Navigation Links
Few Medicaid Kids with Asthma Get Recommended Flu Shot

Researchers at the University of Michigan C.S. Mott Children’s Hospital say many children with asthma – who are at an increased// risk for influenza-related complications – aren’t getting immunized against the flu, even when they visit their doctor during flu season.

In this month’s issue of the Archives of Pediatric and Adolescent Medicine, the researchers report that among unvaccinated children with asthma who were enrolled in Michigan Medicaid, 73 percent had at least one office visit during flu season. During the course of two flu seasons, 40 percent of these children had the opportunity to become vaccinated, but were not.

“Our findings confirm concerns about low influenza immunization rates among children with asthma,” says study lead author Kevin Dombkowski, DrPH, M.S., member of the Child Health Evaluation Research (CHEAR) Unit in the Division of General Pediatrics, and research assistant professor in the Department of Pediatrics and Communicable Diseases at the U-M Medical School.

“After studying this group of children over the course of two flu seasons, we found that only 17 percent were vaccinated during the first season, and 22 percent were vaccinated the following flu season. In all, fewer than 10 percent of these children were vaccinated both seasons. The national goal is for 60 percent or more of them to receive the flu vaccine every season.”

Despite vaccination recommendations, many high-risk children, including those with asthma, do not receive an annual flu shot. Even during seasons with vaccine shortages, these high-risk individuals are prioritized to receive the available doses.

Prior studies have found that missed opportunities – medical visits where a vaccine-eligible child is seen by a health care professional, but not immunized – occur frequently and, if eliminated, could greatly improve vaccination rates.

To better gauge the potential for improving and maintaining vaccinat ion rates for children with asthma, Dombkowski and his colleagues felt it was important to understand the degree to which missed opportunities for flu vaccination occur among these children.

The CHEAR study analyzed 4,358 children with asthma, ages 5 to 15, who were enrolled in the Michigan Medicaid program.

For the 2001-2002 and 2002-2003 flu seasons, the researchers measured the children’s outpatient office visits, rate of flu vaccinations, and missed opportunities for immunization.

About 77 percent of the children had at least one office visit, and nearly 65 percent had two visits during the 2001-2002 flu season.

During that time period, only 17 percent received a flu shot. Among the unvaccinated children in the group, about 70 percent missed at least one opportunity to be vaccinated.

Likewise, 22 percent were vaccinated for the 2002-2003 season, while about 70 percent who had the opportunity to be vaccinated, were not. Overall, the majority of children in the study – 71 percent – were not vaccinated for either flu season.

“If we were able to prevent even a small percentage of these missed opportunities, we could substantially increase the overall influenza vaccination rate among these children,” says Dombkowski. “And if we were able to completely eliminate these missed opportunities, we would see a 77 percent influenza vaccination rate for this group.”

Studies have shown that two of the greatest barriers to vaccinating high-risk children are physicians’ failure to recommend the vaccine and parents’ lack of knowledge about their child’s risk for serious complications.

In order to increase vaccination rates, Dombkowski stresses that there need to be interventions aimed at improving physician and parent awareness about the importance of annual vaccinations for children with asthma. Such interventions could include physician-focused reminder systems that prompt health car e professionals to recommend influenza vaccination at a medical visit, he says.

“Reminder systems are among the most effective mechanisms to improve vaccination rates and can be built into immunization registries,” says Dombkowski, who points to his current work with the Michigan Department of Community Health to a pilot physician-reminder system for influenza vaccination this fall in Michigan’s statewide immunization registry.


SRM
'"/>




Related medicine news :

1. Medicaid cuts leave patients in a lurch
2. Homecare Association Highlights Cost-Effectiveness of Medicare and Medicaid
3. Misplaced Priorities in Medicaid Dispensation
4. Bush Administration to Exempt Medicaid Recipients on Proof of Citizenship
5. Medicaid Security Riddled with Flaws
6. Lowest Spending growth in US Medicaid
7. New Medicaid Rule For New Borns
8. New Drug for Bronchial Asthma
9. Asthma may actually be prevented by Dust and Dirt
10. Inhaled Steroids Safe & Effective for Children with Asthma
11. What happens when Asthmatics consume Aspirin?
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:4/25/2017)... ... April 25, 2017 , ... Lake Park Dental is now accepting new patients ... in Lutz, FL. With the help of this highly-effective, yet convenient system, patients can ... more discretion and less pain. , Drs. Sarah Jockin, Nicole Morganti, Sara Spear ...
(Date:4/25/2017)... ... April 25, 2017 , ... As pharmaceutical ... partners to help with process innovation in drug formulation and manufacturing. CoreRx ... with state-of-the-art analytical equipment in support of their development and manufacturing goals. ...
(Date:4/25/2017)... ... ... Back Pain Centers of America (BPC), which connects people searching for ... announces the launch of a new and proprietary customer relationship management (CRM) system named ... to help them with back or neck pain and helps to match them with ...
(Date:4/25/2017)... NJ (PRWEB) , ... April 25, 2017 , ... Saad B. Chaudhary, MD is committed ... treatment of acute or chronic problems, I focus on preventative care with all my patients ... you have any questions, always feel free to contact my office and my trained staff ...
(Date:4/25/2017)... ... April 25, 2017 , ... Emergency Physician and Distinguished Professor of Emergency ... Series, Outliers in Writing, set to publish in summer 2017. , Dr. Bobrow, ... University of Arizona College of Medicine. He also serves as Medical Director for the ...
Breaking Medicine News(10 mins):
(Date:4/19/2017)... 2017 Cardiology devices segment is anticipated to reach ... The Cardiology Devices segment is likely to create absolute $ ... 2018 over 2017. By the end of 2027, Cardiology Devices ... US$ 700 Mn, expanding at a CAGR of 18.4% over ... Asia Pacific reprocessed medical devices market in ...
(Date:4/19/2017)... , Tenn. and DALLAS , April ... EndoStim, Inc., announced that the first patients in ... the EndoStim device in the Lower Esophageal Sphincter Stimulation ... a minimally-invasive implantable device designed to provide long-term reflux ... neurostimulation. GERD affects nearly 65 million people ...
(Date:4/19/2017)... , April 19, 2017  Novartis today announced ... National Heart, Lung, and Blood Institute (NHLBI) of ... 58% of patients with treatment-naïve severe aplastic anemia ... treated with eltrombopag at the initiation of and ... study evaluated three sequential treatment groups, or cohorts. ...
Breaking Medicine Technology: