临床医生提示人类乳头瘤病毒疫苗接种:一个集群随机试验
Cynthia M Rand1, Alisa J Stephens-Shields2, Mary K Kelly3
1Department of Pediatrics (CM Rand), University of Rochester School of Medicine and Dentistry, Rochester, NY.
Academic pediatrics
|November 4, 2023
概括
使用临床医生提示的人类乳头瘤病毒 (HPV) 疫苗接种的在线干预减少了在儿童护理访问中错过初始HPV疫苗剂量的机会. 然而,总体而言,错过的机会恶化了,可能是由于人力不足.
科学领域:
- 儿科初级医疗保健的儿童初级医疗保健.
- 公共卫生干预措施 公共卫生干预
- 接种疫苗的计划.
背景情况:
- 人类乳头瘤病毒 (HPV) 接种疫苗的错失机会仍然是初级保健机构面临的挑战.
- 在线干预和临床医生提示是提高疫苗接种率的潜在策略.
研究的目的:
- 评估使用临床医生的提示对HPV疫苗接种错过机会的在线干预的影响.
- 评估提示的有效性,以减少最初和随后的HPV疫苗剂量错过的机会.
主要方法:
- 一个集群随机对照试验,涉及48个初级保健儿科实践.
- 干预组接受了在线培训和每周关于实施人员和EHR提示的"快速提示".
- 使用后勤回归模型来评估错失的机会,并考虑实践集群.
主要成果:
- 在研究期间,干预组和对照组都增加了HPV疫苗接种错过的机会.
- 然而,在健康的儿童保育所接种初始HPV疫苗的错失机会在干预组中减少了4.5个百分点.
- 对于后续剂量或在不健康的儿童护理访问时没有观察到显著差异.
结论:
- 通过在线干预提供临床提示,可以减少在儿童护理访问中错过初始HPV疫苗接种机会.
- 在这两组人群中,错过机会的恶化可能与人力不足有关,COVID-19大流行加剧了这种情况.
- 充分实施提示性干预可能会受到实践层面的挑战的阻碍,例如人力不足.
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