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Emergency Departments: An Underutilized Resource for Expanding COVID-19 Vaccine Coverage in Children
COVID-19 vaccine (CV) acceptance rates remain suboptimal in children. Emergency departments (EDs) represent a unique opportunity to improve vaccination rates, particularly in underserved children. Little is known about the presence or reach of CV programs in US EDs. We assessed, via a cross-sectiona...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10536917/ https://www.ncbi.nlm.nih.gov/pubmed/37766122 http://dx.doi.org/10.3390/vaccines11091445 |
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author | Hart, Rebecca Feygin, Yana Kluthe, Theresa Quinn, Katherine Rao, Suchitra Baumer-Mouradian, Shannon H. |
author_facet | Hart, Rebecca Feygin, Yana Kluthe, Theresa Quinn, Katherine Rao, Suchitra Baumer-Mouradian, Shannon H. |
author_sort | Hart, Rebecca |
collection | PubMed |
description | COVID-19 vaccine (CV) acceptance rates remain suboptimal in children. Emergency departments (EDs) represent a unique opportunity to improve vaccination rates, particularly in underserved children. Little is known about the presence or reach of CV programs in US EDs. We assessed, via a cross-sectional survey of pediatric ED physicians, the number of EDs offering CVs to children, the approximate numbers of vaccines administered annually, and the perceived facilitators/barriers to vaccination. The proportion of EDs offering CVs is reported. Chi-square tests compared facilitators and barriers among frequent vaccinators (≥50 CVs/year), infrequent vaccinators (<50 CVs/year), and non-vaccinators. Among 492 physicians from 166 EDs, 142 responded (representing 61 (37.3%) EDs). Most EDs were in large, urban, academic, freestanding children’s hospitals. Only 11 EDs (18.0%) offer ≥1 CV/year, and only two (18.2%) of these gave ≥50 CVs. Common facilitators of vaccination included the electronic health record facilitation of vaccination, a strong provider/staff buy-in, storage/accessibility, and having a leadership team or champion. Barriers included patient/caregiver refusal, forgetting to offer vaccines, and, less commonly, a lack of buy-in/support and the inaccessibility of vaccines. Many (28/47, 59.6%) EDs expressed interest in establishing a CV program. |
format | Online Article Text |
id | pubmed-10536917 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-105369172023-09-29 Emergency Departments: An Underutilized Resource for Expanding COVID-19 Vaccine Coverage in Children Hart, Rebecca Feygin, Yana Kluthe, Theresa Quinn, Katherine Rao, Suchitra Baumer-Mouradian, Shannon H. Vaccines (Basel) Article COVID-19 vaccine (CV) acceptance rates remain suboptimal in children. Emergency departments (EDs) represent a unique opportunity to improve vaccination rates, particularly in underserved children. Little is known about the presence or reach of CV programs in US EDs. We assessed, via a cross-sectional survey of pediatric ED physicians, the number of EDs offering CVs to children, the approximate numbers of vaccines administered annually, and the perceived facilitators/barriers to vaccination. The proportion of EDs offering CVs is reported. Chi-square tests compared facilitators and barriers among frequent vaccinators (≥50 CVs/year), infrequent vaccinators (<50 CVs/year), and non-vaccinators. Among 492 physicians from 166 EDs, 142 responded (representing 61 (37.3%) EDs). Most EDs were in large, urban, academic, freestanding children’s hospitals. Only 11 EDs (18.0%) offer ≥1 CV/year, and only two (18.2%) of these gave ≥50 CVs. Common facilitators of vaccination included the electronic health record facilitation of vaccination, a strong provider/staff buy-in, storage/accessibility, and having a leadership team or champion. Barriers included patient/caregiver refusal, forgetting to offer vaccines, and, less commonly, a lack of buy-in/support and the inaccessibility of vaccines. Many (28/47, 59.6%) EDs expressed interest in establishing a CV program. MDPI 2023-09-01 /pmc/articles/PMC10536917/ /pubmed/37766122 http://dx.doi.org/10.3390/vaccines11091445 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Hart, Rebecca Feygin, Yana Kluthe, Theresa Quinn, Katherine Rao, Suchitra Baumer-Mouradian, Shannon H. Emergency Departments: An Underutilized Resource for Expanding COVID-19 Vaccine Coverage in Children |
title | Emergency Departments: An Underutilized Resource for Expanding COVID-19 Vaccine Coverage in Children |
title_full | Emergency Departments: An Underutilized Resource for Expanding COVID-19 Vaccine Coverage in Children |
title_fullStr | Emergency Departments: An Underutilized Resource for Expanding COVID-19 Vaccine Coverage in Children |
title_full_unstemmed | Emergency Departments: An Underutilized Resource for Expanding COVID-19 Vaccine Coverage in Children |
title_short | Emergency Departments: An Underutilized Resource for Expanding COVID-19 Vaccine Coverage in Children |
title_sort | emergency departments: an underutilized resource for expanding covid-19 vaccine coverage in children |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10536917/ https://www.ncbi.nlm.nih.gov/pubmed/37766122 http://dx.doi.org/10.3390/vaccines11091445 |
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