Kansas Provider Report of Adolescent Vaccinations in Their Practice

Authors

  • Serina Padilla, M.D. University of Kansas School of Medicine-Wichita, Department of Pediatrics
  • Gretchen Homan, M.D. University of Kansas School of Medicine-Wichita, Department of Pediatrics
  • Matt Engel, MPH University of Kansas School of Medicine-Wichita, Department of Pediatrics
  • Carolyn R. Ahlers-Schmidt, Ph.D. University of Kansas School of Medicine-Wichita, Department of Pediatrics
  • Kari Harris, M.D. University of Kansas School of Medicine-Wichita, Department of Pediatrics

DOI:

https://doi.org/10.17161/kjm.v10i4.8667

Keywords:

vaccination, immunization, adolescent, survey, vaccination refusal

Abstract

Introduction. Kansas falls consistently below average for adolescent
vaccination of meningococcal (MCV), human papillomavirus
(HPV), and influenza.


Methods. For this study, the members of Kansas Chapter of the
American Academy of Pediatrics were emailed a confidential electronic
survey soliciting their impressions of vaccination in their
practice.


Results. Of 137 providers emailed, 61 (45%) completed the survey.
Thirteen providers were excluded as they did not see/vaccinate adolescents
or did not complete the survey. Tetanus, diphtheria, pertussis
(Tdap), and MCV vaccines were most commonly up to date with
31 (65%) and 20 (42%) respondents reporting greater than 90%
immunization rates, respectively. HPV (n = 42, 89%) and influenza
(n = 40, 83%) vaccines had refusal rates greater than 25% in most
clinics. Most practices (n = 44, 92%) used internal electronic medical
records to track vaccinations, although 29 practices (60%) utilized
the state immunization information system. Providers requested
vaccine-specific patient education tools, positive media coverage,
staffing support, and best-practices workshops to support vaccination
efforts.


Conclusion. Kansas providers may not be optimizing available
resources to enhance these rates, such as Web IZ tracking and immunization
reminders. Patient education supplies, specific to HPV and
Influenza vaccination, potentially could increase vaccination rates.
KS J Med 2017;10(4):84-87.

Downloads

Published

2019-01-15

How to Cite

Padilla, S., Homan, G., Engel, M., Ahlers-Schmidt, C. R., & Harris, K. (2019). Kansas Provider Report of Adolescent Vaccinations in Their Practice. Kansas Journal of Medicine, 10(4), 84–87. https://doi.org/10.17161/kjm.v10i4.8667

Issue

Section

Original Research