2000
DOI: 10.1016/s0029-7844(00)00860-7
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The obstetrician-gynecologist's role in vaccine-preventable diseases and immunization

Abstract: These data show a discrepancy between perceived responsibilities and actual practice patterns of obstetrician-gynecologists regarding vaccine-preventable diseases and the immunization of women. Limitations in current knowledge and practical concerns specific to vaccine administration contribute to this disparity.

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Cited by 52 publications
(41 citation statements)
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“…Cost or reimbursement concerns, the number one barrier cited in this survey, are not unique to Tdap, and have been reported as a major obstacle to providing vaccines in general in several other surveys of OB/GYNs [10][11][12]16]. Surprisingly, 19% of hospitals felt that a written policy was unnecessary because their current process adequately protected patients.…”
Section: Discussionmentioning
confidence: 84%
See 1 more Smart Citation
“…Cost or reimbursement concerns, the number one barrier cited in this survey, are not unique to Tdap, and have been reported as a major obstacle to providing vaccines in general in several other surveys of OB/GYNs [10][11][12]16]. Surprisingly, 19% of hospitals felt that a written policy was unnecessary because their current process adequately protected patients.…”
Section: Discussionmentioning
confidence: 84%
“…Several crosssectional surveys of OB/GYNs found that while most agreed that routine screening for vaccine-preventable diseases was one of their responsibilities, the minority actually screened their patients and provided access to these vaccines in the office [10][11][12]. Hospitals, too, have well-established interests in providing vaccine-preventable services to their patients and staff.…”
Section: Introductionmentioning
confidence: 99%
“…20 Nevertheless, studies have shown that most obstetrician-gynecologists feel that the provision of vaccines should be within the scope of their responsibilities. 21 As noted previously, human papillomavirus vaccine and vaccines that are currently being developed to prevent other sexually transmitted infections primarily target early and middle adolescents before sexual debut. In contrast, obstetrician-gynecologists see relatively few women before mid-to late adolescence 5 and, thus, have relatively few opportunities to vaccinate women before the initiation of sexual activity.…”
Section: Ob-gyn Practicesmentioning
confidence: 98%
“…20 Although few adolescents under 15 years of age see obstetrician-gynecologists, 5 one third of all medical visits for women aged 17 to 21 years are to obstetrician-gynecologists. 21 Indeed, obstetrician-gynecologists provide more office-based, general medical examinations to women aged Ն15 years than either family practice or internal medicine specialists. 22 Most young women who see obstetrician-gynecologists are or have been sexually active.…”
Section: Ob-gyn Practicesmentioning
confidence: 99%
“…86,94 Additionally, obstetrician gynecologists may not consider themselves vaccinators. 92,93,95 These attitudinal barriers are vitally important, given that compelling provider recommendation has consistently been shown to be critically important to a pregnant woman's decision to accept vaccination. 16,96 Opportunities for Improving Implementation of Recommended Immunizations During Pregnancy…”
Section: Prior Vaccination Behaviormentioning
confidence: 99%