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路易斯安那州的医生们正在提高人乳头瘤病毒疫苗接种率。

Louisiana Physicians Are Increasing HPV Vaccination Rates.

作者信息

Williams Donna L, Wheeler Courtney S, Lawrence Michelle, Hall Stacy S, Hagensee Michael

机构信息

Louisiana State University Health Sciences Center, School of Public Health - New Orleans, LA.

Centers for Disease Control and Prevention.

出版信息

J La State Med Soc. 2017 May-Jun;169(3):63-67. Epub 2017 Jun 23.

PMID:28644153
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5757236/
Abstract

Human papilloma virus (HPV) is a common virus that can cause genital warts and certain cancers. The HPV vaccine is effective in preventing many HPV-associated diseases, however, vaccination rates suggest many remain unprotected. This study examined successful strategies used by physicians to improve HPV vaccination rates. Providers with above average vaccination rates were identified. A representative from each provider participated in an interview to identify strategies used to boost HPV vaccination. Key strategies in ensuring vaccine completion were reminders, education, standing orders, and scheduling future vaccine appointments at time of first dose. Other successful strategies included coupling the HPV vaccine with adolescent vaccines, administering during well-visits, and recommending the vaccine as protection against cancer and genital warts. Findings suggest successful and widely used methods among high performing providers in Louisiana, the majority of which should be easily reproducible with minimal resources to improve HPV vaccination rates.

摘要

人乳头瘤病毒(HPV)是一种常见病毒,可导致尖锐湿疣和某些癌症。HPV疫苗在预防许多与HPV相关的疾病方面有效,然而,疫苗接种率表明许多人仍未得到保护。本研究调查了医生提高HPV疫苗接种率所采用的成功策略。确定了疫苗接种率高于平均水平的医疗服务提供者。每个医疗服务提供者的一名代表参加了访谈,以确定用于提高HPV疫苗接种率的策略。确保完成疫苗接种的关键策略包括提醒、教育、长期医嘱以及在接种第一剂疫苗时安排未来的疫苗接种预约。其他成功策略包括将HPV疫苗与青少年疫苗联合接种、在健康检查期间接种以及推荐该疫苗作为预防癌症和尖锐湿疣的手段。研究结果表明,在路易斯安那州表现出色的医疗服务提供者中,存在成功且广泛使用的方法,其中大多数方法应能以最少的资源轻松复制,以提高HPV疫苗接种率。

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本文引用的文献

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Prevalence of HPV After Introduction of the Vaccination Program in the United States.HPV 在美国疫苗接种计划引入后的流行率。
Pediatrics. 2016 Mar;137(3):e20151968. doi: 10.1542/peds.2015-1968. Epub 2016 Feb 22.
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Determinants in the Uptake of the Human Papillomavirus Vaccine: A Systematic Review Based on European Studies.人乳头瘤病毒疫苗接种的影响因素:基于欧洲研究的系统评价
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Effectiveness of decision support for families, clinicians, or both on HPV vaccine receipt.决策支持对家庭、临床医生或两者在 HPV 疫苗接种方面的有效性。
Pediatrics. 2013 Jun;131(6):1114-24. doi: 10.1542/peds.2012-3122. Epub 2013 May 6.
8
A quality improvement initiative to increase HPV vaccine rates using an educational and reminder strategy with parents of preteen girls.一项质量改进计划,旨在通过对青春期前女孩的父母采用教育和提醒策略来提高人乳头瘤病毒(HPV)疫苗接种率。
J Pediatr Health Care. 2014 Mar-Apr;28(2):155-64. doi: 10.1016/j.pedhc.2013.01.002. Epub 2013 Mar 20.
9
Increasing adolescent immunization by webinar: a brief provider intervention at federally qualified health centers.通过网络研讨会提高青少年免疫接种率:联邦合格健康中心的简短提供者干预。
Vaccine. 2012 Jul 13;30(33):4960-3. doi: 10.1016/j.vaccine.2012.05.042. Epub 2012 May 29.
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Human papillomavirus vaccination practices: a survey of US physicians 18 months after licensure.人类乳头瘤病毒疫苗接种实践:许可后 18 个月对美国医生的调查。
Pediatrics. 2010 Sep;126(3):425-33. doi: 10.1542/peds.2009-3500. Epub 2010 Aug 2.