Department of Pediatrics, Baystate Medical Center, 3300 Main Street, Springfield, MA 01199, United States.
Vaccine. 2011 Oct 6;29(43):7343-9. doi: 10.1016/j.vaccine.2011.07.082. Epub 2011 Aug 10.
(1) Describe content and character of patient-physician human papilloma virus (HPV) vaccine discussions; (2) explore the relationship between selected characteristics and vaccine uptake.
Content analyses were conducted on 184 transcripts of audio-taped patient encounters with 11-26 year old female patients that occurred from August 2008 to March 2009 and contained mention of the HPV vaccine. Directed qualitative content analysis sought to identify key themes with a focus on elements related to communication. Quantitative content analysis included determination of associations between selected factors (e.g., physician specialty, communication variables, patient age) and vaccination rates.
Communication themes identified though qualitative content analysis demonstrated potential opportunities for improvement in vaccine communication were identified. Quantitative content analysis showed twenty-eight percent of eligible patients received HPV vaccine and on average these patients were younger (17.0 vs. 19.6 years). The youngest and oldest patients were vaccinated less frequently.
Targeting age groups with lower vaccination rates may increase overall vaccine uptake. Additional quantitative analyses of patient-physician discussions about vaccine may generate further recommendations regarding optimal communication strategies for HPV vaccine counseling.
(1)描述医患人乳头瘤病毒（HPV）疫苗讨论的内容和特点；(2)探讨选定特征与疫苗接种率之间的关系。
对 2008 年 8 月至 2009 年 3 月期间与 11-26 岁女性患者进行的 184 次音频记录的患者就诊记录进行内容分析，其中包含 HPV 疫苗的提及。定向定性内容分析旨在确定关键主题，重点关注与沟通相关的要素。定量内容分析包括确定选定因素（例如，医生专业、沟通变量、患者年龄）与疫苗接种率之间的关联。
通过定性内容分析确定的沟通主题表明，在疫苗沟通方面有改进的潜力。定量内容分析显示，28%符合条件的患者接种了 HPV 疫苗，平均而言，这些患者年龄较小（17.0 岁 vs. 19.6 岁）。最年轻和最年长的患者接种疫苗的频率较低。
针对疫苗接种率较低的年龄组可能会提高整体疫苗接种率。对有关疫苗的医患讨论的进一步定量分析可能会产生有关 HPV 疫苗咨询最佳沟通策略的进一步建议。
