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Missed opportunities for influenza vaccination among children with asthma

P G Szilagyi1, L E Rodewald

  • 1Department of Pediatrics, Strong Memorial Hospital, University of Rochester School of Medicine and Dentistry, NY 14642-8655.

The Pediatric Infectious Disease Journal
|September 1, 1992
PubMed

Insights

Influenza vaccination is recommended for children with asthma. Improving clinic visits and reducing missed opportunities during these visits can increase vaccination rates for pediatric asthma patients.

Area of Science:

  • Pediatric Pulmonology
  • Vaccinology
  • Public Health

Background:

  • Influenza vaccination is recommended for children with moderate to severe asthma.
  • However, vaccination rates remain low in this population, often due to missed opportunities during healthcare visits.
  • Many children with asthma do not attend routine office visits during the influenza vaccination season.

Purpose of the Study:

  • To determine the maximum number of urban children with asthma who could receive influenza vaccination during clinic or emergency department visits.
  • To identify barriers to influenza vaccination in this pediatric population.
  • To assess missed vaccination opportunities during both acute and non-acute medical encounters.

Main Methods:

  • A study was conducted on 247 urban children diagnosed with asthma.
  • The researchers tracked patient visits to clinics and emergency departments during the vaccination period.
  • Vaccination status was recorded for each patient, noting whether they received the influenza vaccine during their visits.

Main Results:

  • Out of 247 children with asthma, 139 (56%) had at least one medical visit during the study period.
  • Only 65 patients (26%) received the influenza vaccination.
  • Despite being seen in healthcare settings, 74 patients (30%) did not receive the vaccination, with half of these missed opportunities occurring during non-acute visits.

Conclusions:

  • Influenza vaccination rates among children with asthma are suboptimal.
  • Increasing primary care visits during the vaccination season is crucial.
  • Minimizing missed vaccination opportunities during all types of medical visits can significantly improve vaccination coverage.

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