一个捆绑的,基于实践的干预措施,以增加HPV疫苗接种率
Peter G Szilagyi1, Alexander G Fiks2, Cynthia M Rand3
1Department of Pediatrics, University of California Los Angeles Mattel Children's Hospital, Los Angeles, California.
Pediatrics
|January 5, 2025
概括
一项捆绑干预措施通过减少健康儿童访问期间错过的接种疫苗机会,改善了人类乳头瘤病毒 (HPV) 疫苗接种率. 这种方法有望增加儿科实践中的HPV疫苗接种率.
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 疫苗学 疫苗学 疫苗学
背景情况:
- 人类乳头瘤病毒 (HPV) 接种率低于最佳水平和经常错过的接种机会是严重的公共卫生问题.
- 儿科初级保健机构是解决HPV免疫覆盖率缺口的关键场所.
研究的目的:
- 评估旨在减少儿科实践中错过的HPV疫苗接种机会的捆绑干预措施的有效性.
- 在不同类型的患者访问期间,评估干预对初始和随后的HPV疫苗剂量的影响.
主要方法:
- 在24个初级保健儿科实践中采用了前后设计,以评估干预的影响.
- 捆绑干预包括在线临床医生培训,对错失机会的绩效反,以及临床医生对HPV疫苗接种的提示.
- 第二次分析将干预实践与同时进行的对照组实践进行了比较.
主要成果:
- 在健康儿童护理 (WCC) 访问期间错过了初始剂量的HPV疫苗接种机会,在干预期内改善了4.8个百分点.
- 在世卫组织访问期间,在随后的HPV疫苗剂量中观察到2.2个百分点的适度改善.
- 干预实践显示,与干预期间的比较实践相比,WCC访问的初始HPV疫苗接种率有所改善.
结论:
- 捆绑干预措施在提高HPV疫苗接种率方面表现出有效性,特别是在健康儿童护理访问期间.
- 这些发现表明,有针对性的干预措施可以成功地减少错过的接种机会,并提高青少年免疫覆盖率.
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