提高疫苗公平:社区参与和信息技术如何促进卫生系统向代表性不足的群体推广
Serena J Xie1, Nicholas R Mah2, Lisa Chew3
1Department of Biomedical Informatics and Medical Education, University of Washington, Seattle, Washington, United States.
Applied clinical informatics
|February 14, 2024
概括
自动呼叫,弹出诊所和移动货车等外展策略改善了代表性不足的群体的COVID-19疫苗公平性和完成率. 社区伙伴关系和信息技术是成功推出疫苗的关键.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 健康 公平 卫生 公平
背景情况:
- 卫生系统面临的挑战是提供公平获得资源,如COVID-19疫苗.
- 为了接触到代表性不足的群体,需要采取超越传统安排的定制策略.
- 社区参与和信息技术对于促进疫苗接种工作中的健康公平至关重要.
研究的目的:
- 评估四个不同的外展策略在改善COVID-19疫苗公平性方面的有效性.
- 为了比较约会安排和完成率的外展策略与传统方法.
- 确定有助于疫苗推广计划成功的因素.
主要方法:
- 进行了电子健康记录 (EHR) 的六个月后期分析.
- 分析了使用外展策略的个人的社会人口统计特征.
- 从参与推广计划的10名卫生系统领导人收集了定性见解.
主要成果:
- 自动推广,弹出诊所和移动货车显示,与传统安排相比,接种疫苗的预约完成率更高.
- 这些策略还显示了更低的取消率.
- 定性数据强调了社区伙伴关系和可访问的信息资源的重要性.
结论:
- 疫苗宣传策略有效地提高了受影响人口中不成比例的预约安排和完成.
- 与社区合作伙伴的合作和使用以公平为重点的信息化工具对于成功的推广至关重要.
- 经验教训为卫生系统提供了实际指导,旨在加强卫生公平倡议.
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