Physician Attitudes Regarding School-Located Vaccinations

McCormick, Emily; Durfee, Josh; Vogt, Tara M.; Daley, Matthew F.; Hambidge, Simon J.; Shlay, Judith C.

doi:10.1542/peds.2011-2962

Cited by 10 publications

(4 citation statements)

References 44 publications

(55 reference statements)

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“…In addition, there was stronger support for publicly insured adolescents in the physicians' practices to receive vaccines at school than privately insured patients and significant concerns about the financial repercussions of SLV on the practice were expressed. 40…”

Section: Parental and Provider Attitudes About Slv For Adolescentsmentioning

confidence: 99%

Can School-Located Vaccination Have a Major Impact on Human Papillomavirus Vaccination Rates in the United States?

Kempe

Allison

Daley

2018

Academic Pediatrics

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School-local vaccination (SLV) has been a highly effective method of increasing rates of human papillomavirus (HPV) vaccination in many countries internationally in which vaccines are purchased by national, regional, or local public health authorities and offered free of charge within schools. However, the effectiveness of SLV for increasing HPV vaccination rates in the United States is likely to be substantially limited due to a number of identified barriers, the most significant of which is with the need to bill for vaccines among adolescents not covered under the Vaccines for Children Program. HPV vaccination within school-based health centers (SBHCs) has been much more effective than SLV, but SBHCs exist in only 2% of schools in the United States. The opportunity gap between the United States and other countries will remain unless reimbursement issues related to HPV delivery in schools can be addressed in a sustainable manner or SBHCs become much more common.

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Section: Parental and Provider Attitudes About Slv For Adolescentsmentioning

confidence: 99%

Can School-Located Vaccination Have a Major Impact on Human Papillomavirus Vaccination Rates in the United States?

Kempe

Allison

Daley

2018

Academic Pediatrics

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“…Family barriers include time, money, and need for an extra office visit. 8 -11 Experts have discussed schools as sites for influenza vaccination 12 ; most pediatricians [13][14][15] and parents 7, 16 -18 support schoollocated influenza vaccination (SLIV). Additionally, schools have a stake in influenza vaccination because immunization of school-children can reduce absenteeism throughout the community.…”

mentioning

confidence: 99%

School-Located Influenza Vaccinations: A Randomized Trial

et al. 2016

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OBJECTIVE: Assess impact of offering school-located influenza vaccination (SLIV) clinics using both Web-based and paper consent upon overall influenza vaccination rates among elementary school children. METHODS: We conducted a cluster-randomized trial (stratified by suburban/urban districts) in upstate New York in 2014–2015. We randomized 44 elementary schools, selected similar pairs of schools within districts, and allocated schools to SLIV versus usual care (control). Parents of children at SLIV schools were sent information and vaccination consent forms via e-mail, backpack fliers, or both (depending on school preferences) regarding school vaccine clinics. Health department nurses conducted vaccine clinics and billed insurers. For all children registered at SLIV/control schools, we compared receipt of influenza vaccination anywhere (primary outcome). RESULTS: The 44 schools served 19 776 eligible children in 2014–2015. Children in SLIV schools had higher influenza vaccination rates than children in control schools county-wide (54.1% vs 47.4%, P < .001) and in suburban (61.9% vs 53.6%, P < .001) and urban schools (43.9% vs 39.2%; P < .001). Multivariate analyses (controlling for age, grade, vaccination in previous season) confirmed bivariate findings. Among parents who consented for SLIV, nearly half of those notified by backpack fliers and four-fifths of those notified by e-mail consented online. In suburban districts, SLIV did not substitute for primary care influenza vaccination. In urban schools, some substitution occurred. CONCLUSIONS: SLIV raised seasonal influenza vaccination rates county-wide and in both suburban and urban settings. SLIV did not substitute for primary care vaccinations in suburban settings where pediatricians often preorder influenza vaccine but did substitute somewhat in urban settings.

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“…15 Yet studies to date have shown mixed results for provider and parent acceptance of pharmacies as immunization venues for children. [16][17][18][19] The lack of office visit fees and ease of access have the potential to make pharmacies more attractive to payers and parents. 20 In a time of chronic shortages of primary care providers for adolescents and younger children, encouraging other types of immunization providers and sites is needed from a public health perspective.…”

Section: Discussionmentioning

confidence: 99%

Impact of pharmacists providing immunizations on adolescent influenza immunization

Robison¹

2016

Journal of the American Pharmacists Association

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Physician Attitudes Regarding School-Located Vaccinations

Cited by 10 publications

References 44 publications

Can School-Located Vaccination Have a Major Impact on Human Papillomavirus Vaccination Rates in the United States?

Can School-Located Vaccination Have a Major Impact on Human Papillomavirus Vaccination Rates in the United States?

School-Located Influenza Vaccinations: A Randomized Trial

Impact of pharmacists providing immunizations on adolescent influenza immunization

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