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. 2019 Dec 1;39(5):639–659. doi: 10.1002/sim.8435

Table C3.

Mechanisms of acquiring high dose (HD) influenza vaccine among study participants (Veterans Health Administration facilities) for the 2015‐2016 and 2017‐2018 seasons by group

Characteristic Proportion of HD vaccine administered during the 2014‐2015 season
A: 0%‐4% B: 5%‐29% C: 30%‐69% D: 70%‐100% Total
N = 6 N = 8 N = 6 N = 5 N = 25
HD quantity decision makers Pharmacy 5 (83.3%) 6 (75.0%) 4 (66.7%) 3 (60.0%) 18 (72.0%)
Infection Control 1 (16.7%) 2 (25.0%) 1 (16.7%) 1 (20.0%) 5 (20.0%)
Multidisciplinary committee 2 (33.3%) 2 (25.0%) 3 (50.0%) 3 (60.0%) 10 (40.0%)
Department Chiefs/
Individual Providers 2 (33.3%) 2 (25.0%) 2 (33.3%) 1 (20.0%) 7 (28.0%)
Barriers to ordering Cost 1 (16.7%) 1 (12.5%) 0 0 2 (8.0%)
Lack of evidence 0 3 (37.5%) 1 (16.4%) 1 (20.0%) 5 (20.0%)
Prior waste 1 (16.7%) 1 (12.5%) 0 0 2 (8.0%)
Shortage in at least one season? 2 (33.3%) 3 (42.9%) 3 (50.0%) 3 (60.0%) 10 (40.0%)
Unused vaccine in at least one season? 4 (66.7%) 2 (28.6%) 2 (33.3%) 3 (60.0%) 11 (44.0%)
Reason for unused vaccine Staff unaware of supply 2 (33.3%) 0 1 (16.7%) 0 3 (12.0%)
Adherence to administration 1 (16.7) 0 0 1 (20.0%) 2 (8.0%)
criteria
Other (ie, extra supply
received from other facility,
lack of demand, low
vaccination levels, and poor
documentation) 1 (16.7%) 1 (12.5%) 1 (16.7%) 1 (20.0%) 4 (16.0%)
Ordered more for 2017/2018 season 3 (60.0%) 3 (42.9%) 1 (25.0%) 3 (60.0%) 10 (40.0%)