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Updated: Mar 10, 2026

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基于药房的干预措施对弱势群体和服务不足群体的疫苗接种覆盖率的影响:系统性审查和元分析
Borlini Stefania1, Pennisi Flavia2, Pinto Antonio1
1Faculty of Medicine, University Vita-Salute San Raffaele, via Olgettina, 58, 20132 Milan, Italy.
Vaccine
|March 9, 2026
概括
药房干预显著提高了成年人疫苗接种率,在高风险群体中几乎翻了一番. 药剂师领导的策略包括评估,咨询和管理是最有效的.
科学领域:
- 公共卫生 公共卫生
- 制药科学 制药科学
- 预防医学 预防医学
背景情况:
- 在脆弱和服务不足的成年人群中,疫苗接种覆盖率低于最佳水平.
- 确定有效的基于药房的策略,以改善高风险成年人接种疫苗至关重要.
研究的目的:
- 研究以药房为基础的干预措施在改善弱势和服务不足的成年人群中接种疫苗的有效性.
- 确定药剂师主导的疫苗接种计划中最有效的策略.
主要方法:
- 在PubMed/MEDLINE,Embase和Scopus进行了系统的文献搜索.
- 包括的研究评估了65岁及以上的成年人,或患有慢性疾病或获得医疗保健有限的18-64岁成年人药房主导的疫苗接种干预措施.
- 进行了几率比率的元分析,进行了灵敏度分析和偏差风险评估.
主要成果:
- 分析了35项涉及超过130万参与者的研究.
- 在前后比较中,以药房为基础的干预措施几乎使疫苗接种率翻了一番 (OR=1.88).
- 在病例控制分析中,药剂师的干预增加了接种疫苗的可能性近五倍 (OR=4.87),多组分策略和直接管理显示出一致的改善.
结论:
- 药剂师主导的疫苗接种干预措施显著增加了脆弱成年人群的疫苗接种率.
- 有效的策略将药剂师领导的资格评估,咨询,管理和文档纳入常规护理工作流程中.
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