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Wilk AS, Drewry KM, Escoffery C, Lea JP, Pastan SO, Patzer RE. Kidney Transplantation Contraindications: Variation in Nephrologist Practice and Training Vintage. Kidney Int Rep 2024; 9:888-897. [PMID: 38765582 PMCID: PMC11101805 DOI: 10.1016/j.ekir.2024.01.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2023] [Revised: 12/08/2023] [Accepted: 01/08/2024] [Indexed: 05/22/2024] Open
Abstract
Introduction Health system leaders aim to increase access to kidney transplantation in part by encouraging nephrologists to refer more patients for transplant evaluation. Little is known about nephrologists' referral decisions and whether nephrologists with older training vintage weigh patient criteria differently (e.g., more restrictively). Methods Using a novel, iteratively validated survey of US-based nephrologists, we examined how nephrologists assess adult patients' suitability for transplant, focusing on established, important criteria: 7 clinical (e.g., overweight) and 7 psychosocial (e.g., insurance). We quantified variation in nephrologist restrictiveness-proportion of criteria interpreted as absolute or partial contraindications versus minor or negligible concerns-and tested associations between restrictiveness and nephrologist age (proxy for training vintage) in logistic regression models, controlling for nephrologist-level and practice-level factors. Results Of 144 nephrologists invited, 42 survey respondents (29% response rate) were 85% male and 54% non-Hispanic White, with mean age 52 years, and 67% spent ≥1 day/wk in outpatient dialysis facilities. Nephrologists interpreted patient criteria inconsistently; consistency was lower for psychosocial criteria (intraclass correlation coefficient: 0.28) than for clinical criteria (intraclass correlation coefficient: 0.43; P < 0.01). With each additional 10 years of age, nephrologists' odds of interpreting criteria restrictively (top tertile) doubled (adjusted odds ratio [aOR] 1.96; 95% confidence interval [CI]: 0.95-4.07), with marginal statistical significance. This relationship was significant when interpreting psychosocial criteria (aOR: 3.18; 95% CI: 1.16-8.71) but not when interpreting clinical criteria (aOR: 1.12; 95% CI: 0.52-2.38). Conclusion Nephrologists interpret evaluation criteria variably when assessing patient suitability for transplant. Guideline-based educational interventions could influence nephrologists' referral decision-making differentially by age.
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Affiliation(s)
- Adam S. Wilk
- Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA
| | - Kelsey M. Drewry
- Department of Surgery, Division of Transplantation, Emory University School of Medicine, Atlanta, Georgia, USA
- Health Services Research Center, Emory University, Atlanta, Georgia, USA
- Regenstrief Institute, Indianapolis, Indiana, USA
- Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA
| | - Cam Escoffery
- Behavioral Social and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA
| | - Janice P. Lea
- Renal Division, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA
| | - Stephen O. Pastan
- Renal Division, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA
- Emory University Transplant Center, Atlanta, Georgia, USA
| | - Rachel E. Patzer
- Department of Surgery, Division of Transplantation, Emory University School of Medicine, Atlanta, Georgia, USA
- Health Services Research Center, Emory University, Atlanta, Georgia, USA
- Regenstrief Institute, Indianapolis, Indiana, USA
- Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA
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2
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Venkatesan S, Kalvapudi S, Muppidi V, Ajith K, Dutt A, Madhugiri VS. A survey of surveys: an evaluation of the quality of published surveys in neurosurgery. Acta Neurochir (Wien) 2024; 166:150. [PMID: 38528271 DOI: 10.1007/s00701-024-06042-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2024] [Accepted: 03/15/2024] [Indexed: 03/27/2024]
Abstract
PURPOSE Surveys generate valuable data in epidemiologic and qualitative clinical research. The quality of a survey depends on its design, the number of responses it receives, and the reporting of the results. In this study, we aimed to assess the quality of surveys in neurosurgery. METHODS Neurosurgical surveys published between 2000 and 2020 (inclusive) were identified from PubMed. Various datapoints regarding the surveys were collated. The number of citations received by the papers was determined from Google Scholar. A 6-dimensional quality assessment tool was applied to the surveys. Parameters from this tool were combined with the number of responses received to create the survey quality score (SQS). RESULTS A total of 618 surveys were included for analysis. The target sample size correlated with the number of responses received. The response rate correlated positively with the target sample size and the number of reminders sent and negatively with the number of questions in the survey. The median number of authors on neurosurgery survey papers was 6. The number of authors correlated with the SQS and the number of citations received by published survey papers. The median normalized SQS for neurosurgical surveys was 65%. The nSQS independently predicted the citations received per year by surveys. CONCLUSIONS The modifiable factors that correlated with improvements in survey design were optimizing the number of questions, maximizing the target sample size, and incorporating reminders in the survey design. Increasing the number of contributing authors led to improvements in survey quality. The SQS was validated and correlated well with the citations received by surveys.
