Evidence map›Paper›PMID 30395771›Full record

ArticleHuman vaccines & immunotherapeutics2019

Logistical and structural challenges are the major obstacles for family medicine physicians' ability to administer adult vaccines.

Ozlem Equils, Caitlyn Kellogg, Lucy Baden, Wendy Berger, Shannon Connolly

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Human vaccines & immunotherapeutics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 20% of its field
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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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

5 authors at 3 institutions in 1 country.

Ozlem Equilsa Immunization Coalition of Los Angeles County, Department of Public Health , MiOra , Los Angeles, CA , USA.
Caitlyn Kelloggb University of California, San Diego School of Medicine , MiOra , San Diego, CA , USA.ORCID 0000-0002-2452-6264
Lucy Badenb University of California, San Diego School of Medicine , MiOra , San Diego, CA , USA.
Wendy Bergerc Immunization Coalition of Los Angeles County, Department of Public Health , Los Angeles, CA , USA.
Shannon Connollyd Los Angeles Academy of Family Physicians , Los Angeles, CA , USA.
Los Angeles County Department of Public Health · USUniversity of California San Diego · USCalifornia Academy of Family Physicians · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study was conducted to characterize the vaccination practices and challenges of family medicine physicians in Los Angeles County, California.

methodsThe Los Angeles Academy of Family Physicians (LA AFP) sent out electronic surveys to all of their active members (N = 1121) between December 2017 and January 2018, and asked them to answer questions about themselves, their practice, their patient population, and their immunization practices and challenges. We then analyzed the results through basic statistical calculations and Pearson's chi-squared tests.

resultsSeventy-four people (6.6%) responded to the survey, and 75% of responders stated that they administer all Advisory Committee on Immunization Practices (ACIP) recommended vaccines. The lowest vaccine administration rates were for the high-dose influenza vaccine, which 66.2% (n = 49) of respondents reported to administer, followed by the meningococcal B vaccine (68.9%; n = 51). The respondents who belonged to practices with more than 11 providers, were part of a large hospital or healthcare system, had electronic medical records (EMRs), and used the California Immunization Registry (CAIR) were more likely to report to vaccinate. The number one responding physician-reported challenge to vaccination was limited time and resources to address patient resistance followed by vaccine cost and lack of infrastructure to store vaccines.

conclusionsIn this pilot study, structural and logistical challenges appeared to make the biggest impact on adult vaccination for the responding family medicine physicians. Solutions addressing these challenges will help improve the adult immunization rates.

Indexed as

Family PracticeVaccination CoverageAdultFemaleHumansImmunization ProgramsLos AngelesMalePhysicians, FamilyPilot ProjectsSurveys and QuestionnairesVaccinationVaccinesVaccinesCAIRchronic diseaseconfidenceEMRfamily medicineFQHChealthcare logisticshealthcare managementimmunizationimmunization registryinsuranceLos Angelespreventionqualityrefusalreimbursementresistancestructuretime spentVaccine

Identifiers

PMID30395771
PMCPMC6605729
OpenAlexW2900191701

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.