Adoption of Rotavirus Vaccine by U.S. Physicians

O’Leary, Sean T.; Parashar, Umesh D.; Crane, Lori A.; Allison, Mandy A.; Stokley, Shannon; Beaty, Brenda; Brtnikova, Michaela; Hurley, Laura P.; Kempe, Allison

doi:10.1016/j.amepre.2012.10.001

Cited by 16 publications

(12 citation statements)

References 17 publications

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“…A study by O'Leary et al in 2013 determined that 95% of pediatricians and 65% of family doctors recommended rotavirus vaccination (11). In our study, 19% of primary care physicians recommended rotavirus vaccination, and the majority did not recommend it.…”

Section: Discussioncontrasting

confidence: 51%

Evaluation of perspectives and approaches of primary health care physicians to the rotavirus vaccine

Almış¹,

Bucak²

2017

J Turgut Ozal Med Cent

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Aim: Rotavirus is the most common cause of severe gastroenteritis in children. Rotavirus diarrhea can lead to complications of rotavirus-induced severe diarrhea death resulting in electrolyte imbalance and dehydration. Rotavirus vaccination is the most effective method of preventing severe rotavirus infection. The purpose of this study was to evaluate the knowledge levels and attitudes of primary health care providers physicians related to rotavirus vaccine, which is one of the vaccines not yet added to the vaccination schedule in Turkey. Materials and Methods: Physicians working in primary health care institutions in the province of Adıyaman in 2016 agreed to participate and were included in the study. The participants' demographic characteristics and data obtained from the questionnaire were analyzed using statistical methods on SPSS 22 software. Results: 38 participants, 24 (63.2%) male and 14 (36.8%) female were included in the study. The number of primary health care physicians who thought that rotavirus vaccine was effective 24 (63.2%), while 10 (26.3%) stated that it was not effective and 4 (10.5) had no opinion. Fifteen (39.5%) primary physicians thought that the rotavirus vaccine should be added to the routine vaccination schedule, 10 (26.3%) thought that it need not be added and 13 (34.2%) had no opinion. Conclusion: Rotavirus vaccine is not a well-known that vaccine recommended among primary care physicians. This derives from lack of knowledge of the protective nature of the vaccine and inadequate awareness of it. We think that increasing physicians' knowledge of vaccines through in-service training will reduce negative attitudes againts it concerning them.

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Section: Discussioncontrasting

confidence: 51%

Evaluation of perspectives and approaches of primary health care physicians to the rotavirus vaccine

Almış¹,

Bucak²

2017

J Turgut Ozal Med Cent

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“…It is possible that this is influenced by practice location. More FM (26%) than GIM (15%) or Peds (11%) practice in rural areas[ 33 – 35 ] where the internet tends to be slower and used less [ 36 ] and more than 40% of FM used paper-based medical records at the time these surveys were conducted [ 37 , 38 ], rather than computer-based systems. Conducting surveys by internet or mixed mode has obvious cost advantages due to lowering the need for printing and postage, and quicker turnaround time.…”

Section: Discussionmentioning

confidence: 99%

A method for achieving high response rates in national surveys of U.S. primary care physicians

et al. 2018

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Physician questionnaires are commonly used in health services research; however, many survey studies are limited by low response rate. We describe the effectiveness of a method to maximize survey response without using incentives, the effectiveness of survey reminders over time, and differences in response rates based on survey mode and primary care specialty. As part of a study to assess vaccine policy issues, 13 separate surveys were conducted by internet and mail over the period of 2008 to 2013. Surveys were conducted among pre-recruited networks of pediatricians, family physicians and general internists. Each network was active for 2 years and responded to 3–6 surveys. Physicians who indicated preference to respond through an online survey received up to 9 e-mailed requests to complete the questionnaire and up to 2 mailed questionnaires. Physicians who chose to respond by mail received up to 3 mailed questionnaires and a reminder postcard. For 6 of the 13 surveys conducted over the 6 year period, an additional mailing using a hand-addressed envelope was mailed to non-responders at the end of the usual protocol. Effectiveness of survey methods was measured by response rates. The overall response rates varied from 66‒83%. Response rates declined 17 percentage-points on average between the first and last surveys administered within each physician network. The internet group consistently had higher response rates than the mail group (74% vs. 62% on average). An additional mailing in a hand-written envelope boosted the final response rate by 11 percentage-points. Self-selection of survey mode, multiple reminders, and hand-written envelopes are effective methods for maximizing response rates in physician surveys.

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“…Many reasons may have played a role in this finding, including variations in insurance adoption and reimbursement rates, 27 caregiver lack of knowledge regarding rotavirus disease, 28 or hesitancy regarding RVV safety given that the first licensed RVV (RotaShield; Wyeth Laboratories, Marietta, PA) was withdrawn because of concerns regarding intussusception. 27,29 Socioeconomic and educational factors differed for RVV initiation versus completion. Children from households with an income of $50 000 to $100 000 had 44% lower odds of initiating RVV compared with children from households with an income of ,$25 000.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated With Rotavirus Vaccine Coverage

et al. 2019

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BACKGROUND: Rotavirus vaccines (RVVs) were included in the US immunization program in 2006 and are coadministered with the diphtheria-tetanus-acellular pertussis (DTaP) vaccine, yet their coverage lags behind DTaP. We assessed timing, initiation, and completion of the RVV series among children enrolled in active gastroenteritis surveillance at 7 US medical institutions during 2014-2016. METHODS: We compared coverage and timing of each vaccine series and analyzed characteristics associated with RVV initiation and completion. We report odds ratios (ORs) and 95% confidence intervals (CIs) from multivariable logistic regression models. RESULTS: We enrolled 10 603 children. In 2015, $1 dose coverage was 91% for RVV and 97% for DTaP. Seven percent of children received their first DTaP vaccine at age $15 weeks versus 4% for RVV (P # .001). Recent birth years (2013-2016) were associated with higher odds of RVV initiation (OR = 5.72; 95% CI 4.43-7.39), whereas preterm birth (OR = 0.32; 95% CI 0.24-0.41), older age at DTaP initiation

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Adoption of Rotavirus Vaccine by U.S. Physicians

Abstract: Background-Pentavalent rotavirus vaccine (RV5) was recommended for routine use in 2006 followed by monovalent rotavirus vaccine (RV1) in 2008.

Cited by 16 publications

References 17 publications

Evaluation of perspectives and approaches of primary health care physicians to the rotavirus vaccine

Evaluation of perspectives and approaches of primary health care physicians to the rotavirus vaccine

A method for achieving high response rates in national surveys of U.S. primary care physicians

Factors Associated With Rotavirus Vaccine Coverage

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