Advertisement

Influenza Vaccine Delivery Delays from the Perspective of Primary Care Physicians

      Background

      The effects of delayed influenza vaccine delivery on primary practices are currently unknown.

      Purpose

      To describe, among primary care physicians nationally regarding the 2006–2007 influenza season: (1) how physicians defined influenza vaccine delay; (2) the extent of reported vaccine delays; and (3) the perceived effects of vaccine delays.

      Methods

      Between March and June 2007, a total of 1268 primary care physicians nationally were surveyed.

      Results

      Survey response was 74% (n=940). The majority of physicians (79%) defined “influenza vaccine delay” as not receiving vaccine by November 1. Fifty-three percent reported a vaccine delay. Providers reported the following as effects of delays: reduced satisfaction of patients or parents in the practice (72%); decreased percentage in their practice who received the vaccination (65%); disruption of scheduling influenza clinics (55%); increased referral of patients elsewhere for vaccination (55%); and negative financial impact caused by unused vaccine (46%). Those who reported experiencing delays more often reported not meeting demand for vaccine (adjusted risk ratio [ARR]=1.83, 95% CI=1.64, 2.07); that grocery stores, retail outlets, or pharmacies had vaccine before their practices did (ARR=1.82, 95% CI=1.53, 2.26); not receiving all vaccine that was ordered (ARR=1.19, 95% CI=1.06, 1.36); and having leftover vaccine (ARR=1.17, 95% CI=1.04, 1.32).

      Conclusions

      During the 2006–2007 influenza season, a non-shortage season, the majority of respondents reported experiencing an influenza vaccine delivery delay. Experiencing a delay was thought to decrease vaccination use, increase referrals elsewhere, and have a negative financial impact on practices. Delayed delivery of influenza vaccine is disruptive for primary care practices, and it consequently may affect vaccination coverage.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to American Journal of Preventive Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Fiore A.E.
        • Uyeki T.M.
        • Broder K.
        • et al.
        Prevention and control of influenza with vaccines: recommendations of the Advisory Committee on Immunization Practices (ACIP), 2010.
        MMWR Recomm Rep. 2010; 59: 1-62
        • Rodewald L.E.
        • Orenstein W.A.
        • Mason D.D.
        • Cochi S.L.
        Vaccine supply problems: a perspective of the Centers for Disease Control and Prevention.
        Clin Infect Dis. 2006; 42: S104-S110
        • Kempe A.
        • Daley M.F.
        • Stokley S.
        • et al.
        Impact of a severe influenza vaccine shortage on primary care practice.
        Am J Prev Med. 2007; 33: 486-491
        • McQuillan L.
        • Daley M.F.
        • Stokley S.
        • et al.
        Impact of the 2004–2005 influenza vaccine shortage on pediatric practice: a national survey.
        Pediatrics. 2009; 123: e186-e192
        • Schade C.P.
        • Hannah K.L.
        Impact of the 2004 influenza vaccine shortage on repeat immunization rates.
        Ann Fam Med. 2006; 4: 541-547
        • Fiore A.E.
        • Shay D.K.
        • Haber P.
        • et al.
        Prevention and control of influenza.
        MMWR Recomm Rep. 2007; 56: 1-54
        • Health Industry Distributors Association
        2007–2008 Influenza Vaccine Production and Distribution: Market Brief.
        • CDC
        State-specific influenza vaccination coverage among adults—U.S., 2006–07 influenza season.
        MMWR Morb Mortal Wkly Rep. 2008; 57: 1033-1039
        • Crane L.A.
        • Daley M.F.
        • Barrow J.
        • et al.
        Sentinel physician networks as a technique for rapid immunization policy surveys.
        Eval Health Prof. 2008; 31: 43-64
        • Dillman D.A.
        Mail and Internet surveys: the tailored design method.
        John Wiley, New York NY2000
        • Santibanez T.A.
        • Nowalk M.P.
        • Zimmerman R.K.
        • Bruehlman R.D.
        Effects of the year 2000 influenza vaccine delay on elderly patients' attitudes and behaviors.
        Prev Med. 2003; 37: 417-423
        • Pyrzanowski J.L.
        • Daley M.F.
        • Crane L.A.
        • Barrow J.
        • Babbel C.
        • Kempe A.
        A qualitative study of physicians' experiences ordering and receiving influenza vaccine during the 2005–2006 influenza season.
        Prev Med. 2008; 47: 225-228
        • Bardenheier B.H.
        • Strikas R.
        • Kempe A.
        • Stokley S.
        • Ellis J.
        Influenza vaccine supply, 2005–2006: did we come up short?.
        BMC Health Serv Res. 2007; 7: 66
        • Kempe A.
        • Daley M.F.
        • Barrow J.
        • et al.
        Implementation of universal influenza immunization recommendations for healthy young children: results of a randomized, controlled trial with registry-based recall.
        Pediatrics. 2005; 115: 146-154