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Affiliation(s)
| | - Sukumar Kalvapudi
- Division of Thoracic Surgery, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA
| | - Varun Muppidi
- Department of Neurosurgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India
| | - Karthik Ajith
- Department of Neurosurgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India
| | - Akshat Dutt
- Department of General Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Venkatesh Shankar Madhugiri
- Gamma Knife Center, Department of Radiation Medicine, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
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3
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Saini J, Ellingson MK, Beigi RH, MacDonald NE, Top KA, Carroll S, Omer SB. Vaccine package inserts and prescribing habits of obstetricians-gynecologists for maternal vaccination. Hum Vaccin Immunother 2021; 17:3761-3770. [PMID: 34236947 DOI: 10.1080/21645515.2021.1942714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
Abstract
Despite ample evidence of the safety and efficacy of the influenza vaccine and the tetanus, diphtheria, and acellular pertussis (Tdap) vaccine during pregnancy, two-thirds of pregnant women do not receive these vaccines. Providers have a significant role in increasing prenatal vaccine uptake. It is important to understand how different sources of vaccine prescribing information, such as Food and Drug Administration package inserts, influence provider recommendations. We aimed to examine the role of vaccine package inserts in provider recommendations and perceptions of safety and effectiveness of vaccines during pregnancy. A cross-sectional survey was mailed to a random, weighted sample of American College of Obstetricians and Gynecologists Fellows living in the United States in March 2019. Providers were asked about their attitudes toward package inserts, and to evaluate sample package insert statements following two different labeling rules. Their evaluations of each rule were then compared. Of the 321 respondents, the majority (90%, 288/321) recommended and/or administered maternal vaccinations. Few respondents (7.8%, 25/321) read package inserts for information regarding vaccination. Respondents were less likely to recommend sample vaccines with Pregnancy and Lactation Labeling Rule-complying inserts (46.1%, 148/321) than vaccines with Pregnancy Category inserts (87.5%, 282/321). Although most providers did not actively utilize vaccine package inserts to inform recommendations, the previous Pregnancy Categories rule was preferred compared to the Pregnancy and Lactation Labeling Rule. Collaborative efforts to update inserts with current clinical practices for pregnancy would be valuable in reducing apprehensiveness around package inserts to generate safer and more cogent recommendations for pregnant women.
