title: Influenza vaccination in the 2009-2010 pandemic season: the experience of primary care physicians.
abstract: OBJECTIVE
  Determine among a representative sample of pediatricians (Peds), family medicine (FM), and general internal medicine (GIM) physicians in the 2009-2010 influenza season physicians': 1) practices and experiences with delivery of seasonal and pH1N1 influenza vaccines; and 2) anticipated and experienced barriers.
  
  
  METHODS
  Two US national surveys administered 7/2009-10/2009 (before pH1N1 distribution) and 3/2010-6/2010 (after pH1N1 distribution) to 416 Peds, 424 FM and 432 GIM.
  
  
  RESULTS
  Of respondents who received both surveys, 62% (776/1253) completed both. Overall, 98% reported administering seasonal influenza vaccine and 86% pH1N1, with 70% reporting that working with public health in delivery of pH1N1 was a positive experience. Due to limited supplies of pH1N1, 63% of providers reported prioritizing who received vaccine even within high risk groups. Pre-distribution, 71% perceived that patient/parental safety concerns about pH1N1 would be a barrier, and post-distribution 72% perceived it had been a barrier. Physician concern about safety decreased, with 44% reporting safety a barrier pre-distribution and 12% post-distribution (p<0.001).
  
  
  CONCLUSIONS
  In the setting of a pandemic most primary care physicians collaborated with public health in delivery of pH1N1. Physicians faced challenges with patient/parent safety concerns about pH1N1 and supply issues with pH1N1 that required physicians to prioritize who received vaccine.
authors.affiliation: Department of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA. sean.o'leary@childrenscolorado.org
authors.forename: Sean T
authors.initials: ST
authors.lastname: O'Leary
authors.forename: Shannon
authors.initials: S
authors.lastname: Stokley
authors.forename: Lori A
authors.initials: LA
authors.lastname: Crane
authors.forename: Mandy A
authors.initials: MA
authors.lastname: Allison
authors.forename: Laura P
authors.initials: LP
authors.lastname: Hurley
authors.forename: Pascale
authors.initials: P
authors.lastname: Wortley
authors.forename: Christine I
authors.initials: CI
authors.lastname: Babbel
authors.forename: Brenda L
authors.initials: BL
authors.lastname: Beaty
authors.forename: Claire
authors.initials: C
authors.lastname: Gahm
authors.forename: Allison
authors.initials: A
authors.lastname: Kempe
mesh_terms: D003159:Community-Institutional Relations; D005194:Family Practice; D005260:Female; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007252:Influenza Vaccines / Q000008:administration & dosage* / Q000600:supply & distribution; D007251:Influenza, Human / Q000453:epidemiology / Q000517:prevention & control*; D007388:Internal Medicine; D008297:Male; D058873:Pandemics; D010342:Patient Acceptance of Health Care / Q000523:psychology; D010372:Pediatrics; D010817:Physician-Patient Relations; D010820:Physicians / Q000523:psychology* / Q000706:statistics & numerical data; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data / Q000639:trends; D011320:Primary Health Care / Q000706:statistics & numerical data*; D012621:Seasons; D011795:Surveys and Questionnaires; D014481:United States; D014611:Vaccination / Q000706:statistics & numerical data* / Q000639:trends; D000078329:Workforce
chemical_list: D007252:Influenza Vaccines