临床医生沟通培训以增加人类乳头瘤病毒疫苗接种量:系统性审查和元分析
Nutthaporn Chandeying1, Therdpong Thongseiratch2
1Department of Obstetrics and Gynecology, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok 10300, Thailand.
临床医生沟通培训显著提高了人类乳头瘤病毒 (HPV) 疫苗接种率. 假设性沟通和审计/反策略在增加青少年HPV免疫接种方面最有效.
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 卫生沟通健康沟通
背景情况:
- 人类乳头瘤病毒 (HPV) 疫苗接种率低于最佳水平,阻碍了对抗HPV相关癌症的努力.
- 有效和可用的疫苗存在,但接种仍然是一个挑战.
研究的目的:
- 评估临床医师沟通培训对青少年HPV疫苗接种率的影响.
- 确定特定的沟通策略,以提高疫苗的接受度.
主要方法:
- 六项随机对照试验的系统审查和元分析.
- 涉及美国各地的245,195名参与者.
- 分析了不同沟通培训干预措施的影响.
主要成果:
- 临床沟通培训使HPV疫苗接种率平均增加了5.2%.
- 预期的沟通策略增加了9.1%,而审计和反则增加了9.4%.
- 与审计和反相结合的推定沟通实现了11.4%的增长.
结论:
- 有针对性的临床医生沟通对于改善卫生干预措施的采用至关重要.
- 医疗保健提供者和政策制定者可以利用这些发现来加强HPV疫苗接种策略.
- 改善沟通可以最大限度地提高HPV疫苗接种率,并减少与HPV相关的疾病.
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