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Affiliation(s)
- Jannat Saini
- Department of Pharmaceutical Health Services Research, University of Maryland, Baltimore, MD, USA
| | - Mallory K Ellingson
- Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA
| | - Richard H Beigi
- UPMC Magee-Women's Hospital, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
| | - Noni E MacDonald
- Department of Pediatrics, Dalhousie University, Halifax, Nova Scotia, Canada
| | - Karina A Top
- Department of Pediatrics, Dalhousie University, Halifax, Nova Scotia, Canada
| | - Sarah Carroll
- Immunization, Infectious Disease and Public Health Preparedness, American College of Obstetricians and Gynecologists, Washington, DC, USA
| | - Saad B Omer
- Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA.,Yale Institute for Global Health, New Haven, CT, USA.,Department of Internal Medicine (Infectious Diseases), Yale School of Medicine, New Haven, CT, USA
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4
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Pace LE, Lee YS, Tung N, Hamilton JG, Gabriel C, Raja SC, Jenkins C, Braswell A, Domchek SM, Symecko H, Spielman K, Karlan BY, Lester J, Kamara D, Levin J, Morgan K, Offit K, Garber J, Keating NL. Comparison of up-front cash cards and checks as incentives for participation in a clinician survey: a study within a trial. BMC Med Res Methodol 2020; 20:210. [PMID: 32807084 PMCID: PMC7430023 DOI: 10.1186/s12874-020-01086-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2020] [Accepted: 07/22/2020] [Indexed: 12/28/2022] Open
Abstract
Background Evidence is needed regarding effective incentive strategies to increase clinician survey response rates. Cash cards are increasingly used as survey incentives; they are appealing because of their convenience and because in some cases their value can be reclaimed by investigators if not used. However, their effectiveness in clinician surveys is not known. In this study within the BRCA Founder OutReach (BFOR) study, a clinical trial of population-based BRCA1/2 mutation screening, we compared the use of upfront cash cards requiring email activation versus checks as clinician survey incentives. Methods Participants receiving BRCA1/2 testing in the BFOR study could elect to receive their results from their primary care provider (PCP, named by the patient) or from a geneticist associated with the study. In order to understand PCPs’ knowledge, attitudes, experiences and willingness to disclose results we mailed paper surveys to the first 501 primary care providers (PCPs) in New York, Boston, Los Angeles and Philadelphia who were nominated by study participants to disclose their BRCA1/2 mutation results obtained through the study. We used alternating assignment stratified by city to assign the first 303 clinicians to receive a $50 up-front incentive as a cash card (N = 155) or check (N = 148). The cash card required PCPs to send an activation email in order to be used. We compared response rates by incentive type, adjusting for PCP characteristics and study site. Results In unadjusted analyses, PCPs who received checks were more likely to respond to the survey than those who received cash cards (54.1% versus 41.9%, p = 0.046); this remained true when we adjusted for provider characteristics (OR for checks 1.61, 95% CI 1.01, 2.59). No other clinician characteristics had a statistically significant association with response rates in adjusted analyses. When we included an interaction term for incentive type and city, the favorable impact of checks on response rates was evident only in Los Angeles and Philadelphia. Conclusions An up-front cash card incentive requiring email activation may be less effective in eliciting clinician responses than up-front checks. However, the benefit of checks for clinician response rates may depend on clinicians’ geographic location. Trial registration ClinicalTrials.gov (NCT03351803), November 24, 2017.
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Affiliation(s)
- Lydia E Pace
- Brigham and Women's Hospital, 75 Francis St, Boston, MA, 02115, USA. .,Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA.
| | - Yeonsoo S Lee
- Brigham and Women's Hospital, 75 Francis St, Boston, MA, 02115, USA
| | - Nadine Tung
- Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA, 02215, USA
| | - Jada G Hamilton
- Memorial Sloan Kettering Cancer Center, 1275 York Ave, New York, NY, 10065, USA
| | - Camila Gabriel
- Dana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA, 02215, USA
| | - Sahitya C Raja
- Rush Medical College at Rush University, 600 S Paulina St Suite 202, Chicago, IL, 60612, USA
| | - Colby Jenkins
- Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA, 02215, USA.,Dana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA, 02215, USA
| | - Anthony Braswell
- David Geffen School of Medicine at the University of California, 10833 Le Conte Ave, Los Angeles, CA, 90095, USA
| | - Susan M Domchek
- Basser Center for BRCA, University of Pennsylvania, West Tower, Centre Square, 1500 Market St, Philadelphia, PA, 19102, USA
| | - Heather Symecko
- Basser Center for BRCA, University of Pennsylvania, West Tower, Centre Square, 1500 Market St, Philadelphia, PA, 19102, USA
| | - Kelsey Spielman
- Basser Center for BRCA, University of Pennsylvania, West Tower, Centre Square, 1500 Market St, Philadelphia, PA, 19102, USA
| | - Beth Y Karlan
- David Geffen School of Medicine at the University of California, 10833 Le Conte Ave, Los Angeles, CA, 90095, USA
| | - Jenny Lester
- David Geffen School of Medicine at the University of California, 10833 Le Conte Ave, Los Angeles, CA, 90095, USA
| | - Daniella Kamara
- David Geffen School of Medicine at the University of California, 10833 Le Conte Ave, Los Angeles, CA, 90095, USA
| | - Jeffrey Levin
- Memorial Sloan Kettering Cancer Center, 1275 York Ave, New York, NY, 10065, USA
| | - Kelly Morgan
