TABLE. Operational status and provision of pediatric immunization services at practices, by health care provider characteristics – Vaccines for Children Provider Survey, May 2020.
| Characteristic | Total, no. (%) | Urban/Rural provider practice location,* no. (weighted %) |
U.S. Census region,† no. (weighted %) |
||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Urban, reference | Rural | p-value§ | Northeast, reference | Midwest | p-value¶ | South | p-value¶ | West | p-value¶ | ||
|
Total
|
1,933 (100)
|
1,413 (73.7)
|
511 (26.3)
|
—
|
404 (20.7)
|
457 (23.6)
|
—
|
663 (34.8)
|
—
|
400 (20.9)
|
—
|
|
Current operational status of the practice in mid-May 2020 (n = 1,933)
| |||||||||||
| Open |
1,727 (89.8)
|
1,253 (89.2) |
465 (91.4) |
0.137 |
339 (85.0) |
399 (87.5) |
0.281 |
621 (93.9) |
0.000 |
359 (90.0) |
0.032 |
| Closed |
206 (10.2)
|
160 (10.9) |
46 (8.6) |
65 (15.0) |
58 (12.5) |
42 (6.2) |
41 (10.0) |
||||
|
Among practices that are currently open, office hours for in-person visits, relative to prepandemic hours (n = 1,727)
| |||||||||||
| Reduced |
1,063 (61.7)
|
798 (63.7) |
257 (55.4) |
0.002 |
263 (77.8) |
256 (64.4) |
0.000 |
333 (53.8) |
0.000 |
203 (56.4) |
0.000 |
| Not reduced |
664 (38.3)
|
455 (36.3) |
208 (44.6) |
76 (22.2%) |
143 (35.6) |
288 (46.2) |
156 (43.6) |
||||
|
Among practices that are currently closed, pediatric patients have been or will be referred to a new medical home (n = 170)**
| |||||||||||
| Yes |
131 (77.2)
|
101 (77.1) |
30 (77.6) |
0.950 |
35 (69.6) |
36 (72.5) |
0.753 |
25 (79.9) |
0.316 |
35 (90.3) |
0.024 |
| No |
39 (22.8)
|
30 (22.9) |
9 (22.4) |
16 (30.4) |
13 (27.5) |
6 (20.1) |
4 (9.8) |
||||
|
Among practices that are currently open, offering routine immunization services to pediatric patients (n = 1,727)
| |||||||||||
| All patients |
1,397 (81.1)
|
1,012 (81.1) |
378 (81.2) |
0.013 |
261 (77.2) |
312 (78.8) |
0.177 |
522 (84.1) |
0.014 |
295 (82.3) |
0.238 |
| A subset of patients |
254 (14.7)
|
196 (15.5) |
56 (12.3) |
64 (19.0) |
62 (15.3) |
72 (11.6) |
54 (15.1) |
||||
| No patients |
76 (4.2)
|
45 (3.4) |
31 (6.6) |
14 (3.8) |
25 (6.0) |
27 (4.3) |
10 (2.6) |
||||
|
Practice could likely provide immunization services to additional pediatric patients through the end of August (n = 1,933)
| |||||||||||
| Yes |
1,135 (59.1)
|
779 (55.5) |
347 (68.4) |
0.000 | 182 (45.5) |
280 (61.0) |
0.000 | 422 (64.1) |
0.000 | 242 (61.2) |
0.000 |
| No†† |
418 (21.3)
|
334 (23.4) |
84 (15.9) |
128 (31.2) |
85 (18.8) |
121 (18.0) |
84 (20.5) |
||||
| Don’t know/Not sure | 380 (19.6) | 300 (21.1) | 80 (15.7) | 94 (23.3) | 92 (20.3) | 120 (17.9) | 74 (18.3) | ||||
* Classification of urban (metropolitan) or rural (nonmetropolitan) was based on county of practice location using the 2013 National Center for Health Statistics Urban–Rural Classification Scheme for Counties (https://www.cdc.gov/nchs/data/series/sr_02/sr02_166.pdf). Practices in Puerto Rico (nine) are not shown.
† https://www2.census.gov/geo/docs/maps-data/maps/reg_div.txt. Practices in Puerto Rico (nine) are not shown.
§ Chi-squared test, compared with urban location.
¶ Chi-squared test, compared with Northeast region.
** Among 206 practices reporting currently closed, those that answered “Don’t know/Not sure” to their pediatric patients having been or will be referred to a new medical home (36) are not shown.
†† Includes practices that are currently open or planning to reopen but reported not likely being able to accept additional patients (400), practices permanently closed (nine), and practices not resuming immunization services for all patients (nine).