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Adopting Immunization Recommendations: A New Dissemination Model

dc.contributor.authorFreeman, Victoria A.en_US
dc.contributor.authorKonrad, Thomas R.en_US
dc.contributor.authorPathman, Donald E.en_US
dc.contributor.authorFreed, Gary L.en_US
dc.contributor.authorClark, Sarah J.en_US
dc.date.accessioned2006-09-11T15:55:38Z
dc.date.available2006-09-11T15:55:38Z
dc.date.issued1998-12en_US
dc.identifier.citationFreed, Gary L.; Pathman, Donald E.; Konrad, Thomas R.; Freeman, Victoria A.; Clark, Sarah J.; (1998). "Adopting Immunization Recommendations: A New Dissemination Model." Maternal and Child Health Journal 2(4): 231-239. <http://hdl.handle.net/2027.42/45322>en_US
dc.identifier.issn1092-7875en_US
dc.identifier.issn1573-6628en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/45322
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=10728280&dopt=citationen_US
dc.description.abstractObjective: This paper presents a new approach for understanding factors related to physician adoption of clinical guidelines, using children's vaccine recommendations as a case study. Methods: The model traces sequential steps, from awareness to agreement to adoption and, finally, adherence to the guideline. Movement through these stages can be catalyzed or retarded by many influences, grouped into two major categories: environmental characteristics of the physician's practice, and information characteristics of the guideline. Environmental characteristics include sociocultural factors, professional characteristics, and practice organization factors. Information characteristics include the guideline's relative advantage, complexity, and compatibility with existing guidelines and protocols, as well as mechanisms of guideline dissemination. Implications: This model can be used to identify characteristics that will likely impede or facilitate guideline adoption, and to focus dissemination efforts on key issues.en_US
dc.format.extent1229023 bytes
dc.format.extent3115 bytes
dc.format.mimetypeapplication/pdf
dc.format.mimetypetext/plain
dc.language.isoen_US
dc.publisherKluwer Academic Publishers-Plenum Publishers; Plenum Publishing Corporation ; Springer Science+Business Mediaen_US
dc.subject.otherMedicine & Public Healthen_US
dc.subject.otherPublic Health/Gesundheitswesenen_US
dc.subject.otherPediatricsen_US
dc.subject.otherPopulation Economicsen_US
dc.subject.otherSociologyen_US
dc.subject.otherGuidelinesen_US
dc.subject.otherDisseminationen_US
dc.subject.otherRecommendationsen_US
dc.subject.otherImmunizationen_US
dc.subject.otherMaternal and Child Healthen_US
dc.subject.otherGynecologyen_US
dc.titleAdopting Immunization Recommendations: A New Dissemination Modelen_US
dc.typeArticleen_US
dc.subject.hlbsecondlevelPublic Healthen_US
dc.subject.hlbsecondlevelPediatricsen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumDivision of General Pediatrics, University of Michigan Health Care System, Ann Arbor, Michigan; Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolinaen_US
dc.contributor.affiliationumDivision of General Pediatrics, University of Michigan Medical Center, Ann Arbor, Michigan, 48109-0718;; Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolinaen_US
dc.contributor.affiliationumDivision of General Pediatrics, University of Michigan Health Care System, Ann Arbor, Michiganen_US
dc.contributor.affiliationotherDepartment of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolinaen_US
dc.contributor.affiliationotherDepartment of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolinaen_US
dc.contributor.affiliationumcampusAnn Arboren_US
dc.identifier.pmid10728280en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/45322/1/10995_2004_Article_412802.pdfen_US
dc.identifier.doihttp://dx.doi.org/10.1023/A:1022359407306en_US
dc.identifier.sourceMaternal and Child Health Journalen_US
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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