在临床实践中实施中期成人HPV疫苗接种指南
Erika L Thompson1, Idara N Akpan2, Sarah Alkhatib2
1Department of Quantitative and Qualitative Health Sciences, University of Texas School of Public Health San Antonio, University of Texas Health Science Center at San Antonio, 8403 Floyd Curl Drive, San Antonio, TX USA; Department of Population and Community Health, College of Public Health, University of North Texas Health Science Center, Fort Worth, TX, USA.
Vaccine
|February 16, 2025
概括
医疗保健提供者对中年人群HPV疫苗接种的共享临床决策 (SCDM) 不一致地实施. 时间限制和保险问题是关键障碍,需要针对性干预,以获得公平的护理.
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 2019年美国指南建议在中年成人 (年龄27-45岁) 接受人类乳头瘤病毒 (HPV) 疫苗接种时共享临床决策 (SCDM).
- 医疗保健提供者实施这一指南对于这一人口群体的疫苗接种至关重要.
研究的目的:
- 调查中年成人服务的医疗保健提供者中HPV疫苗接种SCDM实施的程度.
- 确定影响HPV疫苗接种指南一致采用的障碍.
主要方法:
- 一项调查对600名为中年人群服务的美国医疗保健提供者的配额样本进行.
- 收集的数据包括与HPV疫苗接种和SCDM指南实施相关的实践.
- 进行了描述性统计和双变量分析.
主要成果:
- 近一半 (47%) 的提供者经常在HPV疫苗接种中使用SCDM.
- 只有50%的人提供HPV疫苗,根据提供者类型有很大的差异 (p < 0.01).
- 主要障碍包括时间有限 (67%) 和患者保险不足 (65%).
结论:
- 对中年成人HPV疫苗接种SCDM指南的实施在提供者类型之间不一致.
- 提供商的时间限制和保险覆盖问题阻碍了采用统一的指南.
- 需要量身定制的干预措施,以促进对中年成人进行一致和公平的HPV疫苗接种.
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