Improving Influenza Vaccination Coverage in the Pediatric Asthma Population: the Case for Combined Methodologies

Overview

Journal Yale J Biol Med

Specialty Biology

Date 2014 Dec 16

PMID 25506278

Authors

Elizabeth V Murphy

Affiliations

Soon will be listed here.

Abstract

The Advisory Committee on Immunization Practices recommends annual influenza vaccine for pediatric asthma patients. Despite considerable risk for influenza complications in pediatric asthma patients, including hospitalization and death, influenza vaccination among children with asthma remains low, especially among low-income pediatric asthma patients. Multiple interventions have been attempted to increase immunization in the pediatric asthma population, including recall and reminders, parent/patient education, and physician education. More recently, information technology methods have been employed, including electronic alerts and computerized physician order entry/clinical decision support interventions. Each of these interventions, as well as a recent legislative intervention, has evidence of effectiveness, but none achieved the Healthy People 2020 vaccination goals of 80 percent for this population. This goal may be achievable with a combination of these methodologies and strategies that increase access to care for underserved patients.

References

Gaglani M, Riggs M, Kamenicky C, Glezen W . A computerized reminder strategy is effective for annual influenza immunization of children with asthma or reactive airway disease. Pediatr Infect Dis J. 2001; 20(12):1155-60. DOI: 10.1097/00006454-200112000-00012. View

Grijalva C, Zhu Y, Simonsen L, Mitchel E, Griffin M . The population impact of a large school-based influenza vaccination campaign. PLoS One. 2011; 5(11):e15097. PMC: 3013075. DOI: 10.1371/journal.pone.0015097. View

Buyuktiryaki B, Soyer O, Erkocoglu M, Dogan A, Azkur D, Kocabas C . What a pandemic teaches us about vaccination attitudes of parents of children with asthma. Vaccine. 2014; 32(20):2275-80. DOI: 10.1016/j.vaccine.2014.02.076. View

Murphy P, Frazee S, Cantlin J, Cohen E, Rosan J, Harshburger D . Pharmacy provision of influenza vaccinations in medically underserved communities. J Am Pharm Assoc (2003). 2012; 52(1):67-70. DOI: 10.1331/JAPhA.2012.10070. View

Fiks A, Hunter K, Russell Localio A, Grundmeier R, Bryant-Stephens T, Luberti A . Impact of electronic health record-based alerts on influenza vaccination for children with asthma. Pediatrics. 2009; 124(1):159-69. DOI: 10.1542/peds.2008-2823. View

SZILAGYI P, Vann J, Bordley C, Chelminski A, Kraus R, Margolis P . Interventions aimed at improving immunization rates. Cochrane Database Syst Rev. 2003; (4):CD003941. DOI: 10.1002/14651858.CD003941. View

Kemper K, Goldberg H . Do computer-generated reminder letters improve the rate of influenza immunization in an urban pediatric clinic?. Am J Dis Child. 1993; 147(7):717-8. DOI: 10.1001/archpedi.1993.02160310019007. View

. Vaccination coverage among persons with asthma -- United States, 2010-2011 influenza season. MMWR Morb Mortal Wkly Rep. 2013; 62(48):973-8. PMC: 4585544. View

GOODMAN D, Stukel T, Chang C . Trends in pediatric asthma hospitalization rates: regional and socioeconomic differences. Pediatrics. 1998; 101(2):208-13. DOI: 10.1542/peds.101.2.208. View

10.

Zimmerman R, Hoberman A, Nowalk M, Lin C, Greenberg D, Weinberg S . Improving influenza vaccination rates of high-risk inner-city children over 2 intervention years. Ann Fam Med. 2006; 4(6):534-40. PMC: 1687170. DOI: 10.1370/afm.612. View

11.

Daley M, Barrow J, Pearson K, Crane L, Gao D, Stevenson J . Identification and recall of children with chronic medical conditions for influenza vaccination. Pediatrics. 2004; 113(1 Pt 1):e26-33. DOI: 10.1542/peds.113.1.e26. View

12.

Dawood F, Kamimoto L, DMello T, Reingold A, Gershman K, Meek J . Children with asthma hospitalized with seasonal or pandemic influenza, 2003-2009. Pediatrics. 2011; 128(1):e27-32. DOI: 10.1542/peds.2010-3343. View

13.

White P, Baum D, Ross H, Falletta L, Reed M . Cocooning: influenza vaccine for parents and caregivers in an urban, pediatric medical home. Clin Pediatr (Phila). 2010; 49(12):1123-8. DOI: 10.1177/0009922810374353. View

14.

Joshi A, Iyer V, Hartz M, Patel A, Li J . Effectiveness of trivalent inactivated influenza vaccine in influenza-related hospitalization in children: a case-control study. Allergy Asthma Proc. 2012; 33(2):e23-7. DOI: 10.2500/aap.2012.33.3513. View

15.

Venkat A, Chan-Tompkins N, Hegde G, Chuirazzi D, Hunter R, Szczesiul J . Feasibility of integrating a clinical decision support tool into an existing computerized physician order entry system to increase seasonal influenza vaccination in the emergency department. Vaccine. 2010; 28(37):6058-64. DOI: 10.1016/j.vaccine.2010.06.090. View

16.

Hadler J, Yousey-Hindes K, Kudish K, Kennedy E, Sacco V, Cartter M . Impact of requiring influenza vaccination for children in licensed child care or preschool programs--Connecticut, 2012-13 influenza season. MMWR Morb Mortal Wkly Rep. 2014; 63(9):181-5. PMC: 4584725. View

17.

Murphy E . Clinical decision support: effectiveness in improving quality processes and clinical outcomes and factors that may influence success. Yale J Biol Med. 2014; 87(2):187-97. PMC: 4031792. View

18.

Clark S, Lamarand K, Dombkowski K . Identifying children with chronic conditions for influenza vaccination using a statewide immunization registry: initial experiences of primary care providers. J Public Health Manag Pract. 2012; 18(3):204-8. DOI: 10.1097/PHH.0b013e3182176eba. View

19.

Pourat N, Lavarreda S, Snyder S . Patient-centered medical homes improve care for adults with chronic conditions. Policy Brief UCLA Cent Health Policy Res. 2013; (PB2013-3):1-8. View

20.

Grohskopf L, Olsen S, Sokolow L, Bresee J, Cox N, Broder K . Prevention and control of seasonal influenza with vaccines: recommendations of the Advisory Committee on Immunization Practices (ACIP) -- United States, 2014-15 influenza season. MMWR Morb Mortal Wkly Rep. 2014; 63(32):691-7. PMC: 4584910. View