在孕妇,边缘化人口中改善COVID-19疫苗接种的策略:质量改善项目
Smita Bakhai1, Jacquelyn Jordan1, Jennifer A Stoll1
1Smita Bakhai and Jacquelyn Jordan are with the Department of Internal Medicine at the Jacobs School of Medicine and Biomedical Sciences State University of New York at Buffalo. Jennifer Stoll is with the Department of Family Medicine, Jacobs School of Medicine and Biomedical Sciences, Department of Family Medicine, State University of New York at Buffalo.
孕妇的COVID-19疫苗接种率在六个月内从30%增加到48%. 用患者喜欢的语言进行患者教育和社区卫生工作者参与是这一改进的关键.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 提高质量 提高科学 提高质量
背景情况:
- 在边缘化的孕妇中,COVID-19疫苗接种率较低 (30.8%) 是一个重大的公共卫生挑战.
- 解决语言和健康素养等障碍对于改善这一群体的疫苗接种至关重要.
研究的目的:
- 提高边缘化人口中的孕妇和最近怀孕妇女的COVID-19疫苗接种率,从基线的30.8%提高到60%在六个月内.
- 使用精益六西格玛方法实施和评估质量改进项目.
主要方法:
- 在一个联邦合格的医疗中心使用精益六西格玛进行了一项质量改进项目.
- 干预措施包括患者和社区卫生工作者 (CHW) 教育,多语言资源和激励面试.
- 数据分析包括每周运行图表和统计过程控制图表.
主要成果:
- 在为期六个月的项目期间,COVID-19疫苗接种率从30.0%增加到48%.
- 参加教育活动和增加CHW/doula知识是关键的过程措施.
- 疫苗接种率的增加是可持续的.
结论:
- 根据患者喜欢的语言和健康素养水平量身定制的患者教育显著提高了疫苗接种率.
- 社区卫生工作者 (CHW) 的参与和培训是项目的成功的关键因素.
- 质量改善举措可以有效地解决疫苗接种覆盖率的健康差异.
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