Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC 27599, USA.
Vaccine. 2012 Jul 13;30(33):4960-3. doi: 10.1016/j.vaccine.2012.05.042. Epub 2012 May 29.
To evaluate a brief intervention to increase provision of adolescent vaccines at health centers that reach the medically underserved.
In April 2010, clinical coordinators from 17 federally qualified health centers (serving 7827 patients ages 12-17) participated in a competition to increase uptake of recommended adolescent vaccines: tetanus, diphtheria, and pertussis booster; meningococcal conjugate; and human papillomavirus. Vaccination coordinators attended a webinar that reviewed provider-based changes recommended by the CDC's Assessment, Feedback, Incentives, and eXchanges (AFIX) program and received weekly follow-up emails. Data on vaccine uptake came from the North Carolina Immunization Registry.
Uptake of targeted adolescent vaccines increased during the one-month intervention period by about 1-2% (all p<.05). These small but reliable increases were greater than those observed for non-targeted vaccines (measles, mumps, and rubella; hepatitis B; and varicella).
This AFIX webinar led to small increases in provision of targeted adolescent vaccines over a one-month period. Similar, sustainable programs at healthcare facilities, including federally qualified health centers that function as safety net providers for medically underserved populations could help reach populations with great need.
评估在为医疗服务不足人群服务的健康中心增加青少年疫苗接种的简短干预措施。
2010 年 4 月，来自 17 家联邦合格健康中心（服务 7827 名 12-17 岁患者）的临床协调员参加了一项竞赛，以增加推荐的青少年疫苗接种率：破伤风、白喉和百日咳加强剂；脑膜炎球菌结合疫苗；和人乳头瘤病毒。疫苗接种协调员参加了一个网络研讨会，该研讨会审查了疾病预防控制中心的评估、反馈、激励和交流（AFIX）计划中推荐的基于提供者的改变，并每周收到后续电子邮件。疫苗接种数据来自北卡罗来纳州免疫登记处。
在为期一个月的干预期间，目标青少年疫苗的接种率增加了约 1-2%（均<.05）。这些微小但可靠的增长大于非目标疫苗（麻疹、腮腺炎和风疹；乙型肝炎；和水痘）的增长。
这项 AFIX 网络研讨会在一个月的时间内导致了目标青少年疫苗接种的小幅增加。医疗保健设施（包括作为医疗服务不足人群的安全网提供者的联邦合格健康中心）可以实施类似的、可持续的计划，以帮助满足有巨大需求的人群。