- Memorial Sloan Kettering Cancer Center, 1275 York Ave, New York, NY, 10065, USA
| | - Kenneth Offit
- Memorial Sloan Kettering Cancer Center, 1275 York Ave, New York, NY, 10065, USA
| | - Judy Garber
- Dana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA, 02215, USA
| | - Nancy L Keating
- Brigham and Women's Hospital, 75 Francis St, Boston, MA, 02115, USA.,Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA
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Clohesy N, Schneiders A. A preliminary investigation examining patient reported outcome measures for low back pain and utilisation amongst chiropractors in Australia: facilitators and barriers to clinical implementation. Chiropr Man Therap 2018; 26:38. [PMID: 30338054 PMCID: PMC6176508 DOI: 10.1186/s12998-018-0208-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2018] [Accepted: 07/26/2018] [Indexed: 11/17/2022] Open
Abstract
Background The current utilisation of patient reported outcome measures (PROMs) for low back pain (LBP) within the Australian Chiropractic profession is unknown. The aims of this study were to determine the current utilisation of LBP PROMs amongst Chiropractors in Australia and to identify the potential barriers and facilitators of using PROMs for LBP in Chiropractic practice. Methods A cross sectional online survey was distributed to Chiropractors in Australia who were members of the Chiropractic Association of Australia (CAA) and Chiropractic Australia (CA) between June-August 2016. Three thousand fourteen CAA members and 930 CA members were invited to participate totaling 3944 potential participants. Results The findings from this survey provides baseline data for the prevalence of LBP PROMs within the Australian Chiropractic profession. A total of 558 participants completed the survey reflecting a response rate of 14.1%. 72.5% of respondents used LBP PROMs in clinical practice. PROMs were categorised into pain, function and health. At initial patient consultations the most commonly used pain PROMs were the pain diagram, Visual Analogue Scale and Numeric Rating Scale. Most commonly used functional LBP PROMs were the Oswestry Disability Index, Functional Rating Index and Roland Morris Questionnaire. The Health Status Questionnaire (HSQ) was the most commonly used health LBP PROM followed by RAND Health Questionnaires. Conclusion Most of the survey respondents use PROMs in clinical practice. The most common barrier chiropractors identified that prevent LBP PROM utilisation was the lack of operational definition surrounding PROMs, as well as how to use them and the perception that they are time consuming. Facilitatory factors to implement PROMs included using simple administration systems, utilising electronic forms and consistent implementation. This research indicates that there is a potential need to further educate the Chiropractic profession regarding PROMs.
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Affiliation(s)
- Natalie Clohesy
- Department of Exercise & Health Sciences. School of Health, Medical and Applied Sciences, Central Queensland University, University Dr, Branyan, QLD 4670 Australia
| | - Anthony Schneiders
- Department of Exercise & Health Sciences. School of Health, Medical and Applied Sciences, Central Queensland University, University Dr, Branyan, QLD 4670 Australia
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Comprehensive Qualitative Assessment of Urethral Stricture Disease: Toward the Development of a Patient Centered Outcome Measure. J Urol 2017; 198:1113-1118. [DOI: 10.1016/j.juro.2017.05.077] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/18/2017] [Indexed: 11/17/2022]
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7
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Seib K, Chamberlain A, Wells K, Curran E, Whitney EA, Orenstein WA, Hinman AR, Omer SB. Challenges and changes: immunization program managers share perspectives in a 2012 national survey about the US immunization system since the H1N1 pandemic response. Hum Vaccin Immunother 2015; 10:2915-21. [PMID: 25483633 DOI: 10.4161/21645515.2014.972798] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
In mid-2012 we conducted survey of immunization program managers (IPMs) for the purpose of describing relationships between immunization programs and emergency preparedness programs, IPM's perceptions of challenges encountered and changes made or planned in programmatic budgeting, vaccine allocation and pandemic plans as a result of the H1N1 vaccination campaign. Over 95% of IPMs responded (61/64) to the survey. IPMs reported that a primary budget-related challenge faced during H1N1 included staff-related restrictions that limited the ability to hire extra help or pay regular staff overtime resulting in overworked regular staff. Other budget-related challenges related to operational budget shortfalls and vaccine procurement delays. IPMs described overcoming these challenges by increasing staff where possible, using executive order or other high-level support by officials to access emergency funds and make policy changes, as well as expedite hiring and spending processes according to their pandemic influenza plan or by direction from leadership. Changes planned for response to future pandemic vaccine allocation strategies were to "tailor the strategy to the event" taking into account disease virulence, vaccine production rates and public demand, having flexible vaccine allocation strategies, clarifying priority groups for vaccine receipt to providers and the public, and having targeted clinics such as through pharmacies or schools. Changes already made to pandemic plans were improving strategies for internal and external communication, improving vaccine allocation efficiency, and planning for specific scenarios. To prepare for future pandemics, programs should ensure well-defined roles, collaborating during non-emergency situations, sustaining continuity in preparedness funding, and improved technologies.
