负责任的护理组织和HPV疫苗接种:一个多层次的分析
Eileen J Carter1, Yuen Tsz Abby Lau, Laurel Buchanan
1University of Connecticut School of Nursing, 231 Glenbrook Rd, Storrs, CT 06269.
The American journal of managed care
|October 28, 2024
概括
负责护理组织 (ACO) 的青少年显示出更高的人类乳头瘤病毒 (HPV) 疫苗接种率. 提供者层面的因素,而不是ACO的隶属,最影响HPV疫苗的接种.
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
- 疫苗学 疫苗学 疫苗学
背景情况:
- 负责任的护理组织 (ACO) 旨在提高医疗保健质量和降低成本.
- 人类乳头瘤病毒 (HPV) 疫苗接种对于预防HPV相关癌症至关重要.
- 了解影响HPV疫苗接种的因素对于公共卫生倡议至关重要.
研究的目的:
- 调查ACO会员资格与HPV疫苗接种开始和完成之间的关联.
- 评估在ACOs内的提供者之间的HPV疫苗接种率的变化.
主要方法:
- 使用康涅狄格州所有索赔数据库进行回顾性队列研究.
- 对11至14岁的商业保险儿童和青少年的索赔数据分析 (2012年1月至2017年12月).
- 在接受ACO附属与非ACO附属提供者设置护理的青少年之间的HPV疫苗接种率的比较.
主要成果:
- 在ACO中,青少年开始 (OR,1.80) 和完成 (OR,1.12) HPV疫苗接种的可能性显著增加.
- 总体而言,HPV疫苗的启动率为53%,在启动者中,完成率为69%.
- 提供者级别的变化占HPV疫苗启动变化的14%和ACO内完成变化的10%.
结论:
- ACO关联的护理与改善的HPV疫苗接种启动和完成有关.
- 提供者层面的因素,而不是ACO附属,是HPV疫苗接种变化的主要驱动因素.
- 建议以提供者为中心的干预措施来提高HPV疫苗接种率,无论医疗保健系统的表现如何.
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