Recommended Adult Immunization Schedule, United States, 2020* | Annals of Internal Medicine

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choosing specialty in medicine :: Article Creator Family Medicine Doctor Concerned Fewer People Are Choosing The Profession Prev Next Family medicine doctor concerned fewer people are choosing the profession GRAND RAPIDS, Mich. — FOX 17 took a trip to the doctor's office on Wednesday, in Corewell Health's new 275 Michigan Street building. The office is full of doctors who work in the specialty of family medicine. We took a closer look at family medicine and why fewer people are going into the specialty. "There are definitely more doctors needed in family medicine, as our population ages and the current family medicine doctors retire," Dr. Lauren Snyder said. Match Day is an exciting time when medical students find out their future as residents. But what about the doctors who don't match with a position, or the jobs that go unfilled? "We need more people to take care of our communities, and family ...
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Vaccination management for elderly patients in primary care settings d | PPA - Dove Medical Press

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Lisa-Marie Weinmayr,1 Jost Steinhäuser,1 Svante Christoph Gehring,2,3 Katja Goetz1

1Institute of Family Medicine, University Hospital Schleswig-Holstein, Luebeck 23538, Germany; 2Ärztegenossenschaft Nord eG, Bad Segeberg 23795, Germany; 3HANN Haus & Facharztnetz Nord GmbH, Norderstedt 22851, Germany

Objective: The aims of the current analysis were to evaluate the vaccination status and attitudes towards vaccinations of elderly patients and to explore effects of a vaccination campaign.
Methods: The data were raised in primary care settings by a physicians network which collected data during routine care from 697 patients and by the analysis of health insurance claims data from the Kassenärztliche Vereinigung Schleswig-Holstein (KVSH/Association of Statutory Health Insurance Physicians of the federal state of Schleswig-Holstein, Germany), regarding vaccinations in the participating practices before and after a vaccination campaign.
Results: Vaccination documentation for tetanus (57.7%), diphtheria (55.7%) and influenza (55.8%) was available for slightly more than half of the study sample. A lower documentation rate was observed for pertussis (33.1%), pneumococcal vaccination (30.3%) and polio (26.3%). Practice assistants were more responsible for determining the vaccination status than physicians. The attitude regarding influenza and pneumococcal vaccine was positive in 72.9% and 56.9% of patients respectively. After the campaign, rates of influenza and pneumococcal vaccine utilization increased by 13.4% and 62.9%, respectively.
Conclusions: Attitudes regarding vaccination were generally positive. Documentation was missing for almost half of the elderly population. The delegation of vaccine management to practice assistants could increase the immunization rate. Moreover, it can be assumed that a campaign might be helpful in increasing vaccination awareness and vaccine coverage.

Keywords: vaccination, primary care, quality improvement, influenza, pneumococcal vaccine

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