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Vaccination in the Real World: When the Biggest Barrier Is the System Around Us

Clinical Thought

Learn how practice realities that commonly derail adult vaccination, such as time constraints, growing complexity in the adult immunization schedule, and insurance access and affordability issues, can be addressed. I share real-world approaches to reducing friction from my own practice that you can apply yourself.

Released: March 30, 2026

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Supporters

This activity is supported through an independent educational grant from Merck & Co., Inc., Rahway, NJ, USA.

Merck & Co., Inc., Rahway, NJ, USA

Target Audience

This activity is intended for physicians, physician associates, nurse practitioners, pharmacists, nurses, and other healthcare professionals who provide vaccine services. 

Learning Objectives

Upon completion of this activity, participants should be able to:

  • Identify contemporary, real-world barriers to adult vaccination in internal medicine

  • Apply workflow-based strategies to integrate vaccination into routine care

  • Use communication strategies tailored to patient readiness for vaccination

Disclosure

Primary Author

Laura P. Hurley, MD, MPH

General Internist and Health Services Researcher at Denver Health
Associate Professor of Medicine
Division of General Internal Medicine
University of Colorado Anschutz Medical Campus
Aurora, Colorado

Laura P. Hurley, MD, MPH, has no relevant financial relationships to disclose.