Darden PM, Brooks DA, Bocian AB, Baker AE, O'Connor KG; Association for Health Services Research. Meeting.

Abstr Book Assoc Health Serv Res Meet. 1999; 16: 69.

Pediatric Research in Office Settings (PROS), American Academy of Pediatrics (AAP), Elk Grove Village, IL USA.

BACKGROUND/OBJECTIVES: The January 1997 introduction of the sequential IPV/OPV schedule for polio immunization was controversial. The Advisory Committee on Immunization Practices (ACIP) recommended this schedule as the preferred option while the American Academy of Pediatrics (AAP) recommended this schedule as one of three options. How did pediatrician's self-reported polio vaccine practice change in the face of differing recommendations? STUDY DESIGN: Data are from two surveys of AAP members conducted over an 18 month period. One was a survey of all members of AAP's practice-based research network, Pediatric Research in Office Settings (reponse rate of 80%, N=1,079) conducted in the fall of 1997. The other was a random survey of AAP members, Periodic Survey 39 (response rate of 76%, N=731), conducted in the spring and summer of 1998. PRINCIPAL FINDINGS: In the fall 1997 PROS physicians polio vaccine schedules were; 29% all OPV, 6% all IPV, 60% sequential IPV/OPV and 6% other. Plans to change polio vaccine schedules were reported by 17% (174/1049) of respondents. Those reporting using an IPV containing schedule were less likely to be planning to change schedules than those who were using all OPV or other (28% vs 72%, P<0.001). Among pediatricians who reported plans to change to another polio vaccine schedule, all but one planned to change to a schedule including IPV for infants and none reported plans to change to all OPV. After planned changes, the polio vaccine schedules would be 18% all OPV, 7% all IPV, 72% sequential IPV/OPV, and 3% other. The AAP's Periodic Survey 6 to 9 months later reported the polio vaccine schedules were 16% all OPV, 5% all IPV, 70% sequential IPV/OPV, and 9% other. Provider characteristics associated with the use of an IPV containing schedule included participation in vaccine bulk purchase programs, caring for a smaller proportion of children under 3 years and female gender. Characteristics not associated with these schedules included provider age and urban practice. CONCLUSIONS: Even in the face of controversy over the recommended polio vaccine schedule pediatricians quickly changed from an all OPV schedule to IPV containing schedules.

Publication Types:

• Meeting Abstracts

Keywords:

• Adoption
• Child
• Female
• Humans
• Infant
• Pediatrics
• Physicians
• Poliovirus Vaccine, Inactivated
• Poliovirus Vaccine, Oral
• Poliovirus Vaccines
• Vaccination
• hsrmtgs

Other ID:

• HTX/20602736

UI: 102194425

From Meeting Abstracts