Department of Family Medicine, Mayo Clinic, Rochester, Minnesota.
Department of Family Medicine, Mayo Clinic, Rochester, Minnesota.
Am J Prev Med. 2018 Dec;55(6):822-829. doi: 10.1016/j.amepre.2018.06.027. Epub 2018 Oct 19.
Human papillomavirus (HPV) vaccination rates nationally are low. This study determined if an electronic point-of-care prompt in the retail clinic setting increases HPV vaccination rates among an eligible population.
An interrupted time series assessed change in weekly HPV vaccination rates with the introduction of an electronic point-of-care prompt and rate change in post-intervention period.
SETTING/PARTICIPANTS: The study sites were two similar retail care clinics in Rochester, Minnesota. Participants were patients who presented to the retail clinics setting between the ages of 9 and 26 years from September 12, 2016, to September 30, 2017.
HPV vaccine (nonavalent) was made available at both retail clinics. Staff completed a 2-hour lecture on HPV vaccine and one-on-one training for use of the prompt. Pre- and post-intervention rates of HPV vaccination after initiation of electronic point-of-care prompt were measured. A satisfaction survey was given to all patients or parents/guardians between the ages of 9 and 26 years regardless of HPV vaccine status.
HPV vaccination rates per week before and after the introduction of the electronic point-of-care prompt along with satisfaction with HPV vaccine availability and the point-of-care prompt in the retail clinic setting. Data analysis was completed January 2018.
The point-of-care prompt increased the median weekly HPV vaccination rate by 8.6 per 100 patient visits (95% CI=5.8, 11.5, p<0.001). Patients thought it was convenient having HPV vaccine available and helpful to be reminded of the need for HPV vaccine.
This study demonstrates a significant increase of HPV vaccine rates in the retail clinic setting with use of a point-of-care prompt.
全国范围内的人乳头瘤病毒（HPV）疫苗接种率较低。本研究旨在确定零售诊所环境中的电子即时提示是否会提高合格人群的 HPV 疫苗接种率。
采用中断时间序列评估引入电子即时提示前后每周 HPV 疫苗接种率的变化以及干预后期间的接种率变化。
地点/参与者：研究地点为明尼苏达州罗切斯特的两家类似的零售护理诊所。参与者为 2016 年 9 月 12 日至 2017 年 9 月 30 日期间在零售诊所就诊的年龄在 9 至 26 岁之间的患者。
在两家零售诊所均可提供 HPV 疫苗（九价疫苗）。工作人员参加了为期 2 小时的 HPV 疫苗讲座和一对一的提示使用培训。在启动电子即时提示后，测量 HPV 疫苗接种率在干预前后每周的变化。对所有 9 至 26 岁的患者或其父母/监护人进行满意度调查，无论 HPV 疫苗接种状况如何。
在引入电子即时提示前后每周 HPV 疫苗接种率，以及对 HPV 疫苗在零售诊所环境中的可及性和即时提示的满意度。数据分析于 2018 年 1 月完成。
即时提示将中位数每周 HPV 疫苗接种率提高了 8.6 例/每 100 名患者就诊（95%CI=5.8，11.5，p<0.001）。患者认为 HPV 疫苗可及性方便，并认为获得 HPV 疫苗接种提醒很有帮助。
本研究表明，在使用即时提示的零售诊所环境中，HPV 疫苗接种率显著增加。
