Practices and Attitudes of Michigan-Based Occupational Physicians Regarding Adult Immunization

J Occup Environ Med. 2018 Nov;60(11):1034-1041. doi: 10.1097/JOM.0000000000001420.


Objective: To assess practices and barriers regarding adult immunizations, among occupational and environmental physicians in Michigan.

Methods: A 10-item multiple choice web based questionnaire was designed after reviewing the Centers for Disease Control and Prevention recommendations and the current literature on adult immunization standards.

Results: Assessing immunization status is common practice for 62% of respondents. 92% of respondents recommend the annual influenza vaccination, unless contraindicated. The most commonly reported barriers included the cost of providing immunizations and the prioritization of acute over preventative care. Use of standing order vaccinations and reminder-recall systems were popular strategies used to improve vaccination rates.

Conclusions: Occupational physicians frequently recommend influenza, tetanus, and hepatitis B vaccines when indicated, but are less likely to order other vaccines for patients. Promotion of a more comprehensive assessment of immunity needs in the workplace may improve national vaccine coverage.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Attitude of Health Personnel
  • Environmental Medicine / statistics & numerical data*
  • Female
  • Health Care Costs
  • Humans
  • Immunization / economics
  • Immunization / statistics & numerical data*
  • Male
  • Michigan
  • Occupational Medicine / statistics & numerical data*
  • Patient Acceptance of Health Care
  • Patient Education as Topic
  • Practice Patterns, Physicians' / statistics & numerical data*
  • Reminder Systems
  • Surveys and Questionnaires