Vaccine · 2025
In a shifting policy era: California provider knowledge and practice of medical exemption laws during the COVID-19 pandemic.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Schuh Holly B, Delamater Paul, Proveaux Tina M, Dudley Matthew Z, Buttenheim Alison M, Schwartz Jason L, Klein Nicola P, Goddard Kristin, Patel Kavin M, Omer Saad B, Salmon Daniel A
Аннотация
BACKGROUND AND OBJECTIVES: Understanding the role of immunization legislation limiting non-medical vaccination exemptions is vital for sustaining protection against vaccine preventable diseases (VPDs). Our study objective was to explore healthcare provider (HCP) vaccine knowledge, beliefs, and practices related to medical exemption (ME) legislation in California mid-COVID-19 pandemic.
METHODS: We conducted a cross-sectional study by administering a survey among California-based HCPs from 2021 to 2022. Physicians reporting primary areas of practice in pediatrics, family and internal medicine, or other, who were currently licensed by the California Medical Board and provided care to children were considered eligible to participate.
RESULTS: We enrolled 139 California-based HCPs of school-aged children. Most HCPs were aware and supportive of immunization laws. Less than one-quarter (20-24 %) learned about immunization legislation from their local health department. Half had at least one patient's parent who wanted to discuss ME and did not grant it because reasons for the request were philosophical. Fewer than one-third knew that they could bill insurance for these visits. Trust in CDC was associated with beliefs about vaccines, safety, VPDs, and COVID-19 vaccine administration and recommendation practices. Nearly one-fifth recommended against COVID-19 vaccination to children 5-11-years-old or were neutral. Nearly 60 % thought a Continuing Medical Education module on how to discuss vaccination with patients would be useful.
CONCLUSIONS: Future efforts are necessary to improve communication among public health system actors who are involved in immunization legislation and vaccine decision-making, interpersonal engagement and narrative with patients, and the availability of evidence-based resources.
METHODS: We conducted a cross-sectional study by administering a survey among California-based HCPs from 2021 to 2022. Physicians reporting primary areas of practice in pediatrics, family and internal medicine, or other, who were currently licensed by the California Medical Board and provided care to children were considered eligible to participate.
RESULTS: We enrolled 139 California-based HCPs of school-aged children. Most HCPs were aware and supportive of immunization laws. Less than one-quarter (20-24 %) learned about immunization legislation from their local health department. Half had at least one patient's parent who wanted to discuss ME and did not grant it because reasons for the request were philosophical. Fewer than one-third knew that they could bill insurance for these visits. Trust in CDC was associated with beliefs about vaccines, safety, VPDs, and COVID-19 vaccine administration and recommendation practices. Nearly one-fifth recommended against COVID-19 vaccination to children 5-11-years-old or were neutral. Nearly 60 % thought a Continuing Medical Education module on how to discuss vaccination with patients would be useful.
CONCLUSIONS: Future efforts are necessary to improve communication among public health system actors who are involved in immunization legislation and vaccine decision-making, interpersonal engagement and narrative with patients, and the availability of evidence-based resources.