Additional visit burden for universal influenza vaccination of US school-aged children and adolescents

Cynthia M. Rand, Peter G. Szilagyi, Byung Kwang Yoo, Peggy Auinger, Christina Albertin, Margaret S. Coleman

Research output: Contribution to journalArticle

47 Citations (Scopus)

Abstract

Objective: To estimate the additional primary care visits needed for universal influenza vaccination of all US children and adolescents if all vaccinations occurred in primary care settings. Design: Cross-sectional design. Setting: Well-child care and other visits to primary care practices from the 2003-2004 Medical Expenditure Panel Survey. Participants: Children aged 5 to 18 years (n=3047) with a usual source of care. Main Outcome Measure: Percentage of children needing 0, 1, or 2 additional visits to be immunized against influenza in a 3-, 4-, or 5-month vaccination window. Results: In a 3-month window, if only well-child care visits were used for first immunization, 97% of 5- and 6-year-olds and 98% of 7- and 8-year-olds would need 1 or 2 additional visits for complete vaccination; 95% of 9- to 18-year-olds would need 1 visit. If instead all visits were used for immunization, 90% of 5- and 6-year-olds and 91% of 7- and 8-year-olds would need 1 or 2 visits; 78% of 9- to 18-year-olds would need 1 visit. Expanding the window to 4 or 5 months slightly reduces the need for additional visits. Nationally, using all opportunities for vaccination, 42 million additional visits would be needed in a generous 5-month window. Conclusions: Most children and adolescents would need additional visits for universal influenza vaccination, even if all existing visits were used as vaccination opportunities. Efficient methods for vaccinating large numbers of children and adolescents are needed if primary care practices are to provide influenza vaccine for all children.

Original languageEnglish (US)
Pages (from-to)1048-1055
Number of pages8
JournalArchives of Pediatrics and Adolescent Medicine
Volume162
Issue number11
DOIs
StatePublished - Nov 2008
Externally publishedYes

Fingerprint

Human Influenza
Vaccination
Primary Health Care
Child Care
Immunization
Influenza Vaccines
Health Expenditures
Outcome Assessment (Health Care)

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Additional visit burden for universal influenza vaccination of US school-aged children and adolescents. / Rand, Cynthia M.; Szilagyi, Peter G.; Yoo, Byung Kwang; Auinger, Peggy; Albertin, Christina; Coleman, Margaret S.

In: Archives of Pediatrics and Adolescent Medicine, Vol. 162, No. 11, 11.2008, p. 1048-1055.

Research output: Contribution to journalArticle

Rand, Cynthia M. ; Szilagyi, Peter G. ; Yoo, Byung Kwang ; Auinger, Peggy ; Albertin, Christina ; Coleman, Margaret S. / Additional visit burden for universal influenza vaccination of US school-aged children and adolescents. In: Archives of Pediatrics and Adolescent Medicine. 2008 ; Vol. 162, No. 11. pp. 1048-1055.
@article{8661ec990e3c4998b7039f8f15243fde,
title = "Additional visit burden for universal influenza vaccination of US school-aged children and adolescents",
abstract = "Objective: To estimate the additional primary care visits needed for universal influenza vaccination of all US children and adolescents if all vaccinations occurred in primary care settings. Design: Cross-sectional design. Setting: Well-child care and other visits to primary care practices from the 2003-2004 Medical Expenditure Panel Survey. Participants: Children aged 5 to 18 years (n=3047) with a usual source of care. Main Outcome Measure: Percentage of children needing 0, 1, or 2 additional visits to be immunized against influenza in a 3-, 4-, or 5-month vaccination window. Results: In a 3-month window, if only well-child care visits were used for first immunization, 97{\%} of 5- and 6-year-olds and 98{\%} of 7- and 8-year-olds would need 1 or 2 additional visits for complete vaccination; 95{\%} of 9- to 18-year-olds would need 1 visit. If instead all visits were used for immunization, 90{\%} of 5- and 6-year-olds and 91{\%} of 7- and 8-year-olds would need 1 or 2 visits; 78{\%} of 9- to 18-year-olds would need 1 visit. Expanding the window to 4 or 5 months slightly reduces the need for additional visits. Nationally, using all opportunities for vaccination, 42 million additional visits would be needed in a generous 5-month window. Conclusions: Most children and adolescents would need additional visits for universal influenza vaccination, even if all existing visits were used as vaccination opportunities. Efficient methods for vaccinating large numbers of children and adolescents are needed if primary care practices are to provide influenza vaccine for all children.",
author = "Rand, {Cynthia M.} and Szilagyi, {Peter G.} and Yoo, {Byung Kwang} and Peggy Auinger and Christina Albertin and Coleman, {Margaret S.}",
year = "2008",
month = "11",
doi = "10.1001/archpedi.162.11.1048",
language = "English (US)",
volume = "162",
pages = "1048--1055",
journal = "JAMA Pediatrics",
issn = "2168-6203",
publisher = "American Medical Association",
number = "11",

