为患有状细胞疾病的儿童增加COVID-19疫苗接种率
Adam P Yan1, Natasha M Archer1, Dianne Arnold2
1Dana-Farber/Boston Children's Cancer and Blood Disorders Center and Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.
通过有针对性的干预措施,状细胞疾病 (SCD) 的儿童的COVID-19疫苗接种率增加. 解决错误信息和改善接入是促进这一弱势群体接种疫苗的关键.
科学领域:
- 儿科健康 儿科健康
- 预防传染病 预防传染病
- 公共卫生干预 公共卫生干预
背景情况:
- 患有状细胞疾病 (SCD) 的儿童是COVID-19疫苗接种的优先组,原因是健康风险增加.
- 一个质量改进项目旨在到2022年6月,将至少两剂COVID-19疫苗接种的SCD儿童比例提高到70%以上.
研究的目的:
- 实施和评估提高状细胞疾病儿童中COVID-19疫苗接种率的战略.
- 评估专注于患者教育,提供者意识和疫苗可访问性的干预措施的有效性.
主要方法:
- 使用了改善模型框架,使用了三个计划-做-研究-行动周期.
- 每两周评估SCD儿童的COVID-19疫苗接种率.
- 员工中断时间序列分析以建模实施率和统计过程控制图表以跟踪变化.
主要成果:
- 在干预期 (2022年2月至6月) 中,SCD儿童的整体疫苗接种率从33%增加到64%.
- 每两周的平均接种率显著上升,10名患者在外展电话后预订了疫苗,40%观看了教育视频.
- 错过的诊所预约保持稳定,表明干预措施不会对常规护理获得负面影响.
结论:
- 针对性的干预措施,解决错误信息和改善疫苗接种,可以提高SCD儿童的COVID-19疫苗接种率.
- 尽管情况有所改善,但大量患有SCD的儿童仍未接种疫苗,需要进一步干预.
- 该项目表明,与一般人群相比,SCD患者的疫苗接种率高于预期.
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