Acceptance of pneumococcal vaccine under standing orders by race and ethnicity.

Acceptance of pneumococcal vaccine under standing orders by race and ethnicity. Research Abstract Details 

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Acceptance of pneumococcal vaccine under standing orders by race and ethnicity. Abstract Text:

Nicholas A Daniels,Susan Gouveia,Daniel Null,Ginny L Gildengorin,Carla A Winston,

PURPOSE: To assess whether and how pneumococcal vaccine acceptance occurs after nurse recommendation varies by race/ethnicity. METHODS: We prospectively evaluated nurses' standing orders to assess and vaccinate high-risk patients in a general medicine practice. RESULTS: Of 370 adult patients surveyed (60% nonwhite), 78 (21%) declined vaccination following nurse recommendation, and 43 (12%) persisted in declining after physician consultation. Three-hundred-twenty-seven (88%) patients accepted vaccination: 292 (79%) accepted following nurse recommendation and 35 (9%) following physician consultation. African Americans (19%) were significantly more likely to decline compared with whites (8%) and Asians (5%) (P= 0.01). Reasons for refusal included believing vaccination was unnecessary (32%), fearing shots in general (21%), fearing vaccine-induced illness (26%) and wanting more informotion regarding the vaccine (9%). CONCLUSION: Standing orders, physicians' firm recommendations and addressing patients' vaccine-related concerns may reduce racial/ethnic disparities in vaccination.

Acceptance of pneumococcal vaccine under standing orders by race and ethnicity. Publishing Authors By Initials

NA Daniels,S Gouveia,D Null,GL Gildengorin,CA Winston,

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Acceptance of pneumococcal vaccine under standing orders by race and ethnicity. Journal Published:

PUBLICATION TYPE: Research Support, U.S. Gov't,

Journal: Journal of the National Medical Association

VOLUME: 98

Page Numbers: 1089-94

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ISSN: 0027-9684

DAY: 3

MONTH: Jul

YEAR: 2006

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LANGUAGE: eng

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AFFILIATION: Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, CA 94115, USA. ndaniels@medicine.ucsf.edu

Country: United States

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MEDLINETA: J Natl Med Assoc

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