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- Title
Primary Care's Historic Role in Vaccination and Potential Role in COVID-19 Immunization Programs.
- Authors
Wilkinson, Elizabeth; Jetty, Anuradha; Petterson, Stephen; Jabbarpour, Yalda; Westfall, John M.
- Abstract
<bold>Purpose: </bold>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.<bold>Methods: </bold>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.<bold>Results: </bold>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).<bold>Conclusions: </bold>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.
- Subjects
UNITED States; COVID-19; PRIMARY care; PHYSICIANS; MEDICARE Part B; IMMUNIZATION
- Publication
Annals of Family Medicine, 2021, Vol 19, Issue 4, p351
- ISSN
1544-1709
- Publication type
journal article
- DOI
10.1370/afm.2679