Strengthening the Supply of Routinely Recommended Vaccines in the United States

Jm, Santoli; Peter, Georges; Arvin, A; Jp, Davis; Decker, Michael D.; Fast, Patricia E.; Fa, Guerra; Cm, Helms; Ar, Hinman; Katz, Randall D.; Jo, Klein; Mb, Koslap-Petraco; Pr, Paradiso; Schaffner, William; Pn, Whitley-Williams; De, Williamson; Gellin, Bruce G.

doi:10.1001/jama.290.23.3122

Cited by 59 publications

(5 citation statements)

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“…Previously reported barriers to administering vaccination to adults have been a lack of physicians’ knowledge about vaccination [25], poor vaccine supply [26], cost of vaccinations [27], and practice barriers, such as competing priorities in care especially in the presence of acute or chronic problems [28, 29]. The most common barriers for vaccination uptake among patients were a lack of knowledge about the benefits of vaccination [30], concerns about vaccine safety [31, 32] and when vaccination is not recommended by physicians [11, 32, 33].…”

Section: Discussionmentioning

confidence: 99%

The intention of Dutch general practitioners to offer vaccination against pneumococcal disease, herpes zoster and pertussis to people aged 60 years and older

et al. 2017

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BackgroundIncreasing life expectancy results in a larger proportion of older people susceptible to vaccine preventable diseases (VPDs). In the Netherlands, influenza vaccination is routinely offered to people aged 60 years and older. Vaccination against pneumococcal disease, herpes zoster and pertussis is rarely used. These vaccines will be evaluated by the Dutch Health Council and might be routinely offered to older people in the near future. Possible expansion of the program depends partly on the willingness of general practitioners (GPs) to endorse additional vaccinations. In this study, we assessed predictors of GPs’ attitude and intention to vaccinate people aged 60 years and older.MethodsGPs (N = 12.194) were invited to fill in an online questionnaire consisting of questions about social cognitive factors that can influence the willingness of GPs to vaccinate people aged 60 years and older, including underlying beliefs, practical considerations of adding more vaccines to the national program, demographics, and GPs’ patient population characteristics. The questionnaire was filled in by 732 GPs.ResultsGPs were positive both about vaccination as a preventive tool and the influenza vaccination program, but somewhat less positive about expanding the current program. Prediction analysis showed that the intention of GPs to offer additional vaccination was predicted by their attitude towards offering additional vaccination, towards vaccination as a preventive tool, towards offering vaccination during an outbreak and on GPs opinion regarding suitability to offer additional vaccination (R2 = 0.60). The attitude of GPs towards offering additional vaccination was predicted by the perceived severity of herpes zoster and pneumonia, as well as the perceived incidence of herpes zoster. Severity of diseases was ranked as important argument to recommend vaccination, followed by effectiveness and health benefits of vaccines.ConclusionProviding GPs with evidence-based information about the severity and prevalence of diseases, and effectiveness and health benefits of the vaccines, together with an active role of GPs in informing older people about vaccines, could modify the intention towards additional vaccination of people 60 years and older.Electronic supplementary materialThe online version of this article (doi:10.1186/s12877-017-0511-7) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

The intention of Dutch general practitioners to offer vaccination against pneumococcal disease, herpes zoster and pertussis to people aged 60 years and older

et al. 2017

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“…[1112] The study of Santoli JM concluded that delay of implementation of adult vaccination is owing to many reasons such as poor vaccine supply, lack of physicians’ knowledge, and inadequate access to health services. [13] For the best of our knowledge, no previous studies addressing awareness of primary health care physicians toward influenza and pneumococcal vaccination was conducted before in the Gulf area. The present study was performed to assess the awareness of family medicine residents toward influenza and pneumococcal vaccinations for high-risk individuals and to verify the most significant variables that might affect residents’ knowledge and the tools needed to enhance their practice.…”

Section: Introductionmentioning

confidence: 99%

Physicians' awareness and practice toward influenza and pneumococcal vaccines for high-risk patients

