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医生对校医院接种疫苗诊所的态度。

Physician attitudes regarding school-located vaccination clinics.

机构信息

Acute and Communicable Disease Prevention, Oregon Health Authority, 800 NE. Oregon St., Ste. 772, Portland, OR 97232, USA.

出版信息

J Sch Health. 2013 May;83(5):299-305. doi: 10.1111/josh.12031.

Abstract

BACKGROUND

School-located vaccination clinics offer an opportunity to target children for vaccination programs during communicable disease outbreaks. However, children in the United States are primarily vaccinated in the pediatrician's or family physician's office, and the concept of school-located vaccinations may be unfamiliar to some parents and guardians. Physician support could contribute to effective implementation of school-located vaccination clinics during outbreak situations. The primary objective of the study was to assess physician opinion of using school-located vaccination clinics to administer both outbreak-specific and routine vaccines.

METHODS

A statewide mail and Internet survey was administered to 275 pediatricians and 275 family physicians in Oregon during July and August 2010.

RESULTS

Ninety-one percent of physicians supported the use of school-located vaccination clinics as immunization delivery sites during outbreak situations. Sixty percent of physicians supported using school-located vaccination clinics to administer routine vaccinations. Only 57% of physicians had knowledge of school-located vaccination clinic availability to their patients.

CONCLUSIONS

Pediatricians and family physicians expressed strong support of school vaccination clinics as sites for immunization delivery during outbreak situations but significantly less support for administering routine vaccinations. Increasing physician awareness of school-located vaccination clinic availability and establishing partnerships between physician practices and school vaccination clinics may improve access to immunizations for school-aged children and adolescents, particularly during large-scale communicable disease outbreaks.

摘要

背景

学校所在地的疫苗接种诊所为在传染病爆发期间为儿童接种疫苗计划提供了机会。然而,美国的儿童主要在儿科医生或家庭医生的办公室接种疫苗,因此一些家长和监护人可能对学校所在地的疫苗接种并不熟悉。医生的支持可能有助于在疫情爆发期间有效实施学校所在地的疫苗接种诊所。该研究的主要目的是评估医生对使用学校所在地的疫苗接种诊所来接种爆发特异性和常规疫苗的意见。

方法

2010 年 7 月至 8 月,在俄勒冈州向 275 名儿科医生和 275 名家庭医生进行了全州范围的邮件和互联网调查。

结果

91%的医生支持在疫情爆发期间使用学校所在地的疫苗接种诊所作为免疫接种场所。60%的医生支持使用学校所在地的疫苗接种诊所来接种常规疫苗。只有 57%的医生了解其患者可获得学校所在地的疫苗接种诊所。

结论

儿科医生和家庭医生强烈支持在疫情爆发期间将学校接种诊所作为免疫接种的场所,但对接种常规疫苗的支持则明显减少。提高医生对学校所在地的疫苗接种诊所可用性的认识,并在医生实践和学校接种诊所之间建立伙伴关系,可能会改善学龄儿童和青少年的疫苗接种机会,尤其是在大规模传染病爆发期间。

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