Laemmle-Ruff Ingrid, Barbaro Bianca, Brotherton Julia
MBBS (Hons), MPH, Public Health Registrar, Office of the Chief Health Officer, Department of Health, Melbourne, Victoria; Paediatric Resident, Monash Children's Hospital, Melbourne, Victoria.
Aust Fam Physician. 2013 Dec;42(12):880-4.
We analysed human papillomavirus (HPV) vaccination coverage from the 2007-2009 catch-up program for women aged 18-26 years by Division of General Practice (DGP), alongside a survey about under-notification.
Coverage rates were calculated from the National HPV Vaccination Program Register. An online survey of immunisation coordinators in DGP assessed under-notification.
HPV vaccine coverage by DGPs varied greatly: dose 1, 22-70%; dose 2, 13-60%; dose 3, 7-49%. Most coordinators (38/52, 66%) believed that more than 80% of practices notified the register. Perceived notification barriers included being busy, not knowing how to notify, not obtaining consent, insufficient remuneration and delay in register establishment.
DGP coverage varied widely. Process barriers (time and resource limitations) probably contributed to under-notification, with informational barriers (unaware how to notify) and motivational barriers (not worth the effort) secondary to this. Differences in reported coverage between DGPs and states reflect both differences in notification rates and underlying HPV vaccine coverage.
我们根据全科医学部（DGP）对2007 - 2009年针对18 - 26岁女性的补种计划中的人乳头瘤病毒（HPV）疫苗接种覆盖率进行了分析，并开展了一项关于通知不足情况的调查。
从国家HPV疫苗接种计划登记册计算覆盖率。对DGP的免疫协调员进行在线调查以评估通知不足情况。
DGP的HPV疫苗接种覆盖率差异很大：第1剂，22% - 70%；第2剂，13% - 60%；第3剂，7% - 49%。大多数协调员（38/52，66%）认为超过80%的诊所已向登记册通报情况。察觉到的通报障碍包括忙碌、不知如何通报、未获得同意、报酬不足以及登记册建立延迟。
DGP的覆盖率差异很大。流程障碍（时间和资源限制）可能导致通知不足，信息障碍（不知如何通报）和动机障碍（不值得费力）次之。DGP与各州报告的覆盖率差异既反映了通报率的差异，也反映了潜在的HPV疫苗接种覆盖率的差异。
