卫生系统质量和COVID-19疫苗接种:在14个国家的横截面分析
Catherine Arsenault1, Todd P Lewis2, Neena R Kapoor2
1Department of Global Health, Milken Institute School of Public Health, The George Washington University, Washington DC, USA.
The Lancet. Global health
|December 14, 2023
概括
接种疫苗的决定受到卫生系统经验的影响. 像定期,高质量的护理这样的积极相互作用会增加疫苗接种率,而未满足的需求和歧视会降低疫苗接种率,这凸显了可访问的医疗保健的重要性.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 流行病学 流行病学
背景情况:
- 以前的研究集中在COVID-19疫苗接种的社会和行为因素上.
- 关于接种疫苗的个体如何利用和感知医疗保健系统的理解有限.
研究的目的:
- 调查卫生系统特征与不同国家的COVID-19疫苗接种率之间的关系.
- 为了确定与更高的疫苗接种覆盖率相关的特定卫生系统相关性.
主要方法:
- 利用来自14个国家的调查数据来分析COVID-19疫苗接种的卫生系统预测因素.
- 雇佣国家特定的物流回归,调整以人口统计和健康状况变量.
- 通过随机效应元分析,汇总了各国的研究结果.
主要成果:
- 疫苗接种覆盖率差异很大,从印度的29%到秘鲁的85%.
- 更高的医疗保健利用率,对优质提供者的持续访问,以及获得其他预防性服务与疫苗接种有积极的联系.
- 对卫生系统和政府的信心增加了接种疫苗的几率,而未满足的需求,歧视或医疗错误减少了它们.
结论:
- 卫生系统的准入和质量是COVID-19疫苗接种决策的重要决定因素.
- 强大的初级保健系统和公平的质量医疗保健对于未来的流行病准备至关重要.
- 解决未满足的需求和确保非歧视性的医疗保健体验对于改善疫苗接种至关重要.
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