, or 2 additional visits to be immunized against influenza in a 3-, 4-, or 5-month vaccination window. RESULTS: In a 3-month window, if only well-child care visits were used for first immunization, 97% of 5- and 6-year-olds and 98% of 7- and 8-year-olds would need 1 or 2 additional visits for complete vaccination; 95% of 9- to 18-year-olds would need 1 visit. If instead all visits were used for immunization, 90% of 5- and 6-year-olds and 91% of 7- and 8-year-olds would need 1 or 2 visits; 78% of 9- to 18-year-olds would need 1 visit. Expanding the window to 4 or 5 months slightly reduces the need for additional visits. Nationally, using all opportunities for vaccination, 42 million additional visits would be needed in a generous 5-month window. CONCLUSIONS: Most children and adolescents would need additional visits for universal influenza vaccination, even if all existing visits were used as vaccination opportunities. Efficient methods for vaccinating large numbers of children and adolescents are needed if primary care practices are to provide influenza vaccine for all children. SN - 1538-3628 UR - https://www.unboundmedicine.com/medline/citation/18981353/Additional_visit_burden_for_universal_influenza_vaccination_of_US_school_aged_children_and_adolescents_ L2 - https://jamanetwork.com/journals/jamapediatrics/fullarticle/10.1001/archpedi.162.11.1048 DB - PRIME DP - Unbound Medicine ER -