![]() Also, there are still parents and medical staff who are uncomfortable with the number of recommended immunizations during well-child visits in the first year of life. 7 Currently the CDC lists certain DTaP and Tdap vaccines as being in short supply but the shortages are not great enough to warrant any changes in routine vaccination schedules (source: Health care provider barriers to immunization include lack of knowledge about indications for and contraindications to immunizations, poorly trained medical staff, and absence of a reminder system for missed vaccinations. Occasionally these shortages were significant and changes had to be made in vaccination schedule, such as delaying the fourth dose in a series. Vaccines have been in short supply at times due to inadequate manufacturing capacity. The most significant systems barrier to immunization was supply and distribution. 6 grouped barriers to immunization as systems barriers (eg., inadequate organization of the health care system), health care provider barriers (eg., clinicians not adequately educated about vaccines), and parent and patient barriers (eg., fear of immunization-related adverse events). 5 concluded that immunization rates could be improved by making their office-practice procedures more efficient.Ī Study by Kimmel et al. However, these barriers were identified by <5% of parents and were not thought to account for a significant number of underimmunized children. Other identified barriers - including confusing vaccine schedules, the inconvenience of the vaccination process, having a child frequently too ill to vaccinate, and religious objections - were statistically associated with underimmunization. The most commonly cited barrier was concern about vaccine side effects but this barrier was not associated with immunization status. ![]() Also, there was no difference in vaccination coverage comparing groups with parental attitudes for or against their child receiving needed immunizations during an illness visit. ![]() However, there was no difference in the preferred maximum number of vaccines per visit comparing between parents of children who were fully immunized at eight months of age and parents of underimmunized children (median response for both groups was two injections, p=.62). Two-thirds of parents who responded indicated that their children should receive no more than two immunizations at one visit. Actual immunization data were collected on over 13,000 children. Parents were also asked whether or not their children should receive needed immunization during office visits for mild illness. Parents of children 8 to 35 months old were asked to identify the most difficult issue about obtaining immunizations, as well as their preferences for the maximum number of vaccine injections their child should receive at one office visit. The authors surveyed parents from 177 pediatric practices. Their study was done to assess the association between parents’ perception of barriers to vaccination and their preferences regarding specific strategies designed to reduce missed vaccination opportunities and improve the immunization status of their children. ![]() 5 showed that there was a shift to vaccines being given in the primary care setting with about 58% administered in private practices. Over the next decade a survey by Taylor et al. Many of the barriers to immunization found in the measles epidemics greatly reduced vaccinations provided by public health departments, where approximately 50% of all vaccines in the United States were administered. Specific recommendations were made to administer all vaccines the child was eligible for at each visit and to use all clinical encounters, including visits for mild illness, to provide needed immunization 4. As a result, the Standards for Pediatric Immunization Practices were published 3. Obstacles for parents getting their children fully immunized were identified and included inconvenient and limited clinic hours for immunization, inadequate access to health care, and vaccine administration fees. These barriers were missed opportunities to vaccinate and impediments to immunization in the delivery system. Barriers to Childhood Vaccines and Possible Solutionsįollowing the measles epidemics of 19, with 18,000 cases and 25,000 cases, respectively, the National Vaccine Advisory Committee concluded that there were significant barriers to young children being fully immunized 2.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |