title: Physician attitudes regarding school-located vaccination clinics.
abstract: BACKGROUND
  School-located vaccination clinics offer an opportunity to target children for vaccination programs during communicable disease outbreaks. However, children in the United States are primarily vaccinated in the pediatrician's or family physician's office, and the concept of school-located vaccinations may be unfamiliar to some parents and guardians. Physician support could contribute to effective implementation of school-located vaccination clinics during outbreak situations. The primary objective of the study was to assess physician opinion of using school-located vaccination clinics to administer both outbreak-specific and routine vaccines.
  
  
  METHODS
  A statewide mail and Internet survey was administered to 275 pediatricians and 275 family physicians in Oregon during July and August 2010.
  
  
  RESULTS
  Ninety-one percent of physicians supported the use of school-located vaccination clinics as immunization delivery sites during outbreak situations. Sixty percent of physicians supported using school-located vaccination clinics to administer routine vaccinations. Only 57% of physicians had knowledge of school-located vaccination clinic availability to their patients.
  
  
  CONCLUSIONS
  Pediatricians and family physicians expressed strong support of school vaccination clinics as sites for immunization delivery during outbreak situations but significantly less support for administering routine vaccinations. Increasing physician awareness of school-located vaccination clinic availability and establishing partnerships between physician practices and school vaccination clinics may improve access to immunizations for school-aged children and adolescents, particularly during large-scale communicable disease outbreaks.
authors.affiliation: Acute and Communicable Disease Prevention, Oregon Health Authority, 800 NE. Oregon St., Ste. 772, Portland, OR 97232, USA. steven.c.fiala@state.or.us
authors.forename: Steven C
authors.initials: SC
authors.lastname: Fiala
authors.forename: Paul R
authors.initials: PR
authors.lastname: Cieslak
authors.forename: Emilio E
authors.initials: EE
authors.lastname: DeBess
authors.forename: Collette M
authors.initials: CM
authors.lastname: Young
authors.forename: Kevin L
authors.initials: KL
authors.lastname: Winthrop
authors.forename: Ellen B
authors.initials: EB
authors.lastname: Stevenson
mesh_terms: D000553:Ambulatory Care; D001291:Attitude of Health Personnel; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D032541:Mass Vaccination; D009922:Oregon; D010372:Pediatrics; D010821:Physicians, Family / Q000523:psychology; D012574:Schools