Internal Med Medical News about Adult Vaccination

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Understanding Adult Vaccination in Urban, Lower-Socioeconomic Settings: Influence of Physician and Prevention Systems
Annals of Family Medicine, 11/10/09

Zimmerman RK et al. – Vaccination rates varied widely in urban settings. Using HLM that accounts for the nested structure of the data (ie, patients are nested within physician) and adjusting for race and age and practice characteristics (such as time spent with patients, vaccination documentation, and influenza vaccine), use of standing orders are associated with higher vaccination rates. The authors recommend that physicians enhance vaccination documentation by use of flow sheets or electronic medical records and use standing orders for influenza vaccine.