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Primary care physician perspectives on reimbursement for childhood immunizations.
Pediatrics. 2009 Dec; 124 Suppl 5:S466-71.Ped

Abstract

OBJECTIVES

The purpose of this research was to explore physicians' attitudes and behaviors related to vaccine financing issues within their practice. Amid the increasing number of vaccine doses recommended for children and adolescents, anecdotal reports suggest that physicians are facing increasing financial pressures from vaccine purchase and administration and may stop providing vaccines altogether to privately insured children. Whether these sentiments are widely held among immunization providers is unknown.

METHODS

We conducted a cross-sectional mail survey from July to September 2007 of a random sample of 1280 US pediatricians and family physicians engaged in direct patient care. Main outcome measures included delay in the purchase of specific vaccines for financial reasons; reported decrease in profit margin from immunizations; and practice consideration of whether to stop providing all vaccines to privately insured children.

RESULTS

The response rate was 70% for pediatricians and 60% for family physicians. Approximately half of the respondents reported that their practice had delayed the purchase of specific vaccines for financial reasons (49%) and experienced decreased profit margin from immunizations (53%) in the previous 3 years. Twenty-one percent of respondents strongly disagreed that "reimbursement for vaccine purchase is adequate," and 17% strongly disagreed that "reimbursement for vaccine administration is adequate." Eleven percent of respondents said their practice had seriously considered whether to stop providing all vaccines to privately insured children in the previous year.

CONCLUSIONS

Physicians who provide vaccines to children and adolescents report dissatisfaction with reimbursement levels and increasing financial strain from immunizations. Although large-scale withdrawal of immunization providers does not seem to be imminent, efforts to address root causes of financial pressures should be undertaken.

Authors+Show Affiliations

Division of General Pediatrics, Department of Pediatrics and Communicable Diseases, University of Michigan Health System, Ann Arbor, MI 48109-5456, USA. gfreed@umich.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

19948578

Citation

Freed, Gary L., et al. "Primary Care Physician Perspectives On Reimbursement for Childhood Immunizations." Pediatrics, vol. 124 Suppl 5, 2009, pp. S466-71.
Freed GL, Cowan AE, Clark SJ. Primary care physician perspectives on reimbursement for childhood immunizations. Pediatrics. 2009;124 Suppl 5:S466-71.
Freed, G. L., Cowan, A. E., & Clark, S. J. (2009). Primary care physician perspectives on reimbursement for childhood immunizations. Pediatrics, 124 Suppl 5, S466-71. https://doi.org/10.1542/peds.2009-1542F
Freed GL, Cowan AE, Clark SJ. Primary Care Physician Perspectives On Reimbursement for Childhood Immunizations. Pediatrics. 2009;124 Suppl 5:S466-71. PubMed PMID: 19948578.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Primary care physician perspectives on reimbursement for childhood immunizations. AU - Freed,Gary L, AU - Cowan,Anne E, AU - Clark,Sarah J, PY - 2009/12/2/entrez PY - 2010/1/9/pubmed PY - 2010/1/28/medline SP - S466 EP - 71 JF - Pediatrics JO - Pediatrics VL - 124 Suppl 5 N2 - OBJECTIVES: The purpose of this research was to explore physicians' attitudes and behaviors related to vaccine financing issues within their practice. Amid the increasing number of vaccine doses recommended for children and adolescents, anecdotal reports suggest that physicians are facing increasing financial pressures from vaccine purchase and administration and may stop providing vaccines altogether to privately insured children. Whether these sentiments are widely held among immunization providers is unknown. METHODS: We conducted a cross-sectional mail survey from July to September 2007 of a random sample of 1280 US pediatricians and family physicians engaged in direct patient care. Main outcome measures included delay in the purchase of specific vaccines for financial reasons; reported decrease in profit margin from immunizations; and practice consideration of whether to stop providing all vaccines to privately insured children. RESULTS: The response rate was 70% for pediatricians and 60% for family physicians. Approximately half of the respondents reported that their practice had delayed the purchase of specific vaccines for financial reasons (49%) and experienced decreased profit margin from immunizations (53%) in the previous 3 years. Twenty-one percent of respondents strongly disagreed that "reimbursement for vaccine purchase is adequate," and 17% strongly disagreed that "reimbursement for vaccine administration is adequate." Eleven percent of respondents said their practice had seriously considered whether to stop providing all vaccines to privately insured children in the previous year. CONCLUSIONS: Physicians who provide vaccines to children and adolescents report dissatisfaction with reimbursement levels and increasing financial strain from immunizations. Although large-scale withdrawal of immunization providers does not seem to be imminent, efforts to address root causes of financial pressures should be undertaken. SN - 1098-4275 UR - https://www.unboundmedicine.com/medline/citation/19948578/Primary_care_physician_perspectives_on_reimbursement_for_childhood_immunizations_ L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=19948578 DB - PRIME DP - Unbound Medicine ER -