Is patient insurance type related to physician recommendation, administration and referral for adult vaccination? A survey of US physicians

Hum Vaccin Immunother. 2019;15(9):2217-2226. doi: 10.1080/21645515.2019.1582402. Epub 2019 Mar 20.

Abstract

This study evaluated physician practices and perceived barriers for influenza, tetanus, diphtheria, pertussis (Tdap), and zoster vaccination of adults in the United States (US), with emphasis on patients with Medicare versus commercial insurance. A cross-sectional internet-based survey of board-certified general/family practitioners and internists (N = 1,000) recruited from a national US physician panel was conducted in May 2017. For influenza, rates of physician recommendation (84% of Medicare patients, 82% of commercially-insured patients), administration (80% Medicare, 78% commercial), and referral (11% Medicare, 11% commercial) were similar regardless of insurance type. Tdap recommendation was higher for commercial compared to Medicare patients (59% vs. 54%, p < 0.001); while zoster recommendation was higher for Medicare patients than commercial (59% vs. 55%, p < 0.001). For Tdap and zoster, higher administration rates were reported in commercial patients (64% Tdap, 36% zoster) than Medicare (56% Tdap, 32% zoster), and referral rates were higher for Medicare patients (19% Tdap, 49% zoster) than commercial (14% Tdap, 42% zoster). Over 40% of physicians would be much more likely to administer Tdap and zoster vaccines if they were covered under Medicare Part B, with more physicians indicating financial barriers as "major" or "moderate" for Medicare than commercial patients. These differences may be related to financial barriers associated with adult vaccinations that are covered under Medicare Part D and involve patient out-of-pocket costs. Efforts to reduce financial barriers associated with adult vaccinations covered under Medicare Part D and to improve patient and physician knowledge could positively impact physician recommendation, administration, and referral for adult vaccination in the US.

Keywords: Adult vaccines; Tdap; influenza; physician preferences; vaccine recommendations; zoster.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Cross-Sectional Studies
  • Diphtheria Toxoid / administration & dosage
  • Diphtheria Toxoid / economics
  • Female
  • Herpes Zoster Vaccine / administration & dosage
  • Herpes Zoster Vaccine / economics
  • Humans
  • Influenza Vaccines / administration & dosage
  • Influenza Vaccines / economics
  • Insurance, Health / standards
  • Insurance, Health / statistics & numerical data*
  • Male
  • Medicare*
  • Middle Aged
  • Patients / statistics & numerical data*
  • Physicians
  • Practice Patterns, Physicians'*
  • Referral and Consultation / statistics & numerical data*
  • Surveys and Questionnaires
  • Tetanus Toxoid / administration & dosage
  • Tetanus Toxoid / economics
  • United States
  • Vaccination / economics
  • Vaccination / statistics & numerical data*
  • Young Adult

Substances

  • Diphtheria Toxoid
  • Herpes Zoster Vaccine
  • Influenza Vaccines
  • Tetanus Toxoid

Grants and funding

GlaxoSmithKline Biologicals SA funded this study (GSK study identifiers: 207761, HO-15-15777) and was involved in all stages of study conduct, including analysis of the data. GlaxoSmithKline Biologicals SA also covered all costs associated with the development and publication of this manuscript.