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Table 2 Practice Characteristics Associated with Consistent Use of Standing Orders Programs (SOPs) for Influenza Vaccination Only or Influenza and PPV, Relative to No Consistent Use of SOPs in Multinomial Logistic Regression

From: Standing orders for influenza and pneumococcal polysaccharide vaccination: Correlates identified in a national survey of U.S. Primary care physicians

Characteristic

Consistent Use of SOPs for Influenza Vaccine Only

OR (95% CI)

Consistent Use of SOPs for Both Influenza Vaccine and PPV

OR (95% CI)

Physician is aware of ACIP recommendations and/or Medicare regulations

2.35 (1.60, 3.46), P < .001

4.46 (2.91, 6.85), P < .001

Physician believes that SOPs are an effective way to boost adult vaccinations

2.97 (1.89, 4.67), P < .001

3.50 (2.14, 5.71), P < .001

Practice is open to change or innovation

1.36 (0.79, 2.10)

2.15 (1.33, 3.47), P = .002

Strong practice teamwork

1.18 (0.74, 1.91)

2.78 (1.49, 5.21), P = .001

Practice uses electronic medical record

1.35 (0.89, 2.03)

1.90 (1.22, 2.96), P = .005

Practice has immunization champion on site

1.12 (0.72, 1.76)

1.94 (1.27, 2.98), P = .002

Clinical support

  

   2 helpers per provider

2.75 (1.31, 5.79), P = .008

2.22 (1.09, 4.54), P = .028

   1 helper per provider

2.30 (1.23, 4.30), P = .009

1.45 (0.78, 2.67)

   1 helper per 2+ providers

1.00 (ref)

1.00 (ref)

Number of physicians in practice

  

   Solo

0.76 (0.41, 1.38)

0.71 (0.39, 1.30)

   2-4

1.02 (0.65, 1.60)

0.72 (0.45, 1.17)

   ≥ 5

1.00 (ref)

1.00 (ref)

Family Medicine specialty

1.63 (1.10, 2.42), P = .015

1.27 (0.89, 1.91)

Nurse-level/PA assistance rather than medical assistant

0.72 (0.48, 1.09)

1.49 (0.99, 2.24), P = .054

Practice is part of large health plan or corporation

1.34 (0.85, 2.13)

1.04 (0.62, 1.72)

Physicians are primary decision makers for practice

0.94 (0.61, 1.45)

1.08 (0.68, 1.70)

  1. Model adjusted for physician age and time since medical degree. Model x 2 = 239.7, p < .0001, R2 = 0.26.