Differences in Adult Influenza Vaccine-Seeking Behavior

Groom, Holly; Zhang, Fan; Fisher, Allison; Wortley, Pascale M.

doi:10.1097/phh.0b013e318298bd88

Cited by 24 publications

(21 citation statements)

References 15 publications

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Section: Discussionmentioning

confidence: 98%

“…22 For example, published data from the 1995/1996 Medicare Current Beneficiary Surveys and the 2007 National immunization Survey show that older minority adults are less likely to be vaccine seekers than older non-Hispanic whites. 15,22 Responding to this challenge, routine offering of influenza vaccine in officebased settings can reduce racial and ethnic disparities in influenza vaccination by moving the responsibility for initiating vaccination-related patient-provider interactions from patients to providers. Proactive, provider-based vaccination counseling during routine office visits seems especially important for reducing such disparities, since non-vaccineseeking minorities are also unlikely to get vaccinated in alternative vaccination settings such as grocery stores, pharmacies or retail settings that crucially rely on vaccineseeking behaviors by consumers.…”

Section: Discussionmentioning

confidence: 98%

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Can Routine Offering of Influenza Vaccination in Office-Based Settings Reduce Racial and Ethnic Disparities in Adult Influenza Vaccination?

2014

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 98%

Can Routine Offering of Influenza Vaccination in Office-Based Settings Reduce Racial and Ethnic Disparities in Adult Influenza Vaccination?

2014

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“…Disparities in the uptake can be on the basis of race and ethnicity, insurance status, access to health care services, and geography [2]. Potential reasons for disparities in uptake of vaccine services include differences in attitudes and beliefs, previous experience with the health care system, whether the vaccine is directly recommended by a health care provider, and differences in vaccine-seeking behavior [3–6]. Strategies to increase immunization rates include increasing access to vaccination services, increasing community demand for vaccinations, and provider- or system-based interventions [7].…”

Section: Introductionmentioning

confidence: 99%

Cross-Sectional Survey of Perceived Barriers Among Community Pharmacists Who Do Not Immunize, in Wayne County, Michigan

et al. 2016

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IntroductionThe goal of the study was to identify perceived barriers to implementation of vaccination services encountered by independent and small-chain community pharmacies in an urban setting.MethodsPharmacists in independent and small-chain pharmacies located in 29 Michigan ZIP codes were visited and asked to complete a 5- to 10-min semi-structured interview.ResultsA total of 93 independent and 12 small-chain pharmacies participated (n = 105; 61%). The pharmacies filled an average of 700 prescriptions each week with 1.1 pharmacist full-time equivalents and 57 h of technician time. The most common services that participating pharmacies provided were dispensing outpatient medication (99%), medication therapy management (MTM, 65.7%), disease management or coaching (54.3%), point-of-care testing (34.3%), and dispensing medications to inpatient facilities (16.2%). Only seven pharmacies (6.7%) administered vaccinations. When pharmacists were asked to identify what it would take to start to administer vaccines, the most common responses were increased demand from patients (37.1%), adequate time (19%), appropriate space (17.1%), appropriate amount of staff (14.3%), change in attitudes or beliefs of the owner or pharmacists at that pharmacy (13.3%), increased profit related to vaccines (11.4%), and increased awareness among patients about the importance of vaccines (11.4%). The majority of pharmacies (65.3%) reported that only one factor would need to change to start to administer vaccines.ConclusionIndependent and small-chain community pharmacies in an urban, primarily low-income area identified several barriers that have prevented implementation of vaccination services. However, the majority of pharmacies reported that only one factor would need to change in order to begin to administer vaccines. Interventional efforts necessary to address commonly cited barriers may include providing education to pharmacists about the need for community pharmacy-based immunization programs in addition to services provided by physician offices, as well as the importance of proactively providing immunization-related recommendations to patients.

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“…Influenza disparities partly reflect differences in attitudes toward influenza vaccines (154) and active vaccination seeking (59). Differences in sources of care may also contribute (67).…”

Section: Preventive Carementioning

confidence: 99%

Racial and Ethnic Disparities in the Quality of Health Care

Fiscella

Sanders

2016

Annu. Rev. Public Health

364

232

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The annual National Healthcare Quality and Disparities Reports document widespread and persistent racial and ethnic disparities. These disparities result from complex interactions between patient factors related to social disadvantage, clinicians, and organizational and health care system factors. Separate and unequal systems of health care between states, between health care systems, and between clinicians constrain the resources that are available to meet the needs of disadvantaged groups, contribute to unequal outcomes, and reinforce implicit bias. Recent data suggest slow progress in many areas but have documented a few notable successes in eliminating these disparities. To eliminate these disparities, continued progress will require a collective national will to ensure health care equity through expanded health insurance coverage, support for primary care, and public accountability based on progress toward defined, time-limited objectives using evidence-based, sufficiently resourced, multilevel quality improvement strategies that engage patients, clinicians, health care organizations, and communities.

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Differences in Adult Influenza Vaccine-Seeking Behavior

Abstract: This study points to the importance of improving our understanding of what factors, in addition to beliefs about vaccination, lead to vaccine seeking and reinforces the need for systematically offering vaccine.

Cited by 24 publications

References 15 publications

Can Routine Offering of Influenza Vaccination in Office-Based Settings Reduce Racial and Ethnic Disparities in Adult Influenza Vaccination?

Can Routine Offering of Influenza Vaccination in Office-Based Settings Reduce Racial and Ethnic Disparities in Adult Influenza Vaccination?

Cross-Sectional Survey of Perceived Barriers Among Community Pharmacists Who Do Not Immunize, in Wayne County, Michigan

Racial and Ethnic Disparities in the Quality of Health Care

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