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Related Concept Videos

Vaccinations01:51

Vaccinations

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Improving Human Papillomavirus Vaccine Administration Using Medical-Dental Integration.

Jessica L Jack1,2, Amy B Stein3, Laura J Podewils3,4

  • 1Ambulatory Care Services, Denver Health and Hospital Authority, Denver, Colorado.

Pediatrics
|March 4, 2025
PubMed
Summary
This summary is machine-generated.

Medical-dental integration (MDI) improved human papillomavirus (HPV) vaccination rates in children aged 9-17. This program leveraged dental visits to increase HPV vaccine administration, showing a significant rise in vaccination coverage.

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Area of Science:

  • Public Health
  • Vaccinology
  • Health Services Research

Background:

  • Dental visits are more frequent than medical visits for children.
  • Routine dental care offers opportunities for human papillomavirus (HPV) screening and vaccination.
  • Integrating medical and dental services can enhance public health initiatives.

Purpose of the Study:

  • To implement and evaluate a medical-dental integration (MDI) program.
  • To increase HPV vaccine administration rates in children aged 9 to 17 years.
  • To assess the effectiveness of MDI in a safety-net healthcare system.

Main Methods:

  • A quality improvement initiative was conducted in dental clinics from June 2021 to May 2023.
  • Dental professionals recommended the HPV vaccine; medical staff administered it during appointments.
  • Interrupted time series and regression models analyzed HPV vaccine receipt on the same day as dental visits.

Main Results:

  • The MDI program reached 2781 dental visits, serving a predominantly Medicaid and uninsured population.
  • HPV vaccination rates at eligible visits increased from 5.3% to 13.9% during the intervention.
  • The odds of HPV vaccination at a dental visit were 4 times higher during the MDI intervention (aOR, 4.37).

Conclusions:

  • Medical-dental integration is an effective strategy for increasing HPV vaccination rates.
  • This intervention demonstrated success within a safety-net healthcare setting.
  • MDI programs can improve vaccine uptake in pediatric populations through routine dental care.