Hospital decision-making regarding the smallpox pre-event vaccination program
To understand the factors underlying the decision by U.S. hospitals to participate or not in the U.S. Smallpox Pre-Event Vaccination Program (SPVP). We conducted semistructured telephone interviews with a convenience sample of 123 hospital decision-makers in nine states between June and November 200...
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| Veröffentlicht in: | Biosecurity and bioterrorism 2005-01, Vol.3 (1), p.23-30 |
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| container_title | Biosecurity and bioterrorism |
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| creator | Kemper, Alex R Cowan, Anne E Ching, Pamela L Y H Davis, Matthew M Kennedy, Emily J Clark, Sarah J Freed, Gary L |
| description | To understand the factors underlying the decision by U.S. hospitals to participate or not in the U.S. Smallpox Pre-Event Vaccination Program (SPVP).
We conducted semistructured telephone interviews with a convenience sample of 123 hospital decision-makers in nine states between June and November 2003.
Within our sample, 88 hospitals (72%) decided to participate in the SPVP and 35 (28%) decided against doing so. Nearly all hospital decision-makers considered the risk of a smallpox outbreak, risks associated with vaccination, hospital costs, and the reaction of hospital stakeholders. However, these factors often were weighed differently by hospitals that decided to participate compared to those that did not. Fewer than half of all hospitals reported that public health officials played an important role in their decision-making process, but those that did felt the influence of public health officials was positive.
Strengthening the linkage between the public and private health sectors may help to address some of the barriers to broader participation by hospitals in the SPVP and foster the success of smallpox outbreak response preparedness efforts in the future. |
| doi_str_mv | 10.1089/bsp.2005.3.23 |
| format | Article |
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We conducted semistructured telephone interviews with a convenience sample of 123 hospital decision-makers in nine states between June and November 2003.
Within our sample, 88 hospitals (72%) decided to participate in the SPVP and 35 (28%) decided against doing so. Nearly all hospital decision-makers considered the risk of a smallpox outbreak, risks associated with vaccination, hospital costs, and the reaction of hospital stakeholders. However, these factors often were weighed differently by hospitals that decided to participate compared to those that did not. Fewer than half of all hospitals reported that public health officials played an important role in their decision-making process, but those that did felt the influence of public health officials was positive.
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We conducted semistructured telephone interviews with a convenience sample of 123 hospital decision-makers in nine states between June and November 2003.
Within our sample, 88 hospitals (72%) decided to participate in the SPVP and 35 (28%) decided against doing so. Nearly all hospital decision-makers considered the risk of a smallpox outbreak, risks associated with vaccination, hospital costs, and the reaction of hospital stakeholders. However, these factors often were weighed differently by hospitals that decided to participate compared to those that did not. Fewer than half of all hospitals reported that public health officials played an important role in their decision-making process, but those that did felt the influence of public health officials was positive.
Strengthening the linkage between the public and private health sectors may help to address some of the barriers to broader participation by hospitals in the SPVP and foster the success of smallpox outbreak response preparedness efforts in the future.</description><subject>Community-Institutional Relations</subject><subject>Decision Making, Organizational</subject><subject>Disease Outbreaks - economics</subject><subject>Disease Outbreaks - prevention & control</subject><subject>Hospital Administration - economics</subject><subject>Hospital Administration - statistics & numerical data</subject><subject>Hospital Costs - statistics & numerical data</subject><subject>Humans</subject><subject>Mass Vaccination - economics</subject><subject>Mass Vaccination - organization & administration</subject><subject>Mass Vaccination - statistics & numerical data</subject><subject>Risk Assessment - methods</subject><subject>Smallpox - epidemiology</subject><subject>Social Responsibility</subject><subject>United