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Factors associated with medical provider reporting of pediatric vaccination history to immunization information systems: Results from the national immunization survey, 2006-2010
Objective: To assess child and provider factors associated with provider reporting to an IIS.
Methods: We analyzed data from 82,314 children aged 19-35 months from 2006-2010 in the National Immunization Survey (NIS), an annual random-digit dial survey of households collecting vaccination status from providers. We conducted bivariate analyses to examine factors associated with provider reporting to IIS, including whether at least one of the child's providers reported ordering vaccine from a health department, facility types where child received care, child's receipt of Women, Infants, and Children (WIC) benefits, and child's poverty status. We used SAS/SUDAAN to account for the complex survey design of the NIS in calculating standard errors.
Results: During 2006-2010, 45,343 (54%) children had at least one provider report vaccination data to an IIS and 13,786 (17%) had providers who obtained all or part of their patients' vaccination histories from an IIS. Children were more likely to have their vaccination data reported to an IIS if they received care from all public vs. all private providers (79% vs. 51%, p<0.01), lived below the poverty level (64% vs. 42%, p<0.01), currently received WIC benefits (63% vs. 44%, p<0.01), had at least one provider who ordered vaccines from a state or local health department (66% vs. 28%, p<0.001), and had at least one provider who obtained vaccination histories from an IIS (89% vs. 50%, p<0.01).
Conclusions: Health department staff should work with providers who are less likely to report vaccination information to IIS to ensure their practices can access IIS services and provide appropriate vaccination administration.
Epidemiology
Protection of the public in relation to communicable diseases including prevention or control
Public health or related research
Learning Objectives:
Describe importance of immunization information systems (IIS) in providing vaccination information to medical providers.
List five factors associated with medical provider reporting to IIS.
Describe ways health department staff can increase provider reporting to IIS.
Keywords: Immunizations, Registry
Qualified on the content I am responsible for because: I am the principal or co-principal investigator for studies whose purpose is to evaluate or improve data quality in immunization information systems (IIS) in all 50 U.S. States, five cities and the District of Columbia. As a pediatrician and medical epidemiologist, I have a special interest in increasing vaccination coverage in the United States among underserved populations and improving data quality of IIS. Medical provider reporting research can increase immunization coverage among children and adolescents.
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.