0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
The Pediatric Forum |

Immunization Survey in Iowa

Sergio G. Golombek, MD; Gail L. Gilmore, DO; Norman F. Paradise, PhD
Arch Pediatr Adolesc Med. 1998;152(2):208-209. doi:.
Text Size: A A A
Published online

Extract

We are writing in regard to the article by Zimmerman et al, "A National Survey to Understand Why Physicians Defer Childhood Immunizations."1 In a similar survey performed at Raymond Blank Memorial Hospital for Children in Des Moines, Iowa, we found somewhat similar results.

The purpose of our study was to determine the closeness with which recommended immunization guidelines2 were followed by Iowa physicians. A questionnaire, "Childhood Immunization Practices Survey," was sent to all general practitioners, family practice specialists, and pediatricians licensed in the state of Iowa. Physician respondents were characterized by specialty, years of practice, population of community where practice was located, and number of physicians in the practice group. The relationship of 3 of these variables (specialty, years of practice, and community size) to immunization practices was then investigated. Each community size (<5000, 5000-14999, 15000-49999, and ≥50000) was uniformly represented in this survey. A smaller proportion of the general practitioners (55.5%) had been in practice for fewer than 20 years compared with physicians who specialized in family practice (77%) or pediatrics (88.9%) (P<.11). On average, the physicians who responded to the survey had been in practice for 16 years. Physicians who had been in practice the longest were located in smaller communities. Nearly 50% of the physicians indicated that they were in a group practice of more than 3 physicians, with the remaining respondents evenly divided between solo practice (25%) and a group of 2 or 3 physicians (26%). The explanation of immunizations to the patient or parents or guardians was given most frequently by the physician (71%), followed by a registered nurse (59%), nurse assistant (27%), physician assistant (12%), and medical student (2.3%). Three fourths of the respondents indicated that more than 75% of the 2-year-olds in their practices were up to date with their immunizations. Twenty-five percent of the physicians indicated that they administered vaccines to children with a minor illness accompanied by fever, while 88% immunized mildly ill children who did not have fever. These practices were unrelated to specialization or years of practice.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
Jobs
brightcove.createExperiences();