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Models of Health Behavior and Systems and Overcoming Barriers to Improved Immunization Rates

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Abstract

Despite the availability of effective vaccines, they are often underused. Though many barriers to immunizations exist, primary care providers can overcome these barriers through systematic implementation of immunization quality improvement programs. This chapter prepares primary care clinicians to improve vaccination coverage in their patient panel. The chapter examines the public health dynamics of the US immunization program and common theoretical models of health behavior used in immunization program planning. The Social Determinants of Health framework is presented as an alternative to the more frequently used health behavior models to guide complex multi-system immunization interventions. Current research in the field of implementation science is explained to equip the reader to plan an immunization improvement intervention. The chapter concludes with a review of the most effective evidence-based interventions designed to improve immunization coverage. The 4 Pillars™ Practice Transformation Program for immunization is offered as a taxonomy of critical leverage points that will guide the selection of quality improvement strategies.

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Authors and Affiliations

  1. Department of Family Medicine and Clinical Epidemiology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA

    Jonathan M. Raviotta MPH

  2. University of Pittsburgh School of Medicine, 4420 Bayard Street, Suite 520, Pittsburgh, PA, 15260, USA

    Richard K. Zimmerman MD, MPH

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  1. Jonathan M. Raviotta MPH
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  2. Richard K. Zimmerman MD, MPH
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Correspondence to Jonathan M. Raviotta MPH .

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Editors and Affiliations

  1. Department of Family Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA

    Pamela G. Rockwell, DO

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Raviotta, J.M., Zimmerman, R.K. (2017). Models of Health Behavior and Systems and Overcoming Barriers to Improved Immunization Rates. In: Rockwell, DO, P. (eds) Vaccine Science and Immunization Guideline. Springer, Cham. https://doi.org/10.1007/978-3-319-60471-8_7

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  • DOI: https://doi.org/10.1007/978-3-319-60471-8_7

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