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通过将家庭与社区资源联系起来,提高疫苗接种率
Joshua Arthur1, Ally Siegler Terhaar2, Jin Huang3
1Department of Pediatrics, Saint Louis University, St. Louis, MO, USA.
Clinical pediatrics
|December 30, 2025
概括
通过 PHASE 计划将家庭与社会资源联系起来,显著改善了儿童免疫接种的遵守率. 这种干预有助于减少过期接种疫苗,使得参与者随着时间的推移与对照组无法区分.
科学领域:
- 儿科健康 儿科健康
- 公共卫生干预措施 公共卫生干预措施
- 健康的社会决定因素
背景情况:
- 低收入儿科诊所经常遇到面临各种社会需求的家庭.
- 这些社会需求可能会对健康结果产生负面影响,包括免疫率.
- 现有的医疗保健模式可能无法充分解决这些健康的社会决定因素.
研究的目的:
- 在一个低收入儿科诊所开发和评估社会需求干预 (PHASE计划).
- 评估 PHASE 计划对遵守推儿童免疫接种的影响.
- 确定将家庭与社会资源联系起来是否可以提高疫苗接种率.
主要方法:
- 实施了PHASE计划,以选财务,粮食和住房不安全.
- 连接注册家庭与诊所和社区社会资源.
- 随着时间的推移,干预组 (PHASE) 和对照组之间的免疫坚持率的比较.
主要成果:
- 参与PHASE的患者最初有34%的逾期疫苗.
- 到第二年,干预组的疫苗状况显著改善.
- 在18个月后,与非参与者相比,PHASE患者的逾期疫苗数量减少了0.47,这是统计学上显著的差异.
结论:
- 像PHASE这样的社会需求干预措施可以有效地改善儿童免疫接种的坚持.
- 将家庭与社会资源联系起来,可以解决医疗保健获取障碍.
- 将社会支持纳入儿科护理是提高公共卫生结果的关键.
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