Amin

Arafa

Al-Omair

2019

J Family Med Prim Care

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Objectives: The aim of the study is to assess the awareness of family medicine residents about influenza and pneumococcal vaccination for high-risk patients and to verify the most significant variables that might affect residents’ knowledge and the tools needed to enhance their practice. Materials and Methods: This cross-sectional study was conducted at four major hospitals in Riyadh, Saudi Arabia, during the period, October through December 2017. A pretested self-administered questionnaire was handed to 180 family residents. Descriptive statistics were used to analyze the study data. The Chi-square test was used to compare categorical variables data. The One-way ANOVA test was used to detect the significant difference. Results: The overall knowledge of physicians about influenza and pneumococcal vaccines was inadequate and was more toward pneumococcal vaccine, in spite their respectable knowledge about the target population. The main reasons for non- prescribing of vaccines were forgetfulness (59.4%), the availability of vaccines (33.9%), and the patients’ refusal (23.3%). The tools that might help for prescribing were the need for the presence of electronic reminder (69.4%) and the patients should follow a regular family physician (47.2%). Conclusion: Knowledge and practice of influenza and pneumococcal vaccination are inadequate. This is mainly because of forgetfulness owing to minimal guideline awareness, lack of vaccine availability, and patients’ refusal. The important recommendations to enhance vaccination practice among physicians are the implementation of electronic reminders, regular follow-up with the same physician in addition to educational programs during residency, and patient education about the importance of vaccinations as a means of disease prevention.

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“…15 Las bajas coberturas de vacunación son multifactoriales y pueden estar relacionadas con el abasto insuficiente de vacunas, la baja cobertura de servicios de atención primaria y déficit en la demanda del servicio de vacunación, o con todas. El abasto insuficiente de vacunas puede ocurrir como consecuencia de fallas en la gobernanza y en los mecanismos de transparencia en los países, 16 por la inexistencia o incumplimiento gubernamental del plan de contingencia en situaciones de desabasto global, 17,18 por demanda mayor de la esperada debida a brotes, interrupción en la producción por materia prima insuficiente, condiciones financieras adversas para el productor o incertidumbre de la demanda de vacunas, 19 derechos de propiedad industrial, incumplimiento de los procesos regulatorios, falta de armonización de la política de regulación nacional con la internacional, 20 carencia de recursos financieros para la producción y compra de vacunas, monopolios farmacéuticos, [17][18][19][20][21] así como insuficiencias en la política internacional solidaria para la distribución de vacunas.…”

Section: Discussionunclassified

“…25 Los Centros para el Control y la Prevención de Enfermedades (CDC) como mecanismo para mitigar los efectos del desabasto global tienen una "reserva estratégica" o el equivalente a la cantidad de vacunas para seis meses de funcionamiento del programa. 18 La OMS ha recomendado contar con un responsable del movimiento de biológicos que lleve un control sistematizado de los mismos y de insumos necesarios para la vacunación. 26…”

Section: Discussionunclassified

Tendencias en las coberturas de vacunación en niños de 12 a 23 y 24 a 35 meses en México

et al. 2019

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Objetivo. Comparar coberturas de vacunación en niños de 12-23 y 24-35 meses de edad de localidades menores de 100 000 habitantes en México, entre 2012 (Encuesta Nacional de Salud y Nutrición [Ensanut] 2012) y 2018 (Ensanut 100k). Material y métodos. Estimación de coberturas con ambas encuestas. Resultados. Entre 2012 y 2018, se mantuvo la cobertura del Esquema básico, con comprobante y autorreporte, en niños de 12-23 (51.6 vs. 60.2%) y 24-35 meses (51.4 vs. 50.0%), y sólo con comprobante (53.9 vs. 51.3% y 52.8 vs. 44.2%). Se mantuvo la cobertura del Esquema básico más refuerzos en niños de 24-35 meses, comprobante y autorreporte (30.9 vs. 34.0%) y sólo con comprobante (30.2 vs. 27.8%). Disminuyeron las coberturas con segunda y tercera dosis de hepatitis B en niños de 12-23 y 24-35 meses, y con primera dosis de triple viral (SRP) y tercera de pentavalente en niños de 24-35 meses. Conclusiones. Se mantuvieron las coberturas del Esquema básico y Esquema básico más refuerzos aunque disminuyeron las coberturas con hepatitis B, pentavalente y SRP.

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Strengthening the Supply of Routinely Recommended Vaccines in the United States

Cited by 59 publications

References 5 publications

The intention of Dutch general practitioners to offer vaccination against pneumococcal disease, herpes zoster and pertussis to people aged 60 years and older

The intention of Dutch general practitioners to offer vaccination against pneumococcal disease, herpes zoster and pertussis to people aged 60 years and older

Physicians' awareness and practice toward influenza and pneumococcal vaccines for high-risk patients

Tendencias en las coberturas de vacunación en niños de 12 a 23 y 24 a 35 meses en México

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