Reported Barriers to Routinely Offering Rotavirus Vaccine to All Eligible Infantsa
| Proportion, % (n) | Pb | ||||||
|---|---|---|---|---|---|---|---|
| Pediatricians (N = 359) | Family Medicine Physicians (N = 264) | ||||||
| Definitely a Barrier | Somewhat a Barrier | Minor Barrier/Not a Barrier at All | Definitely a Barrier | Somewhat a Barrier | Minor Barrier/Not a Barrier at All | ||
| Failure of some insurance companies to cover rotavirus vaccination | 19 (66) | 18 (62) | 64 (223) | 22 (56) | 23 (57) | 55 (137) | .22 |
| Up-front costs for practice to purchase vaccine | 17 (61) | 15 (53) | 68 (237) | 22 (56) | 16 (40) | 62 (154) | .69 |
| Lack of adequate reimbursement for vaccination | 15 (52) | 16 (57) | 69 (243) | 18 (44) | 18 (44) | 65 (161) | .94 |
| Respondent's concern about safety of vaccine | 9 (30) | 14 (49) | 77 (272) | 25 (65) | 25 (63) | 50 (128) | <.0001 |
| Parents' concerns about vaccine safety in general | 6 (22) | 29 (102) | 65 (227) | 15 (39) | 36 (93) | 48 (123) | <.0001 |
| Complexity of recommendations for timing of rotavirus vaccine doses | 5 (16) | 14 (49) | 81 (282) | 12 (30) | 28 (71) | 60 (152) | <.0001 |
| Addition of another vaccine to already overloaded vaccine schedule | 5 (19) | 13 (46) | 81 (285) | 22 (56) | 28 (71) | 50 (127) | <.0001 |
| General administrative burden of rotavirus vaccine to practice | 5 (17) | 12 (43) | 83 (288) | 9 (22) | 20 (49) | 71 (180) | .06 |
| Parents not thinking that rotavirus vaccine is necessary | 4 (14) | 21 (75) | 75 (263) | 12 (31) | 38 (97) | 50 (128) | <.0001 |
| Difficulty obtaining adequate vaccine supplies | 3 (11) | 7 (26) | 89 (312) | 6 (15) | 8 (21) | 86 (215) | .14 |
| Respondent's belief that rotavirus is not severe disease that requires vaccination | 3 (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 vaccine | 2 (8) | 17 (58) | 81 (285) | 14 (37) | 28 (72) | 58 (147) | <.0001 |
| Time it takes to discuss rotavirus vaccine safety with parents | 1 (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.