Influenza vaccination in the 2009–2010 pandemic season: The experience of primary care physicians

Abstract Objectives Determine among a representative sample of pediatricians (Peds), family medicine (FM), and general internal medicine (GIM) physicians in the 2009–2010 influenza season physicians’: 1) practices and experiences with delivery of seasonal and pH1N1 influenza vaccines; and 2) anticip...

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Published inPreventive medicine Vol. 55; no. 1; pp. 68 - 71
Main Authors O'Leary, Sean T, Stokley, Shannon, Crane, Lori A, Allison, Mandy A, Hurley, Laura P, Wortley, Pascale, Babbel, Christine I, Beaty, Brenda L, Gahm, Claire, Kempe, Allison
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.07.2012
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Summary:Abstract Objectives Determine among a representative sample of pediatricians (Peds), family medicine (FM), and general internal medicine (GIM) physicians in the 2009–2010 influenza season physicians’: 1) practices and experiences with delivery of seasonal and pH1N1 influenza vaccines; and 2) anticipated and experienced barriers. Methods Two US national surveys administered 7/2009–10/2009 (before pH1N1 distribution) and 3/2010–6/2010 (after pH1N1 distribution) to 416 Peds, 424 FM and 432 GIM. Results Of respondents who received both surveys, 62% (776/1253) completed both. Overall, 98% reported administering seasonal influenza vaccine and 86% pH1N1, with 70% reporting that working with public health in delivery of pH1N1 was a positive experience. Due to limited supplies of pH1N1, 63% of providers reported prioritizing who received vaccine even within high risk groups. Pre-distribution, 71% perceived that patient/parental safety concerns about pH1N1 would be a barrier, and post-distribution 72% perceived it had been a barrier. Physician concern about safety decreased, with 44% reporting safety a barrier pre-distribution and 12% post-distribution (p < 0.001). Conclusions In the setting of a pandemic most primary care physicians collaborated with public health in delivery of pH1N1. Physicians faced challenges with patient/parent safety concerns about pH1N1 and supply issues with pH1N1 that required physicians to prioritize who received vaccine.
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ISSN:0091-7435
1096-0260
DOI:10.1016/j.ypmed.2012.04.014