人类乳头瘤病毒疫苗在13日之前完成:一个大型初级保健网络的质量改善计划
Elena Huang1, Kathleen Filograna2, Katie K Lockwood1
1Children's Hospital of Philadelphia, Primary Care (E Huang, K Filograna, KK Lockwood, J Crossette, and BP Jenssen), Philadelphia,Pa; Department of Pediatrics (E Huang, KK Lockwood, and BP Jenssen), University of Pennsylvania Perelman School of Medicine, Philadelphia,Pa.
Academic pediatrics
|October 31, 2023
概括
一项质量改进倡议在儿科网络中显著提高了13岁的人类乳头瘤病毒 (HPV) 疫苗完成率. 这一努力还减少了保险儿童在HPV疫苗接种范围上的差异.
科学领域:
- 儿科初级护理专业的儿童初级护理
- 公共卫生倡议 公共卫生倡议
- 疫苗可以预防的疾病.
背景情况:
- 不到40%的美国儿童在13岁之前完成了人乳头瘤病毒 (HPV) 疫苗系列.
- 一个特定的儿科初级保健网络报告说,在13岁时,HPV疫苗完成率为30%.
研究的目的:
- 评估一项分阶段质量改进 (QI) 计划是否可以在一个大型儿科网络中增加13岁之前完成HPV疫苗接种率.
主要方法:
- 一个分阶段的QI计划在30个不同的儿科实践中实施.
- 干预措施包括更新的临床决策支持,提供者建议,常务命令和数据反.
主要成果:
- 在该网络中,13岁之前完成HPV疫苗接种率从30%增加到55%.
- 公共和私人保险儿童之间的完成率差距从9%降至1%.
结论:
- 该QI倡议导致HPV疫苗系列在13岁之前完成的持续增加.
- 该倡议还减少了整个初级保健实践网络的护理差异.
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