药房中儿童接种疫苗与商业保险儿童中延迟健康儿童访问无关
Shiven Bhardwaj1, Nina Galanter2, Lucas A Berenbrok3
1The Comparative Health Outcomes, Policy, and Economics (CHOICE) Institute, School of Pharmacy, University of Washington, Seattle, WA 98195, United States.
儿童的药房疫苗接种不会延迟孩子的健康访问. 与在初级保健机构接种疫苗的儿童相比,在药店接种疫苗的儿童在及时健康儿童访问的几率相似.
科学领域:
- 公共卫生 公共卫生
- 儿科医学 儿科医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 美国儿童疫苗接种率低于国家目标.
- 建议扩大以药房为基础的疫苗接种,以增加免疫覆盖率.
- 人们担心药店接种疫苗可能会取代必要的健康儿童访问.
研究的目的:
- 评估疫苗接种环境 (药房与初级保健) 之间的关联以及4至17岁儿童及时健康儿童访问的可能性.
- 解决有关药店儿童免疫接种对日常医疗保健维护的潜在负面影响的担忧.
主要方法:
- 以2016-2019年商业索赔数据进行回顾性队列分析.
- 使用条件后勤回归模型来分析数据.
- 及时的健康儿童访问被定义为发生在前一次访问后的12个月 (初级) 或15个月 (二级) 内.
主要成果:
- 在药店接种疫苗的儿童和在初级保健机构接种疫苗的儿童之间,没有观察到及时健康儿童访问的几率有显著差异.
- 大多数研究样本 (95%) 接受了流感疫苗作为其指数疫苗接种.
- 调查结果表明,药房接种疫苗不会导致错过或延迟健康儿童的访问.
结论:
- 选择为保险儿童购买药房为基础的儿科疫苗的家长并没有放弃对孩子进行健康检查.
- 药房接种疫苗甚至可能与获得及时健康儿童访问的可能性更高有关.
- 支持扩大以药房为基础的儿科疫苗接种的政策可以在不影响常规儿童医疗保健的情况下,有助于提高免疫率.
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