Primary Care Adult Immunization Practices In PA

1. Primary Care Adult Immunization Practices In PA

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Thank you for agreeing to answer a few questions about immunization. The survey will help to inform a collaborative project among the PAFP, the Pennsylvania Dept. of Health, and the Pennsylvania Pharmacists Association. The survey should just take a few minutes. Thank you!

Question Title

* 1. Principal practice setting:

	Multi-specialty	Primary care
Hospital-based	Hospital-based Multi-specialty	Hospital-based Primary care
Office-based	Office-based Multi-specialty	Office-based Primary care

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Question Title

* 2. Vaccines offered:

All ACIP recommended vaccines

Hep B

Influenza

Pneumococcal

MMR

Tdap

HPV

Varicella

Zoster

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* 3. Frequency with which you review immunization history:

Never or almost never

Less than half the time

About half of the time

More than half of the time

Always or almost always

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* 4. Action taken when a patient is not up to date:

Notify patient during appointment and recommend missing vaccinations

Notify patient and recommend missing vaccinations

Refer to a pharmacist certified to give vaccinations

Refer to a public health site

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