改善退伍军人事务居民初级保健诊所的乙型肝炎查和疫苗接种率
1Department of Medicine, Stony Brook University Hospital, Stony Brook, New York, USA stephanieyu423@gmail.com.
BMJ open quality
|October 29, 2023
概括
在执行更新的指南和电子健康记录提醒之后,退伍军人中B型肝炎疫苗接种率增加了20%以上. 这种低成本的干预措施改善了对新型乙型肝炎病毒 (HBV) 疫苗接种建议的遵守.
科学领域:
- 免疫学 免疫学 免疫学
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 免疫实践咨询委员会 (ACIP) 更新了2022年成人乙型肝炎疫苗接种建议.
- 新的指导方针建议所有19-59岁的成年人接种疫苗,无论风险因素如何.
- 退伍军人代表了一个可能从有针对性的疫苗接种宣传活动中受益的人群.
研究的目的:
- 提高退伍军人对更新的乙型肝炎病毒 (HBV) 疫苗接种指南的认识.
- 为了提高HBV疫苗接种率,在为退伍军人服务的居民初级保健诊所内.
- 评估干预措施对退伍军人群中HBV接种疫苗接种的影响.
主要方法:
- 进行了干预前 (2021年10月至12月) 和干预后 (2022年3月至5月) 的数据收集.
- 干预措施包括对当前HBV疫苗接种指南的居民进行教育,并为乙型肝炎状态检查嵌入EHR提醒.
- 乙型肝炎免疫力是由乙型肝炎表面抗体水平决定的.
主要成果:
- 在预干预期间,在378名未接种疫苗的退伍军人中,只有35人接种了HBV疫苗.
- 在干预后的期间,在430名未接种疫苗的退伍军人中,有123人接种了HBV疫苗.
- 这意味着在研究的退伍军人中,HBV疫苗接种率增加了20%以上.
结论:
- 退伍军人中的HBV疫苗接种率在干预之前是不理想的.
- 一个低成本的干预措施有效地提高了疫苗接种率,可以整合到VA的标准护理中.
- 提高对更新的HBV疫苗接种指南的认识,对于实现退伍军人人口的全面疫苗接种覆盖率至关重要.
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