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J Gen Intern Med. 2008 Dec;23(12):2010-3. doi: 10.1007/s11606-008-0800-0. Epub 2008 Oct 2.

Pneumococcal vaccination in general internal medicine practice: current practice and future possibilities.

Author information

1
Department of Pediatrics, University of Colorado Denver, Denver, CO, USA. Kempe.allison@tchden.org

Abstract

BACKGROUND:

Pneumococcal vaccine (PPV) is recommended for adults >or=65 years and those with chronic illness, but there are potential advantages of universal vaccination of adults age 50-64 years.

OBJECTIVE:

To assess reported (1) recommendations and administration practices of general internists for PPV, (2) barriers to vaccination, and (3) willingness to expand vaccination to all adults >or=50 years.

METHODS:

National survey of general internists representative of the American College of Physicians.

RESULTS:

Response rate was 74% (N = 326). Although 99% reported giving PPV, less than 20% used a computerized database to identify eligible patients by age or diagnoses and only 6% recalled patients. Major barriers included acute problems taking precedence over preventive care (39%), difficulty determining vaccination history (30%), not thinking of it/not a priority (20%), and inadequate reimbursement for vaccine (19%). If ACIP expanded recommendations, 60% would definitely and 37% would probably institute this change.

CONCLUSIONS:

Most general internists reported giving PPV, but delivery was hindered by competing demands, lack of systems to identify patients needing vaccination, and reimbursement issues. Barriers might be decreased by a policy of universal vaccination of adults >or=50 years, and the majority of physicians reported they would follow such a recommendation if it were made.

PMID:
18830765
PMCID:
PMC2596512
DOI:
10.1007/s11606-008-0800-0
[Indexed for MEDLINE]
Free PMC Article

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