供应商偏好,后勤挑战,或疫苗犹? 在学校接种疫苗计划中分析家长的决策:澳大利亚悉尼的一项定性研究
Leigh McIndoe1, Alexandra Young2, Cristyn Davies3,4
1South Eastern Sydney Public Health Unit, Sydney, NSW 2031, Australia.
Vaccines
|January 24, 2025
概括
家长对学校计划的疫苗决定有所不同. 不参与的原因包括全科医生偏好,后勤问题和犹,突出了为改善疫苗接种量身定制策略的需要.
科学领域:
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 基于学校的免疫计划对于公平的疫苗接种至关重要.
- 父母的同意是这些计划成功的关键因素.
- 了解像HPV和dTpa这样的青少年疫苗的决策至关重要.
研究的目的:
- 调查澳大利亚学校免疫计划中父母之间的疫苗决策模式.
- 在本计划中确定疫苗接种的障碍和促进因素.
- 要区分疫苗犹和其他不参与的原因.
主要方法:
- 在东南悉尼当地卫生区 (2022-2023) 进行的定性研究.
- 与学校工作人员 (n=11),未接种疫苗的儿童的父母 (n=11) 和公共卫生部门工作人员 (n=5) 的半结构面试.
- 专题分析以确定疫苗决策中的关键模式和障碍.
主要成果:
- 确定了三个父组:医生偏好,后勤/同意障碍,以及对疫苗的犹 (特别是针对HPV).
- 不参与并不仅仅等同于对疫苗的犹.
- 对全科医生的信任和个性化护理影响了接种疫苗的选择.
结论:
- 需要量身定制的干预措施来解决疫苗不参与的各种原因.
- 建议加强全科医生合作,简化同意流程.
- 针对性教育以打击错误信息可以提高学校计划中接种疫苗的接受率.
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