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Primary Care's Historic Role in Vaccination and Potential Role in COVID-19 Immunization Programs.
Wilkinson, Elizabeth; Jetty, Anuradha; Petterson, Stephen; Jabbarpour, Yalda; Westfall, John M.
  • Wilkinson E; The Robert Graham Center for Policy Studies in Family Medicine and Primary Care, Washington, DC.
  • Jetty A; The Robert Graham Center for Policy Studies in Family Medicine and Primary Care, Washington, DC.
  • Petterson S; The Robert Graham Center for Policy Studies in Family Medicine and Primary Care, Washington, DC.
  • Jabbarpour Y; The Robert Graham Center for Policy Studies in Family Medicine and Primary Care, Washington, DC.
  • Westfall JM; The Robert Graham Center for Policy Studies in Family Medicine and Primary Care, Washington, DC JWestfall@aafp.org.
Ann Fam Med ; 19(4): 351-355, 2021.
Article in English | MEDLINE | ID: covidwho-1133663
ABSTRACT

PURPOSE:

Coronavirus disease 2019 (COVID-19) pandemic recovery will require a broad and coordinated effort for infection testing, immunity determination, and vaccination. With the advent of several COVID-19 vaccines, the dissemination and delivery of COVID-19 immunization across the nation is of concern. Previous immunization delivery patterns may reveal important components of a comprehensive and sustainable effort to immunize everyone in the nation.

METHODS:

The delivery of vaccinations were enumerated by provider type using 2017 Medicare Part B Fee-For-Service data and the 2013-2017 Medical Expenditure Panel Survey. The delivery of these services was examined at the service, physician, and visit level.

RESULTS:

In 2017 Medicare Part B Fee-For-Service, primary care physicians provided the largest share of services for vaccinations (46%), followed closely by mass immunizers (45%), then nurse practitioners/physician assistants (NP/PAs) (5%). The Medical Expenditure Panel Survey showed that primary care physicians provided most clinical visits for vaccination (54% of all visits).

CONCLUSIONS:

Primary care physicians have played a crucial role in delivery of vaccinations to the US population, including the elderly, between 2012-2017. These findings indicate primary care practices may be a crucial element of vaccine counseling and delivery in the upcoming COVID-19 recovery and immunization efforts in the United States.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Primary Health Care / Vaccination / Immunization Programs / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Topics: Vaccines Limits: Humans Country/Region as subject: North America Language: English Journal: Ann Fam Med Journal subject: Family Practice Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Primary Health Care / Vaccination / Immunization Programs / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Topics: Vaccines Limits: Humans Country/Region as subject: North America Language: English Journal: Ann Fam Med Journal subject: Family Practice Year: 2021 Document Type: Article