基于免疫注册的提供者提醒在9岁时启动HPV疫苗接种,华盛顿州
Trevor Christensen1, Sherri Zorn2, Kathy Bay1
1Washington State Department of Health, Tumwater, Washington, USA.
Human vaccines & immunotherapeutics
|November 6, 2023
概括
更新免疫信息系统以促使9岁的人类乳头瘤病毒 (HPV) 疫苗接种,使华盛顿州的启动率翻了一番. 这突显了提供者提醒的潜力,以增加早期HPV疫苗接种率.
科学领域:
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
- 医疗信息学 医疗信息学
背景情况:
- 人类乳头瘤病毒 (HPV) 疫苗接种率落后于疹-白血-百日咳 (Tdap) 和脑膜炎球菌结合体 (MenACWY) 疫苗,尽管对11-12岁的常规建议.
- 在9岁早期开始接种HPV疫苗与改善系列完成率有关.
研究的目的:
- 评估华盛顿州免疫信息系统 (WAIIS) 中提供者提醒系统对9岁开始接种HPV疫苗的影响.
- 评估更新HPV疫苗接种预测建议年龄从11岁更新到9岁的有效性.
主要方法:
- 使用季节性调整的中断时间序列回归分析.
- 在2023年1月WAIIS预测更新之前和之后,在9岁时检查了每周的HPV疫苗启动.
- 从2018年到2023年分析了HPV,Tdap和MenACWY的疫苗管理趋势.
主要成果:
- 华盛顿州WAIIS预测更新实际上使华盛顿州9岁儿童每周 HPV 疫苗接种率翻了一番.
- 尽管增加了,但9岁时每周的HPV发病人数仍然明显低于11岁时.
结论:
- 更新免疫信息系统 (IIS) 预测算法可以增加早期的HPV疫苗启动.
- 补充策略,包括提供者/家长教育和质量改善努力,对于最大限度地提高影响至关重要.
- 提高IIS预测者的覆盖范围可能涉及与电子病历系统管理员的合作,以确保提供商提示一致.
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