Provider Attitudes Regarding Vaccine Tracking Systems in Pediatric Practices.
Provider Attitudes Regarding Vaccine Tracking Systems in Pediatric Practices.
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DOI：
10.1016/j.acap.2015.04.038
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发表时间：
2016-01
影响因子：
3.1
通讯作者：
Kempe A
中科院分区：
文献类型：
--
作者：
O'Leary ST;Hurley LP;Kennedy ED;Crane LA;Brtnikova M;Allison MA;Williams W;Beaty BL;Jimenez-Zambrano A;Kempe A
评估美国儿科医生对疫苗管理和库存的跟踪系统以及对这些系统的态度;以及对采用二维条形码系统的态度和感知障碍。2011年9月至2012年1月期间，对全国代表性儿科医生网络进行了互联网和邮件调查。回应率为71%（408人中的288人）。记录疫苗信息的最常见方法是手动输入电子记录（52%）或纸质记录（27%）; 76%在≥2处记录信息。医生报告说，根据需求的季节性增长（55%）、纸质库存（52%）或库存看起来很低（47%）订购疫苗; 79%的医生报告说跟踪库存很耗时，24%的医生报告说他们的做法经常用完疫苗。在参与免疫信息系统的人中，29%通过自动上传传输数据，58%手动输入数据。医生们一致认为，条形码可以促进疫苗库存的跟踪（96%），将提高患者的安全性（96%），将比目前的系统更可靠和准确（93%），并可以提高疫苗管理的效率（90%）。采用条形码系统的障碍包括软件需求（52%）、信息技术支持（42%）和计算机设备（33%）。>50%的受访者表示他们肯定或可能会采用条形码系统，总成本在1000美元至4999美元之间。大多数儿科医生报告使用低效的系统来跟踪疫苗管理和库存，并认识到将疫苗条形码纳入他们的实践中的多种潜在好处。为了促进采用，需要控制成本并解决技术障碍。
To assess among US pediatricians’ systems for tracking vaccine administration and inventory and attitudes about these systems; and attitudes regarding and perceived barriers to adoption of a 2-dimensional bar code systems. Internet and mail survey of a nationally representative network of pediatricians between September 2011 and January 2012. The response rate was 71% (288 of 408). The most common methods for recording vaccine information were manual entry into an electronic (52%) or paper (27%) record; 76% recorded information in ≥2 places. Physicians reported ordering vaccine on the basis of seasonal increases in demand (55%), paper-based inventory (52%), or when stock looks low (47%); 79% reported it was time consuming to track inventory and 24% reported their practices frequently run out of vaccines. Among those participating in an immunization information system, 29% transmitted data by automatic uploads and 58% entered data manually. Physicians agreed that bar codes could facilitate tracking of vaccine inventory (96%), would improve patient safety (96%), would be more reliable and accurate than current systems (93%), and could improve the efficiency of vaccine administration (90%). Barriers to adoption of a bar code system included need for software (52%), information technology support (42%), and computer equipment (33%). The total cost at which >50% reported they would definitely or probably adopt a bar code system was between $1000 and $4999. Most pediatricians report using inefficient systems for tracking vaccine administration and inventory and recognize multiple potential benefits of incorporating vaccine bar coding into their practice. To facilitate adoption, costs will need to be contained and technological barriers addressed.
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DOI：
10.1097/phh.0000000000000040
发表时间：
2015-05
期刊：
Journal of public health management and practice : JPHMP
影响因子：
--
作者：
Martin DW;Lowery NE;Brand B;Gold R;Horlick G
通讯作者：
Horlick G
影响因子：
8
作者：
McMahon, SR;Iwamoto, M;Pickering, LK
通讯作者：
Pickering, LK
影响因子：
2.9
作者：
Crane, Lori A.;Daley, Matthew F.;Stokley, Shannon
通讯作者：
Stokley, Shannon
影响因子：
5.5
作者：
Setia, S;Mainzer, H;Weniger, BG
通讯作者：
Weniger, BG
影响因子：
9.7
作者：
Kellermann, Arthur L.;Jones, Spencer S.
通讯作者：
Jones, Spencer S.