实践便利,以支持初级保健医生接种COVID-19疫苗:一个随机临床试验
Jennifer Shuldiner1,2,3, Noor-Ul-Huda Shah1, Stacey Bar-Ziv4
1Research and Innovation Institute, Women's College Hospital, Toronto, Ontario, Canada.
JAMA network open
|May 14, 2025
概括
实践便利化并没有增加初级保健中的COVID-19疫苗接种率. 干预措施应针对具有高动机和改进机会的服务,以提高疫苗接种率.
科学领域:
- 初级保健研究研究初级保健研究
- 公共卫生干预 公共卫生干预
- 疫苗接种战略 疫苗接种策略
背景情况:
- 家庭医生建议对于接种疫苗至关重要.
- 医生在识别需要接种疫苗咨询的患者方面的能力有限.
- 实践便利化在提高COVID-19疫苗接种率方面的作用尚不清楚.
研究的目的:
- 评估实践促进干预是否会增加COVID-19疫苗接种率.
- 专注于与最没有接种疫苗的患者的家庭医生实践.
主要方法:
- 加拿大安大略省的一项双臂集群随机试验.
- 包括600名家庭医生,其中有大量未接种疫苗的患者.
- 干预涉及实践辅导员,支持医生在患者外展和咨询方面.
主要成果:
- 分析了582名医生;290名干预组,292名控制组.
- 只有29%的干预组接受了促进者支持.
- 两支队伍之间COVID-19疫苗接种没有显著差异 (RR,0.99;95% CI,0.96-1.02).
结论:
- 在这种初级保健环境中,实践便利化并没有显著改善COVID-19疫苗接种率.
- 未来的干预措施必须考虑卫生服务中的动机和机会.
- 针对正确的医疗保健机构是有效公共卫生倡议的关键.
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