意大利初级保健儿科医生参与流感疫苗接种活动
Rosaria Indaco1, Francesca Leoni2, Costantino Panza1
1PCPs of Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Italian journal of pediatrics
|August 23, 2025
概括
艾米利亚-罗曼尼亚地区的初级保健儿科医生在2023/24年流感疫苗接种运动中面临挑战. 解决物流支持,培训和家长沟通是改善儿童疫苗接种率的关键.
科学领域:
- 儿童公共卫生
- 疫苗学
- 医疗服务研究
背景情况:
- 意大利在2022年将免费的年度流感疫苗接种范围扩大到儿童 (6个月-6岁).
- 疫苗接种率较低促使埃米利亚-罗曼尼亚地区授权初级保健儿科医生 (PCP) 在2023年接种儿童流感疫苗.
- 这一举措旨在增加健康和慢性病患儿童的疫苗接种率.
研究的目的:
- 调查影响PCP参与2023/24年儿童流感疫苗接种活动的因素.
- 确定儿童疫苗接种工作中PCP参与的感知障碍和促进因素.
- 评估PCP对疫苗接种活动的满意度.
主要方法:
- 在埃米利亚-罗曼尼亚 (Emilia-Romagna) 的557个PCP进行了匿名在线调查 (2024年1月).
- 该调查收集了有关人口统计,职业背景,疫苗接种实践,培训和宣传活动影响的数据.
- 使用后勤回归和Cochran-Armitage测试来分析参与决定因素和满意度趋势.
主要成果:
- 在319个回答的PCP中,有223个 (70.8%) 参与了这项活动.
- 与参与积极相关的因素包括患者负载,群体实践,疫苗接种者经验和PCP自己的流感疫苗接种.
- 这些障碍包括物流问题 (冰箱,急救包),对不良反应的恐惧,沟通缺口和组织挑战.
结论:
- 有效参与PCP需要解决后勤,培训和沟通障碍.
- 未来的战略应加强后勤支持,提供量身定制的培训,改善家长沟通,并促进协作照顾模式.
- 这些干预措施对于提高儿童疫苗接种计划的有效性和可持续性至关重要.
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