Acceptance of Pneumococcal Vaccine Under Standing Orders by Race and Ethnicity

Overview

Journal J Natl Med Assoc

Publisher Elsevier

Specialty General Medicine

Date 2006 Aug 10

PMID 16895277

Citations 13

Authors

Nicholas A Daniels

Susan Gouveia

Daniel Null

Ginny L Gildengorin

Carla A Winston

Affiliations

Soon will be listed here.

Abstract

Purpose: To assess whether and how pneumococcal vaccine acceptance occurs after nurse recommendation varies by race/ethnicity.

Methods: We prospectively evaluated nurses' standing orders to assess and vaccinate high-risk patients in a general medicine practice.

Results: Of 370 adult patients surveyed (60% nonwhite), 78 (21%) declined vaccination following nurse recommendation, and 43 (12%) persisted in declining after physician consultation. Three-hundred-twenty-seven (88%) patients accepted vaccination: 292 (79%) accepted following nurse recommendation and 35 (9%) following physician consultation. African Americans (19%) were significantly more likely to decline compared with whites (8%) and Asians (5%) (P= 0.01). Reasons for refusal included believing vaccination was unnecessary (32%), fearing shots in general (21%), fearing vaccine-induced illness (26%) and wanting more informotion regarding the vaccine (9%).

Conclusion: Standing orders, physicians' firm recommendations and addressing patients' vaccine-related concerns may reduce racial/ethnic disparities in vaccination.

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