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药店与医生诊室在青少年疫苗接种中的比较。

Pharmacies versus doctors' offices for adolescent vaccination.

机构信息

The Cecil G. Sheps Center for Health Services Research, University of North Carolina, United States; Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, United States.

Division of Practice Advancement and Clinical Education, Eshelman School of Pharmacy, University of North Carolina, United States.

出版信息

Vaccine. 2018 Jun 7;36(24):3453-3459. doi: 10.1016/j.vaccine.2018.04.088. Epub 2018 May 7.

Abstract

PURPOSE

We sought to understand the relative advantage of pharmacies compared to doctors' offices for delivering HPV vaccination to adolescents.

METHODS

Participants were a national sample of 1500 U.S. parents of adolescents ages 11-17 recruited in 2014-15. In an online survey, items informed by Diffusion of Innovation Theory assessed parents' perceptions of the relative advantages of HPV vaccine delivery in pharmacies and doctors' offices.

PRINCIPLE FINDINGS

Many parents believed doctor's offices offered a better health care environment than pharmacies, with more privacy (77%) and a safer place for vaccination (70%). However, many parents also believed pharmacies were more accessible than doctors' offices, requiring less time for vaccinations (71%) and offering more convenient hours (59%). Parents were more willing to get their children HPV vaccine from pharmacists if they indicated more relative advantages in vaccine delivery in pharmacies (β = .29; p < .001) and believed patient accessibility more important than health care environment (β = .20; p < .001).

CONCLUSIONS

To be more appealing to parents as HPV vaccine providers, pharmacy providers within community and hospital settings should build on their relative advantage with respect to accessibility and enhance their appeal of their healthcare environment.

摘要

目的

我们旨在了解与医生诊室相比,药房在为青少年提供 HPV 疫苗接种方面的相对优势。

方法

参与者为 2014-2015 年期间在美国招募的 1500 名 11-17 岁青少年的父母。在一项在线调查中,基于创新扩散理论的项目评估了父母对在药房和医生诊室接种 HPV 疫苗的相对优势的看法。

主要发现

许多父母认为医生诊室提供的医疗环境优于药房,具有更高的隐私性(77%)和更安全的接种场所(70%)。然而,许多父母也认为药房比医生诊室更方便,疫苗接种所需时间更短(71%),提供更便利的时间(59%)。如果父母认为在药房接种疫苗的相对优势更大(β=0.29;p<0.001),并且认为患者可及性比医疗环境更重要(β=0.20;p<0.001),则他们更愿意让孩子从药剂师那里接种 HPV 疫苗。

结论

为了成为更吸引父母的 HPV 疫苗提供者,社区和医院环境中的药房提供者应该利用他们在可及性方面的相对优势,并增强其医疗环境的吸引力。

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