评估农村诊所实施基于证据的干预措施,以促进HPV疫苗接种
Stephanie Evett1, Shelley Walker2, Grace W Ryan3
1Department of Community and Behavioral Health, University of Iowa College of Public Health, Iowa City, Iowa, USA.
农村诊所可以通过在适当的支持下实施基于证据的干预措施 (EBI) 来提高人类乳头瘤病毒 (HPV) 接种率. 这种协作方法有助于克服HPV疫苗接种和癌症预防的障碍.
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:
- 人类乳头瘤病毒 (HPV) 疫苗在农村地区的接种率很低,尽管它已被证明具有预防癌症的好处.
- 在农村环境中实施基于证据的HPV疫苗接种干预措施 (EBI) 存在挑战.
- 美国癌症协会 (ACS) 开发了一项质量改进学习合作项目,以支持农村诊所.
研究的目的:
- 评估协作学习方法在帮助农村诊所实施EBI方面的有效性.
- 了解农村诊所需要的支持,以成功实施EBI.
- 识别农村卫生系统对协作援助的反应所产生的变化.
主要方法:
- 在2年的干预期内,与诊所工作人员进行了半结构面试.
- 采访被记录,转录和编码,使用已有的编码书.
- 对两个农村卫生系统进行比较分析,以确定实施变化.
主要成果:
- 农村诊所成功实施了EBI,包括免疫注册表,强有力的提供者建议和提供者教育.
- 计划下一个HPV疫苗剂量的实施有所不同.
- 在医疗系统之间观察到电子健康记录用于患者和提供者提醒的差异.
结论:
- 通过适当的支持,小型农村诊所可以有效地实施EBI.
- 成功实施EBI可以提高HPV疫苗接种率.
- 增加的HPV疫苗接种率有助于预防HPV相关的癌症.
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