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Annals of Family Medicine 7:534-541 (2009)
© 2009 Annals of Family Medicine, Inc.
doi: 10.1370/afm.1060
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Understanding Adult Vaccination in Urban, Lower-Socioeconomic Settings: Influence of Physician and Prevention Systems

Richard K. Zimmerman, MD, MPH1,2, Mary Patricia Nowalk, PhD, RD1, Melissa Tabbarah, PhD, MPH1, Jonathan A. Hart, MS, Dwight E. Fox, DMD1, Mahlon Raymund, PhD1 the FM Pitt-Net Primary Care Research Network1

1 Department of Family Medicine and Clinical Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania
2 University of Pittsburgh School of Medicine, the Department of Behavioral and Community Health Sciences, University of Pittsburgh Graduate School of Public Health, Pittsburgh, Pennsylvania


Figure 1
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  		Figure 1. Pneumococcal polysaccharide vaccine (PPV) vaccination rate by immunization documentation and physician-reported well-visit time.

Note: The figure is organized first by quality of immunization documentation and within quality, by reported time for well visits (line). Bars represent PPV vaccination rates.

 

Figure 2
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  		Figure 2. Influenza vaccination rate by use of standing orders and examination room time.

Note: The figure is organized first by use of standing orders and within standing orders use, by observed time in the examination room for the practice (line). Bars represent influenza vaccination rates.

 

Figure 3
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  		Figure 3. Model-based prediction of pneumococcal polysaccharide vaccination rate by reported time for well visits and by use of enhanced (eg, electronic medical records or flow sheet) vs basic vaccination documentation.

Note: Total well-visit time based on 10th and 90th percentiles.

 

Figure 4
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  		Figure 4. Model-based prediction of influenza vaccination rate by observed physician examination room time and by use of standing orders.

Note: Measured physician time in the examination room based on 10th and 90th percentiles.

 




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