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Parental and Provider Attitudes, Practices, and Beliefs about Childhood Immunizations in Kansas

Parental and Provider Attitudes, Practices, and Beliefs about Childhood Immunizations in Kansas. Candace L. Ayars, Ph.D. Kansas Health Institute May 8, 2007. Purpose .

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Parental and Provider Attitudes, Practices, and Beliefs about Childhood Immunizations in Kansas

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  1. Parental and ProviderAttitudes, Practices, and Beliefsabout Childhood Immunizationsin Kansas Candace L. Ayars, Ph.D. Kansas Health Institute May 8, 2007

  2. Purpose • Assess attitudes, beliefs, barriers, and facilitating factors among Kansas healthcare providers that influence the timing and delivery of childhood vaccinations. • Assess attitudes, beliefs, barriers, and facilitating factors among Kansas parents of children aged 0 -2 years that influence the timing and delivery of childhood vaccinations.

  3. Study Design: Qualitative Semi-structured Interviews • The Challenge: Account for discrepancies between statistical inference, observed practice, and desirable practice. • Permits exploratory analyses for the purpose of framing hypotheses. • Appropriate when a deeper knowledge base is required for quantitative investigation. • The Goal: Discover how the subject sees the world and themselves, without taking the accuracy of the view for granted.

  4. Successes & Challenges • Successes • High level of engagement • Deep, rich interviews • Foundation for further studies • Challenges • Recruitment • Scheduling • Interview Timeframes • Parent Opt In/Opt Out

  5. Private Provider & Parent Interviews

  6. Clinic and Local Health Department Interview Map

  7. Anecdotal Results - Providers • Rural/Urban Dichotomy • Clinics and LHDs are complimentary of state level efforts and would like more • Symbiotic and generally positive relationship between clinics and LHDs • Reimbursement, paperwork, and staffing concerns for clinics • LHDs more technologically savvy

  8. Anecdotal Results - Parents • May be bias toward parents who keep their children’s immunizations current • Generally satisfied with the process • Generally support immunization requirements

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