}

TY - JOUR

T1 - Additional visit burden for universal influenza vaccination of US school-aged children and adolescents

AU - Rand, Cynthia M.

AU - Szilagyi, Peter G.

AU - Yoo, Byung Kwang

AU - Auinger, Peggy

AU - Albertin, Christina

AU - Coleman, Margaret S.

PY - 2008/11

Y1 - 2008/11

N2 - Objective: To estimate the additional primary care visits needed for universal influenza vaccination of all US children and adolescents if all vaccinations occurred in primary care settings. Design: Cross-sectional design. Setting: Well-child care and other visits to primary care practices from the 2003-2004 Medical Expenditure Panel Survey. Participants: Children aged 5 to 18 years (n=3047) with a usual source of care. Main Outcome Measure: Percentage of children needing 0, 1, or 2 additional visits to be immunized against influenza in a 3-, 4-, or 5-month vaccination window. Results: In a 3-month window, if only well-child care visits were used for first immunization, 97% of 5- and 6-year-olds and 98% of 7- and 8-year-olds would need 1 or 2 additional visits for complete vaccination; 95% of 9- to 18-year-olds would need 1 visit. If instead all visits were used for immunization, 90% of 5- and 6-year-olds and 91% of 7- and 8-year-olds would need 1 or 2 visits; 78% of 9- to 18-year-olds would need 1 visit. Expanding the window to 4 or 5 months slightly reduces the need for additional visits. Nationally, using all opportunities for vaccination, 42 million additional visits would be needed in a generous 5-month window. Conclusions: Most children and adolescents would need additional visits for universal influenza vaccination, even if all existing visits were used as vaccination opportunities. Efficient methods for vaccinating large numbers of children and adolescents are needed if primary care practices are to provide influenza vaccine for all children.

AB - Objective: To estimate the additional primary care visits needed for universal influenza vaccination of all US children and adolescents if all vaccinations occurred in primary care settings. Design: Cross-sectional design. Setting: Well-child care and other visits to primary care practices from the 2003-2004 Medical Expenditure Panel Survey. Participants: Children aged 5 to 18 years (n=3047) with a usual source of care. Main Outcome Measure: Percentage of children needing 0, 1, or 2 additional visits to be immunized against influenza in a 3-, 4-, or 5-month vaccination window. Results: In a 3-month window, if only well-child care visits were used for first immunization, 97% of 5- and 6-year-olds and 98% of 7- and 8-year-olds would need 1 or 2 additional visits for complete vaccination; 95% of 9- to 18-year-olds would need 1 visit. If instead all visits were used for immunization, 90% of 5- and 6-year-olds and 91% of 7- and 8-year-olds would need 1 or 2 visits; 78% of 9- to 18-year-olds would need 1 visit. Expanding the window to 4 or 5 months slightly reduces the need for additional visits. Nationally, using all opportunities for vaccination, 42 million additional visits would be needed in a generous 5-month window. Conclusions: Most children and adolescents would need additional visits for universal influenza vaccination, even if all existing visits were used as vaccination opportunities. Efficient methods for vaccinating large numbers of children and adolescents are needed if primary care practices are to provide influenza vaccine for all children.

UR - http://www.scopus.com/inward/record.url?scp=57349115386&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=57349115386&partnerID=8YFLogxK

U2 - 10.1001/archpedi.162.11.1048

DO - 10.1001/archpedi.162.11.1048

M3 - Article

C2 - 18981353

AN - SCOPUS:57349115386

VL - 162

SP - 1048

EP - 1055

JO - JAMA Pediatrics

JF - JAMA Pediatrics

SN - 2168-6203

IS - 11

ER -