Table 1.
Perceived Barriers to Stocking and Administering Vaccines for Adult Patients in Respondents’ Practice
| Barriers | GIMs, % (n = 352) | FMs, % (n = 255) | ||||||
|---|---|---|---|---|---|---|---|---|
| Major Barrier |
Moderate Barrier |
Minor Barrier |
Not a Barrier |
Major Barrier |
Moderate Barrier |
Minor Barrier |
Not a Barrier |
|
| Lack of adequate reimbursement for vaccine purchase* | 28 | 25 | 24 | 23 | 31 | 28 | 19 | 22 |
| Difficulty determining if a patient’s insurance will reimburse for a vaccine* | 27 | 32 | 22 | 19 | 26 | 35 | 23 | 16 |
| Patients not having insurance coverage for vaccines* | 22 | 35 | 27 | 16 | 24 | 39 | 26 | 11 |
| Lack of adequate reimbursement for vaccine administration* | 22 | 23 | 28 | 27 | 22 | 30 | 25 | 23 |
| Upfront costs of buying vaccines* | 19 | 21 | 27 | 33 | 21 | 29 | 26 | 24 |
| Acute problems taking precedence over vaccinating | 17 | 33 | 37 | 13 | 18 | 31 | 36 | 15 |
| Patients refusing vaccines for financial reasons* | 15 | 32 | 33 | 20 | 15 | 35 | 38 | 12 |
| Patients refusing vaccines because they do not think they need them | 15 | 36 | 42 | 7 | 11 | 41 | 41 | 7 |
| Potential financial loss due to expiration of vaccine prior to use* | 11 | 16 | 32 | 41 | 14 | 19 | 38 | 29 |
| Other preventive services taking precedence during time limited visits | 11 | 29 | 41 | 19 | 12 | 33 | 35 | 20 |
| Difficulty determining whether a patient has received particular vaccine | 11 | 38 | 41 | 10 | 10 | 44 | 37 | 9 |
| Patients refusing vaccines because they feel they are unlikely to get a vaccine-preventable disease | 10 | 37 | 44 | 9 | 11 | 37 | 44 | 8 |
| Not having enough patients needing vaccines to justify the cost of stocking all vaccines* | 9 | 15 | 24 | 52 | 10 | 16 | 26 | 48 |
| Patients refusing vaccines for issues of safety | 9 | 32 | 48 | 11 | 4 | 32 | 52 | 12 |
| The fact that patients can receive vaccines elsewhere | 6 | 11 | 42 | 41 | 3 | 17 | 43 | 37 |
| Patients refusing vaccine for issues of efficacy | 5 | 16 | 54 | 25 | 2 | 16 | 53 | 29 |
| The hassle of storing vaccines | 5 | 12 | 38 | 45 | 6 | 16 | 38 | 40 |
| Patients not coming in regularly for office visits | 4 | 17 | 45 | 34 | 7 | 24 | 44 | 25 |
| The hassle of ordering vaccines | 4 | 8 | 35 | 53 | 5 | 15 | 35 | 45 |
| Uncertainty about a particular vaccine’s effectiveness | 3 | 6 | 35 | 56 | 2 | 8 | 28 | 62 |
| Not remembering to screen patients for needed vaccines | 2 | 10 | 47 | 41 | 3 | 20 | 47 | 30 |
FM = family physician; GIM = general internist.
*
Question used in the financial barrier scale.