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Key Words
- AIM, Association of Immunization Managers
- CDC, Centers for Disease Control and Prevention
- EP, emergency preparedness programs
- FAQ, frequently asked questions
- ICS, incident command structures
- IIS, immunization information systems
- IP, immunization program
- IPM, immunization program manager
- OB, obstetrician
- PIP, pandemic influenza plan
- POD, point of distribution
- budget
- communication
- emergency preparedness
- immunization programs
- leadership
- pandemic influenza plan
- staff
- vaccine allocation
- vaccine procurement
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Affiliation(s)
- Katherine Seib
- a Hubert Department of Global Health ; Rollins School of Public Health ; Emory University ; Atlanta , GA USA
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8
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Turnbull AE, O'Connor CL, Lau B, Halpern SD, Needham DM. Allowing Physicians to Choose the Value of Compensation for Participation in a Web-Based Survey: Randomized Controlled Trial. J Med Internet Res 2015. [PMID: 26223821 PMCID: PMC4705363 DOI: 10.2196/jmir.3898] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Background Survey response rates among physicians are declining, and determining an appropriate level of compensation to motivate participation poses a major challenge. Objective To estimate the effect of permitting intensive care physicians to select their preferred level of compensation for completing a short Web-based survey on physician (1) response rate, (2) survey completion rate, (3) time to response, and (4) time spent completing the survey. Methods A total of 1850 US intensivists from an existing database were randomized to receive a survey invitation email with or without an Amazon.com incentive available to the first 100 respondents. The incentive could be instantly redeemed for an amount chosen by the respondent, up to a maximum of US $50. Results The overall response rate was 35.90% (630/1755). Among the 35.4% (111/314) of eligible participants choosing the incentive, 80.2% (89/111) selected the maximum value. Among intensivists offered an incentive, the response was 6.0% higher (95% CI 1.5-10.5, P=.01), survey completion was marginally greater (807/859, 94.0% vs 892/991, 90.0%; P=.06), and the median number of days to survey response was shorter (0.8, interquartile range [IQR] 0.2-14.4 vs 6.6, IQR 0.3-22.3; P=.001), with no difference in time spent completing the survey. Conclusions Permitting intensive care physicians to determine compensation level for completing a short Web-based survey modestly increased response rate and substantially decreased response time without decreasing the time spent on survey completion.
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Affiliation(s)
- Alison E Turnbull
- School of Medicine, Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD, United States.
