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A survey of pediatricians' attitudes regarding influenza immunization in children
Daniel J Levy1, Christopher S Ambrose, Napoleon Oleka
1Child & Teen Wellness Center, Owings Mills, MD, USA. levydj@aol.com
Insights
Pediatricians find childhood influenza immunization services unprofitable, yet support school-based programs. These programs may be key to increasing vaccination rates in children.
Area of Science:
- Pediatric Health
- Immunology
- Public Health Policy
Background:
- Influenza immunization is the most effective preventive measure against influenza illness.
- Recommendations for childhood influenza vaccination have expanded significantly since 2002.
- Despite recommendations, influenza immunization rates among children remain low.
Purpose of the Study:
- To assess pediatricians' attitudes and practices regarding childhood influenza immunization.
- To understand the perceived profitability of influenza immunization services in pediatric practices.
Main Methods:
- A survey was conducted among practicing pediatricians in Maryland during the spring of 2007.
- The survey focused on their views and implementation of childhood influenza immunization.
- Response rate to the survey was 21%.
Main Results:
- 61% of respondents viewed influenza immunization as cost-neutral or a financial loss; 36.6% considered it minimally profitable.
- 86% of pediatricians supported school-based immunization programs, with 61% willing to participate.
- Reported immunization rates for specific groups exceeded those from the Centers for Disease Control and Prevention.
Conclusions:
- Pediatricians perceive practice-based influenza immunization as unprofitable.
- There is strong pediatrician support for school-based immunization programs.
- School-based programs are potentially crucial for enhancing vaccination coverage in school-aged children.
Background:
The Advisory Committee on Immunization Practices advocates that influenza immunization is the most effective method for prevention of illness due to influenza. Recommendations for vaccination of children against influenza have been revised several times since 2002, and as of 2008 include all children 6 months to 18 years of age. Nevertheless, influenza immunization rates have remained low.
Methods:
We surveyed practicing pediatricians in Maryland in the spring of 2007 to determine their attitudes and practices toward childhood influenza immunization.
Results:
The overall response to the survey was 21%. A total of 61% of respondents reported that immunization either is cost neutral or produces a loss, and 36.6% noted it was minimally profitable. Eighty-six percent of respondents were receptive to supporting school-based immunization programs, and 61% indicated that they would participate in such programs. Respondents reported higher rates of immunization of select patient groups than those noted by the Centers for Disease Control and Prevention
Conclusion:
Vaccination was reported to occur at multiple types of patient encounters, as recommended. Survey respondents stated that practice-based immunization was not a profitable service. Pediatricians were supportive of school-based immunization programs, and more than half stated they would be actively involved in such programs. School-based programs may be critical to achieving high vaccination coverage in the school-aged population.
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