Studying Physician Knowledge, Attitudes, and Practices Regarding the Herpes Zoster Vaccine to Address Perceived Barriers to Vaccination

Elkin, Zachary; Cohen, Elisabeth J.; Goldberg, Judith D.; Gillespie, Colleen; Li, Xiaochun; Jung, Jesse J.; Cohen, Michael; Park, Lisa; Perskin, Michael H.

doi:10.1097/ico.0b013e318283453a

Cited by 20 publications

(12 citation statements)

References 28 publications

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“…The vaccine cost is high and is not covered by the National Immunization Program in Korea so far. Most study participants were concerned about the cost and were uncertain about the effectiveness of the HZ vaccine, which is consistent with findings from other studies [ 11 , 12 ]. Our findings were also comparable with previous studies of physician attitudes toward the human papillary virus vaccine, which is a relatively new and expensive vaccine, like the HZ vaccine.…”

Section: Introductionsupporting

confidence: 81%

Physician Attitudes toward the Herpes Zoster Vaccination in South Korea

et al. 2014

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This survey investigated Korean physician attitudes toward the herpes zoster (HZ) vaccine. A total of 400 physicians answered a self-reported questionnaire. Most physicians knew that HZ poses a significant socioeconomic burden and had good knowledge about HZ and its vaccine. Physicians who did not recommend HZ vaccine were concerned about costs (90.7%, 78/86) and doubted the effectiveness of the vaccine (58.1%, 50/86). Patient demand had a profound effect on physicians decisions; 84.9% (73/86) of them who said not recommending HZ vaccine reported that they would provide the vaccine upon patient request. In conclusion, educational initiatives should be targeted toward both physicians and patients.

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Section: Introductionsupporting

confidence: 81%

Physician Attitudes toward the Herpes Zoster Vaccination in South Korea

et al. 2014

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“…Although previous studies have reported on perceptions, practices, and barriers to adult vaccination among primary care physicians [16–22], obstetricians/gynecologists (OB/GYN) [23–28], and pharmacists [29–32], the present study also assessed perceptions, practices, and barriers faced by clinicians and pharmacists, but in the context of implementing the individual components of the Standards.…”

Section: Introductionmentioning

confidence: 99%

U.S. clinicians’ and pharmacists’ reported barriers to implementation of the Standards for Adult Immunization Practice

Srivastav

Black

Lutz

et al. 2018

Vaccine

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“…22 BG and Vol were more likely to report cost as a barrier to vaccination, and BG, without the vaccine on formulary, expressed greater difficulties with ordering and administering the vaccine. As a result, BG physicians were more likely to respond that less than 10% of their patients received the HZ vaccine.…”

Section: Discussionmentioning

confidence: 99%

“…18,19 The previously published baseline survey results show that only 66% of general internal medicine (GIM) physicians responded that HZ vaccination was an important clinical priority, and 48% reported that less than 10% of their patients received the HZ vaccine. 22 The top barrier to vaccination was cost to patients; and lack of awareness of national recommendations varied by provider setting.…”

Section: Introductionmentioning

confidence: 99%

Improving Adherence to National Recommendations for Zoster Vaccination Through Simple Interventions

Elkin

Cohen

Goldberg

et al. 2014

Eye &Amp; Contact Lens: Science &Amp; Clinical Practice

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Background In 2011, 15.8% of eligible patients in the US were vaccinated against herpes zoster (HZ). Purpose To increase usage of the HZ vaccine by studying physicians’ knowledge, attitudes, practices, and perceived obstacles after interventions to overcome barriers. Methods General internal medicine (GIM) physicians were surveyed with a cross-sectional internet survey October to December 2011 before interventions to increase use of the HZ vaccine and 1 year later. Interventions included education, increasing availability at the medical center pharmacy, and electronic medical record reminders. Outcome measures included changes in knowledge, attitudes, and practices, and perceived barriers. McNemar chi square tests were used to compare the changes from the baseline survey for physicians who completed the follow up survey. Results Response rate for the baseline study was 33.5% (89/266) and for the follow-up 29.8% (75/252). 55 completed both surveys. There was a decrease from 57% at baseline to 40% at follow-up in the proportion of physicians who reported less than 10% of their patients were vaccinated. They were more likely to know the HZ annual incidence (30% baseline; 70% follow-up; p=0.02), and report having educational information for physicians (7% baseline; 27% follow-up; p=0.003). The top helpful intervention was nursing administration of the vaccine. Average monthly HZ vaccine usage in the affiliated outpatient pharmacy increased in the 10 months between surveys by 156% compared with the 3 months prior to the baseline survey. Conclusions Interventions implemented during the study led to an increase in physicians’ basic knowledge of the HZ vaccine and an increase in usage at the affiliated pharmacy.

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Studying Physician Knowledge, Attitudes, and Practices Regarding the Herpes Zoster Vaccine to Address Perceived Barriers to Vaccination

Abstract: Not only increased knowledge but also a change in attitudes and practice are needed to enhance implementation of national recommendations. To improve use of this vaccine, physicians including ophthalmologists need to recommend it more strongly.

Cited by 20 publications

References 28 publications

Physician Attitudes toward the Herpes Zoster Vaccination in South Korea

Physician Attitudes toward the Herpes Zoster Vaccination in South Korea

U.S. clinicians’ and pharmacists’ reported barriers to implementation of the Standards for Adult Immunization Practice

Improving Adherence to National Recommendations for Zoster Vaccination Through Simple Interventions

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