紧急部门:解决儿科流感疫苗覆盖面的不足资源
Rebecca Hart1, Yana Feygin1, Theresa Kluthe1
1Department of Pediatrics, Norton Children's and the University of Louisville School of Medicine, 571 S. Floyd Street, Suite 412, Louisville, KY 40202, United Sates.
Vaccine
|October 21, 2023
概括
儿科急诊室很少提供流感疫苗 (IV). 在ED中实施IV计划可以显著提高儿童的疫苗接种率,特别是服务不足的人口.
科学领域:
- 儿科急诊医学 儿科急诊医学
- 公共卫生干预措施 公共卫生干预措施
- 接种疫苗的计划.
背景情况:
- 基于急救部门 (ED) 的流感疫苗 (IV) 计划对成年人有效.
- 关于儿科ED IV计划的流行,可行性和实施的数据有限.
研究的目的:
- 确定儿科EDS中IV实践的范围和有效性.
- 在ED环境中识别儿科静脉注射的促进者和障碍者.
主要方法:
- 对儿科ED医生进行了有关静脉注射程序的横截面调查.
- 评估提供静脉注射,每年接种疫苗的ED,以及感知到的促进者/障碍者.
- 高,低和非疫苗接种ED之间的促进者和障碍物的统计比较.
主要成果:
- 只有44.3%的受访ED每年提供流感疫苗 (IV).
- 高/模范表现的人比低表现的人更频繁地使用既定的工作流程.
- 关键的促进者包括提供商/管理层的支持,EHR集成和领导力支持.
结论:
- 超过一半的参与的儿科ED没有提供流感疫苗 (IV).
- 解决已识别的障碍和利用促进者可以提高儿科IV程序的实施.
- 扩大ED IV计划有可能提高疫苗接种率,特别是在少数民族和服务不足的儿童中.
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