Adoption of Rotavirus Vaccination by Pediatricians and Family Medicine Physicians in the United States
Adoption of Rotavirus Vaccination by Pediatricians and Family Medicine Physicians in the United States
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DOI：
10.1542/peds.2008-3832
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发表时间：
2009-11-01
期刊：
影响因子：
8
通讯作者：
Parashar, Umesh D.
中科院分区：
文献类型：
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作者：
Kempe, Allison;Patel, Manish M.;Parashar, Umesh D.
目标：目标是评估儿科医生和家庭医学医生：(1) 在他们的办公室提供疫苗的比率； (2) 了解免疫实践咨询委员会的建议； (3) 使用障碍； (4) 与提供疫苗相关的因素。方法：2007 年 8 月至 10 月对儿科医生和家庭医学医师进行了调查。结果：儿科医生的应答率为 84%，家庭医学医师的应答率为 79%（N = 623）。常规提供疫苗的比例为 85% 的儿科医生和 45% 的家庭医生 (P < .0001)； 70% 的儿科医生和 22% 的家庭医学专家强烈推荐接种疫苗 (P < . 0001)。 62% 的儿科医生和 32% 的家庭医生 (P < .0001) 知道完成所有 3 剂疫苗的年龄。疫苗使用的明确障碍包括据报道保险公司缺乏承保范围（家庭医生：22%；儿科医生：19%；不重要）、购买疫苗的费用（家庭医生：22%；儿科医生：17%；不重要）、缺乏足够的报销（家庭医生：18%；儿科医生：15%；不重要）、对安全性的担忧（家庭医生：25%；儿科医生：9%；P
OBJECTIVES: The goals were to assess, among pediatricians and family medicine physicians, (1) rates of offering the vaccine in their office; (2) knowledge of Advisory Committee on Immunization Practices recommendations; (3) barriers to use; and (4) factors associated with offering the vaccine.METHODS: Surveys of pediatricians and family medicine physicians were conducted in August to October 2007.RESULTS: Response rates were 84% for pediatricians and 79% for family medicine physicians (N = 623). Proportions routinely offering the vaccine were 85% of pediatricians and 45% of family medicine physicians (P < .0001); 70% of pediatricians and 22% of family medicine strongly recommended the vaccine (P < . 0001). Sixty-two percent of pediatricians and 32% of family medicine physicians (P < .0001) knew the age by which all 3 doses should be completed. Definite barriers to vaccine use included reported lack of coverage by insurance companies (family medicine physicians: 22%; pediatricians: 19%; not significant), costs of purchasing vaccine (family medicine physicians: 22%; pediatricians: 17%; not significant), lack of adequate reimbursement (family medicine physicians: 18%; pediatricians: 15%; not significant), concerns about safety (family medicine physicians: 25%; pediatricians: 9%; P