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Silvaggio JL, Van Otterloo J, Curran EA, Whitney EAS, Weiss PS, Seib K, Omer SB. Vaccine providers' perspectives on impact, challenges, and response during the California 2010 pertussis outbreak. Hum Vaccin Immunother 2013; 10:199-207. [PMID: 24045304 DOI: 10.4161/hv.26438] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
INTRODUCTION California has experienced its worst outbreak of pertussis in 50 y. In preparing for such outbreaks of pertussis, vaccine providers in the state play a key role in educating patients about the public health implications of vaccination, explaining the benefits to immunization, and facilitating patients' receipt of recommended immunizations. METHODS We conducted a survey of 800 California vaccine providers to investigate provider level response to recent pertussis outbreaks and regulation by provider type and geography. RESULTS Sixty-nine percent (533/777) of vaccine providers within the state of California responded to the survey. Fifty-three percent (278/527) of vaccine providers indicated that it was part of standard care at their practice or pharmacy location to ask adult patients about pertussis vaccine (Table 1) and this varied across practice types (P<0.0001). Fifty-seven percent of providers (270/476) indicated that the information they received from the state about pertussis during the 2010 California pertussis outbreak was very useful or useful, while 52% of providers indicated this information was neutral, not useful, not at all useful. Vaccine administration, patient groups seen, and challenges varied by provider type however meaningful differences among subpopulations to which the vaccine was administered were found between provider types (P<0.001, Table 2). CONCLUSION The 2010 pertussis outbreak in California challenged vaccine providers in a way that changed the preparation, promotion, and planning for future outbreaks and emergency situations. Adaptability to the new state law and increased awareness of pertussis in the physician community were important in the number of patients receiving the vaccine. Also, forming partnerships with schools and health agencies were important in facilitating and promoting wide spread vaccination.
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Affiliation(s)
- Jessica L Silvaggio
- Department of Epidemiology; Rollins School of Public Health; Emory University; Atlanta, GA USA
| | - Joshua Van Otterloo
- Department of Epidemiology; Rollins School of Public Health; Emory University; Atlanta, GA USA; Emory University Preparedness and Emergency Response Research Center; Atlanta, GA USA
| | - Eileen A Curran
- Department of Epidemiology; Rollins School of Public Health; Emory University; Atlanta, GA USA; Emory University Preparedness and Emergency Response Research Center; Atlanta, GA USA
| | - Ellen A S Whitney
- Emory University Preparedness and Emergency Response Research Center; Atlanta, GA USA
| | - Paul S Weiss
- Department of Biostatistics and Bioinformatics; Rollins School of Public Health; Emory University; Atlanta, GA USA
| | - Katherine Seib
- Emory University Preparedness and Emergency Response Research Center; Atlanta, GA USA; Hubert Department of Global Health; Rollins School of Public Health; Emory University; Atlanta, GA USA
| | - Saad B Omer
- Emory University Preparedness and Emergency Response Research Center; Atlanta, GA USA; Hubert Department of Global Health; Rollins School of Public Health; Emory University; Atlanta, GA USA
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Seib K, Gleason C, Richards JL, Chamberlain A, Andrews T, Watson L, Whitney E, Hinman AR, Omer SB. Partners in immunization: 2010 survey examining differences among H1N1 vaccine providers in Washington state. Public Health Rep 2013; 128:198-211. [PMID: 23633735 DOI: 10.1177/003335491312800310] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVES Emergency response involving mass vaccination requires the involvement of traditional vaccine providers as well as other health-care providers, including pharmacists, obstetricians, and health-care providers at correctional facilities. We explored differences in provider experiences administering pandemic vaccine during a public health emergency. METHODS We conducted a cross-sectional survey of H1N1 vaccine providers in Washington State, examining topics regarding pandemic vaccine administration, participation in preparedness activities, and communication with public health agencies. We also examined differences among provider types in responses received (n=619, 80.9% response rate). RESULTS Compared with other types of vaccine providers (e.g., family practitioners, obstetricians, and specialists), pharmacists reported higher patient volumes as well as higher patient-to-practitioner ratios, indicating a broad capacity for community reach. Pharmacists and correctional health-care providers reported lower staff coverage with seasonal and H1N1 vaccines. Compared with other vaccine providers, pharmacists were also more likely to report relying on public health information from federal sources. They were less likely to report relying on local health departments (LHDs) for pandemic-related information, but indicated a desire to be included in LHD communications and plans. While all provider types indicated a high willingness to respond to a public health emergency, pharmacists were less likely to have participated in training, actual emergency response, or surge capacity initiatives. No obstetricians reported participating in surge capacity initiatives. CONCLUSIONS Results from this survey suggest that efforts to increase communication and interaction between public health agencies and pharmacy, obstetric, and correctional health-care vaccine providers may improve future preparedness and emergency response capability and reach.
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Affiliation(s)
- Katherine Seib
- Emory University, Rollins School of Public Health, Hubert Department of Global Health, Atlanta, GA 30322, USA.
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