271462 How often do outpatient obstetric practices carry seasonal influenza vaccine for administration to pregnant women

Tuesday, October 30, 2012 : 1:20 PM - 1:35 PM

Maria Carney, MD , Nassau Center for Health Initiatives, Garden City, NY
Cathy Besthoff, RN, MHA , Krasnoff Quality Management Institute, North Shore-LIJ Health System, New Hyde Park, NY
Yosef Dlugacz, PhD , Krasnoff Quality Management Institute, North Shore-LIJ Health System, New Hyde Park, NY
Adiel Fleischer, MD , Department of Obstetrics and Gynecolgy, Krasnoff Quality Management Institute, New Hyde Park, NY
Nancy Copperman, MS, RD, CDN , Director of Public Health Initiatives, Office of Community Health, North Shore Long Island Jewish Health System, Great Neck, NY
Allison Kleiner, BS , Krasnoff Quality Management Institute, North Shore-LIJ Health System, New Hyde Park, NY
Yvette Penner, BS , Krasnoff Quality Management Institute, North Shore-LIJ Health System, New Hyde Park, NY
Imran Ahmed, MBBS, MPH , Krasnoff Quality Management Institute, North Shore-LIJ Health System, New Hyde Park, NY
Ann Eichorn, MS , Krasnoff Quality Management Institute, North Shore-LIJ Health System, New Hyde Park, NY
Marcella De Geronimo, MA , Krasnoff Quality Management Institute, North Shore-LIJ Health System, New Hyde Park, NY
Carolyn Sweetapple, RN, MBA , Krasnoff Quality Management Institute, North Shore-LIJ Health System, New Hyde Park, NY
Robert Silverman, MD, MS , Krasnoff Quality Management Institute; Department of Emergency Medicine;, North Shore-LIJ Health System, New Hyde Park, NY
Pregnant women are at higher morbidity risk from seasonal influenza. Seasonal influenza vaccination administered during pregnancy is safe for the mother and fetus, and maternal vaccine-related immunity is conferred to the new born for the first few months of life. However seasonal influenza vaccination rates among pregnant women are relatively low. While previous study indicates provider recommendation as the strongest factor associated with vaccination, and most women trust their provider for medical recommendations, less data is available indicating whether office practices carry vaccine. Our goals are to determine how often obstetric offices carry seasonal influenza vaccine, and to determine provider attitudes and knowledge regarding vaccine administration. We surveyed 103 obstetricians at 67 different office-based practices in the downstate New York region. While 99% of providers indicated pregnant women should be vaccinated, 51% of their practices didn't carry vaccine. One quarter of providers felt it the responsibility of another provider or entity to administer vaccine. Most providers indicated the vaccine was safe (86%) and effective (88%). A total of 44% of providers identified inadequate financial reimbursement as an obstacle to carrying vaccine, as was patient safety concerns (43%) and perceived liability issues (23%). We conclude that more provider offices need to administer vaccine, especially since pregnant women rely on their obstetricians for medical guidance and care. Providers need to be assured of protection from liability, and better efforts are needed to promote the excellent vaccine safety record

Learning Areas:
Clinical medicine applied in public health
Protection of the public in relation to communicable diseases including prevention or control
Public health or related public policy

Learning Objectives:
Identify how often outpatient obstetric offices carry seasonal influenza vaccine for administration to their pregnant patients Describe attitudes and understanding among obstetricians of the importance for administering seasonal influenza vaccine to pregnant women

Keywords: Immunizations, Maternal Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Dr. Maria Torroella Carney, former Commissioner of Health for Nassau County, New York is the Director of Community based Geriatrics for the North Shore-LIJ Health System and Assistant Professor for Hofstra School of Medicine. She received her MD at New York Medical College, completed her residency in Internal Medicine at New York Presbyterian Hospital - Weill/Cornell Medical Center and fellowship in Geriatric Medicine at The Mount Sinai School of Medicine in New York City.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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