Health Care Facility-based Settings

In health care facilities, health care providers give advice and support to individuals deciding whether or not to get immunizations. These interventions can happen in public or private health care settings, such as a doctor’s office, hospital, health department, pharmacy or assisted living facility. Providers may receive training as well as reminders to discuss immunizations with their patients or clients. Other interventions in health care facility-based settings can create environment and policy changes. For example, these policies can require providers to receive training on immunization schedules for their patients.

Health care facility-based interventions work best when used with interventions in other settings:

  • Community-based settings: health care providers can advocate for policies related to immunizations
  • School-based settings: health care providers can train school nurses to be familiar with immunization recommendations
  • Worksite-based settings: managers can accommodate employee schedules for employees to receive vaccines in health care settings
  • Faith-based settings: health care providers can work with faith-based networks to increase community outreach and access to information about immunizations
  • Home-based settings: health care providers can provide home immunizations for at-risk populations

Things to consider for health care facility-based interventions:

  • Health care facilities can hang posters and signs to remind patients and clients to ask their health care providers about immunizations.
  • Health care providers can have reminders in their patient or client charts to help them remember to talk about immunizations.
  • There are a lot of different types of health care facilities that can help reach a large number of individuals, young or old, poor or rich. For example, individuals may go to hospitals, pharmacies, maternal clinics, dental clinics, WIC clinics, emergency rooms, residential care facilities or pediatrician clinics.
  • Patients and clients are likely to trust the information that they receive from their health care provider. However, some populations have a history of mistrust of health care providers. In this case, health care providers can make a special effort to talk to the patient or client and make them feel comfortable.
  • Health care providers have limited time with their patients or clients. They also have many different health care topics to talk about in this time. This means the advice related to immunizations should be short and simple.
  • There are many types of reminders to talk about immunizations with patients, such as posters, signs, medical charts, e-mails or phone reminders. Many of these reminders can be tailored to different populations, such as children or adults, African Americans or Latinos and lower income or higher income families. Availability of free materials can be found on the website
  • It is important to work with managers at health care facilities to help them create immunization programs that meet their needs and match their capabilities.
  • Health care providers may not understand why parents choose not to vaccinate their children. It is important to educate health care providers about common parental concerns.
  • Computer-generated telephone reminder systems can increase kept appointment rates and conserve resources. However, the choice of phone or postcard notification should be based on available staff, budget, volunteer help and other considerations.

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