States</subject><issn>1538-7135</issn><issn>1557-850X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1PwzAMhiMEYmNw5Ip64paSJk2THtHEGNIQF5C4RU7qjkK_SLoJ_j2tNomTX1uPbekh5DphccJ0fmdDH3PGZCxiLk7IPJFSUS3Z--mUhaYqEXJGLkL4ZIxzlrJzMkukliKVfE6e113oqwHqqEBXhapraQNfVbuNPG7BF1MaPjAKDdR13_1EvUeKe2yHaA_OVS0M48447bYemktyVkId8OpYF-Rt9fC6XNPNy-PT8n5DHdfZQAF14rTNiqzMClAWSnB5qjnoVKcSFYKDfGwkLxVqq1LFci5zq4QtHbOlWJDbw93x7_cOw2CaKjisa2ix2wWTKaVFnrERpAfQ-S4Ej6XpfdWA_zUJM5M_M_ozkz8jDBcjf3M8vLMNFv_0UZj4A1BlbdE</recordid><startdate>20050101</startdate><enddate>20050101</enddate><creator>Kemper, Alex R</creator><creator>Cowan, Anne E</creator><creator>Ching, Pamela L Y H</creator><creator>Davis, Matthew M</creator><creator>Kennedy, Emily J</creator><creator>Clark, Sarah J</creator><creator>Freed, Gary L</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20050101</creationdate><title>Hospital decision-making regarding the smallpox pre-event vaccination program</title><author>Kemper, Alex R ; Cowan, Anne E ; Ching, Pamela L Y H ; Davis, Matthew M ; Kennedy, Emily J ; Clark, Sarah J ; Freed, Gary L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c286t-ae81c8b6d6f6da7bafac9482a84845e7eaca9a8452f7e8b74709259b73bfc0bf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Community-Institutional Relations</topic><topic>Decision Making, Organizational</topic><topic>Disease Outbreaks - economics</topic><topic>Disease Outbreaks - prevention & control</topic><topic>Hospital Administration - economics</topic><topic>Hospital Administration - statistics & numerical data</topic><topic>Hospital Costs - statistics & numerical data</topic><topic>Humans</topic><topic>Mass Vaccination - economics</topic><topic>Mass Vaccination - organization & administration</topic><topic>Mass Vaccination - statistics & numerical data</topic><topic>Risk Assessment - methods</topic><topic>Smallpox - epidemiology</topic><topic>Social Responsibility</topic><topic>United States</topic><toplevel>online_resources</toplevel><creatorcontrib>Kemper, Alex R</creatorcontrib><creatorcontrib>Cowan, Anne E</creatorcontrib><creatorcontrib>Ching, Pamela L Y H</creatorcontrib><creatorcontrib>Davis, Matthew M</creatorcontrib><creatorcontrib>Kennedy, Emily J</creatorcontrib><creatorcontrib>Clark, Sarah J</creatorcontrib><creatorcontrib>Freed, Gary L</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Biosecurity and bioterrorism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kemper, Alex R</au><au>Cowan, Anne E</au><au>Ching, Pamela L Y H</au><au>Davis, Matthew M</au><au>Kennedy, Emily J</au><au>Clark, Sarah J</au><au>Freed, Gary L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hospital decision-making regarding the smallpox pre-event vaccination program</atitle><jtitle>Biosecurity and bioterrorism</jtitle><addtitle>Biosecur Bioterror</addtitle><date>2005-01-01</date><risdate>2005</risdate><volume>3</volume><issue>1</issue><spage>23</spage><epage>30</epage><pages>23-30</pages><issn>1538-7135</issn><eissn>1557-850X</eissn><abstract>To understand the factors underlying the decision by U.S. hospitals to participate or not in the U.S. Smallpox Pre-Event Vaccination Program (SPVP).
We conducted semistructured telephone interviews with a convenience sample of 123 hospital decision-makers in nine states between June and November 2003.
Within our sample, 88 hospitals (72%) decided to participate in the SPVP and 35 (28%) decided against doing so. Nearly all hospital decision-makers considered the risk of a smallpox outbreak, risks associated with vaccination, hospital costs, and the reaction of hospital stakeholders. However, these factors often were weighed differently by hospitals that decided to participate compared to those that did not. Fewer than half of all hospitals reported that public health officials played an important role in their decision-making process, but those that did felt the influence of public health officials was positive.
Strengthening the linkage between the public and private health sectors may help to address some of the barriers to broader participation by hospitals in the SPVP and foster the success of smallpox outbreak response preparedness efforts in the future.</abstract><cop>United States</cop><pmid>15853452</pmid><doi>10.1089/bsp.2005.3.23</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Biosecurity and bioterrorism, 2005-01, Vol.3 (1), p.23-30 |
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| source | Mary Ann Liebert Online Subscription; MEDLINE |
| subjects | Community-Institutional Relations Decision Making, Organizational Disease Outbreaks - economics Disease Outbreaks - prevention & control Hospital Administration - economics Hospital Administration - statistics & numerical data Hospital Costs - statistics & numerical data Humans Mass Vaccination - economics Mass Vaccination - organization & administration Mass Vaccination - statistics & numerical data Risk Assessment - methods Smallpox - epidemiology Social Responsibility United States |
| title | Hospital decision-making regarding the smallpox pre-event vaccination program |
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