Vaccines Provided by Family Physicians
Vaccines Provided by Family Physicians
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DOI：
10.1370/afm.1185
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发表时间：
2010-11-01
影响因子：
4.4
通讯作者：
Young, Herbert F.
中科院分区：
文献类型：
--
作者：
Campos-Outcalt, Doug;Jeffcott-Pera, Michelle;Young, Herbert F.
目的这项研究的目的是记录家庭医生当前的免疫实践方法2008年，美国家庭医生学会（AAFP）对其随机抽样的2，000名成员进行了一项调查，这些成员报告称他们花费了80%或更多的时间直接护理患者。调查包括有关实践人口统计学的问题，在医生的临床站点提供的疫苗，实践是否将患者转诊到其他地方接种疫苗，以及参与儿童疫苗（VFC）计划。结果应答率为38 5%，删除非办公室受访者后，31 8%（80%或更多）报告提供了最常规的建议儿童，青少年和成人疫苗在他们的实践地点例外的是轮状病毒疫苗的儿童和带状疱疹疫苗的成人，然而，报告提到其他一些疫苗（儿童和青少年疫苗占44.1%，成人疫苗占53.5%）最常见的转诊地点是公共卫生部门。据报告，转诊患者的单独和2名医生的比例高于大型诊所。缺乏足够的报酬被列为原因对于转介病人到其他地方接种疫苗，转介病人中有一半的人有一半的应答者不参加VFC计划结论大多数家庭医生提供推荐的疫苗仍然是一项重要的服务较小的实践更难以提供全系列的疫苗产品，缺乏足够的支付有助于将患者转诊到医疗之家之外。缺乏参与VFC计划的原因值得进一步研究
PURPOSE This study was conducted to document current immunization practices by family physiciansMETHODS In 2008 the American Academy of Family Physicians (AAFP) conducted a survey among a random sample of 2,000 of its members who reported spending 80% or more of their time in direct patient care The survey consisted of questions regarding the demographics of the practice, vaccines that are provided at the physicians' clinical site, whether the practice refers patients elsewhere for vaccines, and participation in the Vaccines for Children (VFC) programRESULTS The response rate was 38 5%, 31 8% after non office based respondents were deleted A high proportion of respondents (80% or more) reported providing most routinely recommended child, adolescent and adult vaccines at their practice sites The exceptions were rotavirus vaccine for children and herpes zoster vaccine for adults, A significant proportion, however, reported referring elsewhere for some vaccines (44 1% for children and adolescent vaccines and 53 5% for adult vaccines) with the most frequent referral location being a public health department A higher proportion of solo and 2 physician practices than larger practices reported referring patients A lack of adequate payment was listed as the reason for referring patients elsewhere for vaccines by one half of those who refer patients One half of responders do not participate in the VFC programCONCLUSIONS Provision of recommended vaccines by most family physicians remains an important service Smaller practices have more difficulty offering a full array of vaccine products, and lack of adequate payment contributes to refer ring patients outside the medical home The reasons behind the lack of participation in the VFC program deserve further study