Evidence map›Paper›PMID 26957667›Full record

ArticlePublic health reports (Washington, D.C. : 1974)

Physician Attitudes Toward Adult Vaccines and Other Preventive Practices, United States, 2012.

Laura P Hurley, Carolyn B Bridges, Rafael Harpaz, Mandy A Allison, Sean T O' Leary, Lori A Crane, Michaela Brtnikova, Shannon Stokley, Brenda L Beaty, Andrea Jimenez-Zambrano and 1 more

Abstract read
In one paragraph

Article in Public health reports (Washington, D.C. : 1974). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Understanding Primary Care Physician Vaccination Behaviour: A Systematic Review.International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Laura P HurleyDenver Health, Division of General Internal Medicine, Denver, CO; Adult and Child Center for Outcomes Research and Delivery Sciences, University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Aurora, CO.
Carolyn B BridgesCenters for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases, Atlanta, GA.
Rafael HarpazCenters for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases, Atlanta, GA.
Mandy A AllisonAdult and Child Center for Outcomes Research and Delivery Sciences, University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Aurora, CO; University of Colorado Anschutz Medical Campus, School of Medicine, Department of Pediatrics, Aurora, CO.
Sean T O' LearyAdult and Child Center for Outcomes Research and Delivery Sciences, University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Aurora, CO; University of Colorado Anschutz Medical Campus, School of Medicine, Department of Pediatrics, Aurora, CO.
Lori A CraneAdult and Child Center for Outcomes Research and Delivery Sciences, University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Aurora, CO; Colorado School of Public Health, Department of Community and Behavioral Health, Aurora, CO.
Michaela BrtnikovaAdult and Child Center for Outcomes Research and Delivery Sciences, University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Aurora, CO; University of Colorado Anschutz Medical Campus, School of Medicine, Department of Pediatrics, Aurora, CO.
Shannon StokleyCenters for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases, Atlanta, GA.
Brenda L BeatyAdult and Child Center for Outcomes Research and Delivery Sciences, University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Aurora, CO.
Andrea Jimenez-ZambranoAdult and Child Center for Outcomes Research and Delivery Sciences, University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Aurora, CO.
Allison KempeAdult and Child Center for Outcomes Research and Delivery Sciences, University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Aurora, CO; University of Colorado Anschutz Medical Campus, School of Medicine, Department of Pediatrics, Aurora, CO.

Funding

ROCKY MOUNTAIN PREVENTION RESEARCH CENTERU48DP001938 · DP · UNIVERSITY OF COLORADO DENVER/HSC DENVER · PI MARSHALL, JULIE A · 2009 to 2013
$7.5M
NCCDPHP CDC HHS 5U48DP001938NCCDPHP CDC HHS U48 DP001938
6 · The paper itself

Abstract

objectivesWe described the following among U.S. primary care physicians: (1) perceived importance of vaccines recommended by the Advisory Committee on Immunization Practices relative to U.S. Preventive Services Task Force (USPSTF) preventive services, (2) attitudes toward the U.S. adult immunization schedule, and (3) awareness and use of Medicare preventive service visits.

methodsWe conducted an Internet and mail survey from March to June 2012 among national networks of general internists and family physicians.

resultsWe received responses from 352 of 445 (79%) general internists and 255 of 409 (62%) family physicians. For a 67-year-old hypothetical patient, 540/606 (89%, 95% confidence interval [CI] 87, 92) of physicians ranked seasonal influenza vaccine and 487/607 (80%, 95% CI 77, 83) ranked pneumococcal vaccine as very important, whereas 381/604 (63%, 95% CI 59, 67) ranked Tdap/Td vaccine and 288/607 (47%, 95% CI 43, 51) ranked herpes zoster vaccine as very important (p<0.001). All Grade A USPSTF recommendations were considered more important than Tdap/Td and herpes zoster vaccines. For the hypothetical patient aged 30 years, the number and percentage of physicians who reported that the Tdap/Td vaccine (377/604; 62%, 95% CI 59, 66) is very important was greater than the number and percentage who reported that the seasonal influenza vaccine (263/605; 43%, 95% CI 40, 47) is very important (p<0.001), and all Grade A and Grade B USPSTF recommendations were more often reported as very important than was any vaccine. A total of 172 of 587 physicians (29%) found aspects of the adult immunization schedule confusing. Among physicians aware of "Welcome to Medicare" and annual wellness visits, 492/514 (96%, 95% CI 94, 97) and 329/496 (66%, 95% CI 62, 70), respectively, reported having conducted fewer than 10 such visits in the previous month.

conclusionsDespite lack of prioritization of vaccines by ACIP, physicians are prioritizing some vaccines over others and ranking some vaccines below other preventive services. These attitudes and confusion about the immunization schedule may result in missed opportunities for vaccination. Medicare preventive visits are not being used widely despite offering a venue for delivery of preventive services, including vaccinations.

Indexed as

Attitude of Health PersonnelImmunization ScheduleAdultAgedDiphtheria-Tetanus-acellular Pertussis VaccinesFemaleGuideline AdherenceHealth Care SurveysHerpes Zoster VaccineHumansInfluenza VaccinesInsurance CoverageInsurance, HealthMaleMedicareMiddle AgedDiphtheria-Tetanus-acellular Pertussis VaccinesHerpes Zoster VaccineInfluenza VaccinesPneumococcal VaccinesVaccines

Identifiers

PMID26957667
PMCPMC4765981

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.