TABLE 2

Reported Barriers to Routinely Offering Rotavirus Vaccine to All Eligible Infantsa

Proportion, % (n)Pb
Pediatricians (N = 359)Family Medicine Physicians (N = 264)
Definitely a BarrierSomewhat a BarrierMinor Barrier/Not a Barrier at AllDefinitely a BarrierSomewhat a BarrierMinor Barrier/Not a Barrier at All
Failure of some insurance companies to cover rotavirus vaccination19 (66)18 (62)64 (223)22 (56)23 (57)55 (137).22
Up-front costs for practice to purchase vaccine17 (61)15 (53)68 (237)22 (56)16 (40)62 (154).69
Lack of adequate reimbursement for vaccination15 (52)16 (57)69 (243)18 (44)18 (44)65 (161).94
Respondent's concern about safety of vaccine9 (30)14 (49)77 (272)25 (65)25 (63)50 (128)<.0001
Parents' concerns about vaccine safety in general6 (22)29 (102)65 (227)15 (39)36 (93)48 (123)<.0001
Complexity of recommendations for timing of rotavirus vaccine doses5 (16)14 (49)81 (282)12 (30)28 (71)60 (152)<.0001
Addition of another vaccine to already overloaded vaccine schedule5 (19)13 (46)81 (285)22 (56)28 (71)50 (127)<.0001
General administrative burden of rotavirus vaccine to practice5 (17)12 (43)83 (288)9 (22)20 (49)71 (180).06
Parents not thinking that rotavirus vaccine is necessary4 (14)21 (75)75 (263)12 (31)38 (97)50 (128)<.0001
Difficulty obtaining adequate vaccine supplies3 (11)7 (26)89 (312)6 (15)8 (21)86 (215).14
Respondent's belief that rotavirus is not severe disease that requires vaccination3 (12)9 (31)88 (306)8 (20)25 (65)67 (170)<.0001
Parents' reluctance to have their child vaccinated because of withdrawal of previous rotavirus vaccine2 (8)17 (58)81 (285)14 (37)28 (72)58 (147)<.0001
Time it takes to discuss rotavirus vaccine safety with parents1 (3)7 (26)92 (320)7 (18)18 (47)75 (190)<.0001
  • a Results are for physicians who see patients <6 months of age (family medicine physicians: n = 264; pediatricians: n = 359).

  • b P values for comparisons of distributions of responses (definitely a barrier, somewhat a barrier, or minor barrier/not a barrier at all) between pediatricians and family medicine physicians, with the Kolmogorov-Smirnov test.