Missed opportunities for adult immunization in diverse primary care office settings

Vaccine ◽  
2004 ◽  
Vol 22 (25-26) ◽  
pp. 3457-3463 ◽  
Author(s):  
Mary Patricia Nowalk ◽  
Richard K Zimmerman ◽  
Joyce Feghali
Keyword(s):  
Primary Care ◽  
Missed Opportunities ◽  
Primary Care Office ◽  
Adult Immunization

Lessons Learned From a Pilot Project on Telemedicine Advance Care Planning in an Urban Geriatric Primary Care Office

2021 ◽  
pp. 104990912110369
Author(s):  
Olivia M. Seecof ◽  
Molly Allanoff ◽  
John Liantonio ◽  
Susan Parks
Keyword(s):  
Primary Care ◽  
Pilot Study ◽  
Medical Record ◽  
Advance Care Planning ◽  
Pilot Project ◽  
Lessons Learned ◽  
Care Planning ◽  
Geriatric Population ◽  
Advance Care ◽  
Primary Care Office

Purpose: There is a dearth of literature regarding the documentation of advance care planning (ACP) in the geriatric population, despite the controversial, yet well-studied need for ACP. The purpose of this pilot study was to provide an update to a prior study from our institution that outlined the need for increased documentation of advance care planning (ACP) in an urban geriatric population. Methods: Our study involved using telemedicine to conduct dedicated ACP visits and an electronic medical record (EMR) note-template specifically designed for these visits in an attempt to increase the amount of documented ACP in the EMR in this population. Results: The study did not yield significant results due to the inability to schedule enough patients for these dedicated visits. Discussion: While our study was ultimately unsuccessful, 3 crucial lessons were identified that will inform and fuel future interventions by the authors to further the study of documentation of ACP.

scholarly journals Prevalence of mood and substance use disorders among patients seeking primary care office-based buprenorphine/naloxone treatment

2013 ◽  
Vol 127 (1-3) ◽  
pp. 243-247 ◽  
Author(s):  
Jonathan D. Savant ◽  
Declan T. Barry ◽  
Christopher J. Cutter ◽  
Michelle T. Joy ◽  
An Dinh ◽  
...  
Keyword(s):  
Primary Care ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Primary Care Office ◽  
Naloxone Treatment

scholarly journals Patient Satisfaction with Primary Care Office-Based Buprenorphine/Naloxone Treatment

2007 ◽  
Vol 22 (2) ◽  
pp. 242-245 ◽  
Author(s):  
Declan T. Barry ◽  
Brent A. Moore ◽  
Michael V. Pantalon ◽  
Marek C. Chawarski ◽  
Lynn E. Sullivan ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Satisfaction ◽  
Primary Care Office ◽  
Naloxone Treatment

scholarly journals Identifying Missed Opportunities for the Pneumococcal Conjugate Vaccine (PCV13)

2017 ◽  
Vol 34 (1) ◽  
pp. 24-27 ◽  
Author(s):  
Lauren Jindracek ◽  
Jennifer E. Stark
Keyword(s):  
Primary Care ◽  
Influenza Vaccine ◽  
Conjugate Vaccine ◽  
Health Care Professionals ◽  
Pneumococcal Conjugate Vaccine ◽  
Unexpected Finding ◽  
Primary Care Visit ◽  
Electronic Reminder ◽  
Missed Opportunities ◽  
Care Appointment

Background: The recommendation for the pneumococcal conjugate vaccine (PCV13) in adults 65 years and older is recent, and the dosing schedule of PCV13 and the pneumococcal polysaccharide vaccine (PPSV23) can be complex in this population. Objective: The authors assessed the rate of PCV13 immunization in patients 65 years of age and older and identified barriers that contributed to missed opportunities for PCV13. Methods: This retrospective review evaluated outpatient Veterans age 65 years or older who did not receive PCV13 at a scheduled primary care appointment despite an electronic reminder. Investigators recorded any documented reason for the patient not receiving PCV13. Results: The rate of PCV13 immunizations administered during the primary care visit study period was 37% (89 of 239 PCV13 eligible patients). Of the 150 patients identified who did not receive PCV13, 92% were not offered the vaccine, 6.7% declined vaccination, and 0.7% reported an allergy to vaccination. Electronic immunization records revealed that 48 of the 150 patients who did not receive PCV13 at their clinic appointment did receive PCV13 later the same year. Most patients received PCV13 in influenza vaccine season on the same day as receiving the influenza vaccine. Conclusion: The main barrier identified was not offering the vaccination during primary care visits. Pneumococcal vaccine administration was delayed until the influenza vaccine season in a significant portion of patients. This unexpected finding represents a target for education: ensuring health care professionals are reminded that PCV13 is not a seasonal vaccine like the influenza vaccine, but should be offered throughout the year.

scholarly journals Assessment of the factors influencing primary care physicians’ approach to vaccination of adult risk groups in Istanbul, Turkey

PeerJ ◽  
2019 ◽  
Vol 7 ◽  
pp. e7516
Author(s):  
Fatma Yılmaz Karadağ ◽  
Zuhal Aydan Sağlam
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Medical Training ◽  
Risk Group ◽  
Risk Groups ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Factors Influencing ◽  
Demographical Data ◽  
Adult Immunization

Background We aimed to assess the factors influencing primary care physicians’ (PCPs) approach to adult vaccination in specific risk groups and evaluate the compliance to adult immunization guidelines. Methods This cross-sectional study performed between January 2016 and April 2016 in İstanbul, Turkey. A questionnaire designed to obtain physicians’ demographical data, experience, immunization status, and attitude on prescribing or recommending vaccines for adults in the risk group. Healthy individuals older than 65 and patients suffer from chronic diseases or had splenectomy before are considered as a risk group. The questionnaire was sent via email to a randomly selected group of 1,500 PCPs. The data of 221 physicians who responded emails were recorded for statistical analysis. Results Of the 221 participants (123 women, 98 men), the majority were aged 31–40 years. Their vaccination rates were 74.2% for hepatitis B, 54.3% for seasonal influenza, and 47.1% for tetanus. Among participants, the highest recommendation and prescription rate of adult vaccines was recorded in PCPs aged 31–40 years. In addition, PCPs with <10 years occupational experience were found to prescribe adult vaccines more frequently than PCPs with longer occupational experience. Conclusions Primary care physicians with lower age and relatively less experience are more intent to prescribe adult vaccines to patients that are in risk groups. This result may be due to increased awareness of adult immunization among PCPs who had more recent medical training. However, many other factors could have caused this difference, including physicians’ approach to primary medical care.

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