A New Stigma: Gardasil Vaccine ‘Counseled But Refuses’ Stamped on Medical Charts

[Leslie Carol Botha: How would you like a stamp on your chart that states:  Gardasil Vaccine  ‘Counseled but Refuses’?  Will this be used as a new stigma for adolescent girls who refuse to get vaccinated with Gardasil.  Are they going to be pressured every time they go to the doctor’s office? What has happened to patient privacy?  Is the stamp on the inside or the outside of the chart?  My guess is on the outside for everyone in the office to see. Can you imagine the additional pressure for a young woman to face?]

HPV Vaccination Rate Improved by Chart Reminder

Ob.Gyn. News
By: SHERRY BOSCHERT, Ob.Gyn. News Digital Network
May 17, 2012

SAN DIEGO – Something as simple as a stamp in a patient’s chart to remind medical providers about vaccinating against human papillomavirus nearly quintupled the percentage of eligible patients being vaccinated in one outpatient office, according to a poster presented at the annual meeting of the American College of Obstetricians and Gynecologists.

The faculty practice was vaccinating only 11% of eligible women before the trial, lower than the 2009 national average vaccination rate of 25%. After the office staff was instructed to place a reminder stamp in the progress notes of all nonpregnant women aged 18-26 years who were scheduled for an appointment with a gynecology provider, the office significantly improved its vaccination rate to 49% of eligible women, Dr. Kerry Rut and her associates reported.

The prospective study compared charts for 86 patients who were eligible to receive the Gardasil vaccine for human papillomavirus (HPV) before use of the stamp and 70 patients after implementation of the stamp. Three of the six health care providers in the office (five physicians and a nurse practitioner) significantly increased their vaccinations of patients after the reminder stamp started appearing in progress notes, said Dr. Rut, an ob.gyn. in private practice in Bay Shore, N.Y. She led the study while she was a resident at Winthrop University Hospital, Mineola, N.Y.

The study received top prize among posters presented at the meeting.


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Author: Leslie Carol Botha

Author, publisher, radio talk show host and internationally recognized expert on women's hormone cycles. Social/political activist on Gardasil the HPV vaccine for adolescent girls. Co-author of "Understanding Your Mood, Mind and Hormone Cycle." Honorary advisory board member for the Foundation for the Study of Cycles and member of the Society for Menstrual Cycle Research.