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Provider attitudes regarding use of an immunization information system to identify children with asthma for influenza

Kevin J Dombkowski1, Sonia W Leung, Sarah J Clark

  • 1Child Health Evaluation and Research Unit, Division of General Pediatrics, University of Michigan, Ann Arbor, Michigan 48109, USA. kjd@med.umich.edu

Journal of Public Health Management and Practice : JPHMP
|November 7, 2007
PubMed

Insights

Pediatricians generally support a registry reminder system to improve influenza vaccination for children with asthma. However, concerns exist regarding data limitations and patient coverage.

Area of Science:

  • Public Health
  • Pediatrics
  • Health Informatics

Background:

  • National guidelines recommend annual influenza vaccinations for children with asthma.
  • Many children with asthma do not receive these recommended vaccinations.
  • Integrating Medicaid claims data into the Michigan Care Improvement Registry (MCIR) aimed to improve vaccination rates.

Purpose of the Study:

  • To assess pediatric primary care providers' attitudes towards a new system.
  • The system uses MCIR data to prompt influenza vaccination for high-risk children, including those with asthma.

Main Methods:

  • A survey was distributed to 600 office-based pediatricians and family physicians in Michigan in February 2006.
  • The survey assessed their experiences with influenza vaccination and views on the MCIR reminder system.

Main Results:

  • The response rate was 67%.
  • Most physicians (91%) participated in MCIR and found the high-risk indicator helpful (75%).
  • Concerns included the system's limitation to Medicaid patients (44%) and incomplete asthma data (24%).

Conclusions:

  • Pediatric providers view a registry-based automated reminder system positively.
  • The system shows promise for identifying children with asthma for influenza vaccination.
  • Addressing data completeness and patient coverage limitations is crucial for system effectiveness.
Abstract

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