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Barriers to Seasonal Influenza Vaccine Uptake in a Pediatric Inpatient Healthcare Setting After Implementation of

Swaminathan Kandaswamy1, Erin Masterson2, Reena Blanco1,2

  • 1Department of Pediatrics, Emory University, Atlanta, Georgia, USA.

Studies in Health Technology and Informatics
|June 8, 2022
PubMed

Insights

A Clinical Decision Support (CDS) tool was implemented to boost pediatric flu vaccination rates in hospitals. However, low vaccine uptake persisted, prompting an exploration of barriers and solutions for improved influenza immunization coverage.

Area of Science:

  • Pediatric healthcare
  • Infectious disease prevention
  • Health informatics

Background:

  • Healthcare encounters offer opportunities for acute care and health maintenance in children.
  • Influenza vaccination is crucial for pediatric health maintenance.
  • Improving vaccination rates in inpatient settings remains a challenge.

Purpose of the Study:

  • To evaluate the impact of a Clinical Decision Support (CDS) intervention on influenza vaccination rates in a pediatric health system.
  • To identify reasons for low vaccine uptake despite the CDS implementation.
  • To propose solutions for enhancing flu vaccine coverage in eligible children.

Main Methods:

  • Implementation of a CDS intervention in a tertiary pediatric health system during the 2019-2020 influenza season.
  • Focus on eligible children receiving care in an acute care inpatient setting.
  • Exploration of factors contributing to low vaccine administration rates.

Main Results:

  • The CDS intervention did not achieve the desired increase in influenza vaccination rates.
  • Specific reasons for low vaccine uptake were identified.
  • Opportunities for improvement in flu vaccine administration were highlighted.

Conclusions:

  • Further investigation is needed to understand barriers to influenza vaccination in pediatric inpatient settings.
  • Targeted strategies are required to overcome challenges and improve vaccine coverage.
  • Optimizing CDS tools and workflows can enhance pediatric immunization efforts.

Keywords:
Clinical Decision SupportPreventive Health Services Implementation Science

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