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一项关于女性和医疗保健专业人员对社区药房免费孕产妇疫苗接种的看法与经历的定性研究。

A Qualitative Study of Views and Experiences of Women and Health Care Professionals about Free Maternal Vaccinations Administered at Community Pharmacies.

作者信息

Gauld Natalie, Martin Samuel, Sinclair Owen, Petousis-Harris Helen, Dumble Felicity, Grant Cameron C

机构信息

Department of Paediatrics: Child and Youth Health, University of Auckland, 2 Park Rd, Auckland 1023, New Zealand.

Huntly West Pharmacy, Huntly 3700, New Zealand.

出版信息

Vaccines (Basel). 2020 Mar 29;8(2):152. doi: 10.3390/vaccines8020152.

Abstract

A policy to extend funding of maternal pregnancy influenza and pertussis vaccinations to community pharmacies could address low pregnancy vaccine uptake. The policy has been implemented in one region in New Zealand. This study explored the views and experiences of women eligible for the vaccines and health care professionals regarding funded maternal vaccinations in pharmacy. Women in late pregnancy or with an infant, and midwives, pharmacists, and general practice staff were selected purposively and interviewed regarding maternal vaccinations and the new policy, including their awareness and views of the funded vaccinations in pharmacies, and how this policy worked in practice. Enablers and barriers to vaccination by pharmacists were explored. Interviews were transcribed and analysed using a framework approach. Fifty-three interviews were conducted. Most women and health care professionals viewed funded maternal vaccinations in pharmacies positively with respect to increasing awareness and providing delivery options. Many women received messages from pharmacies. Most pharmacies used posters, leaflets and/or verbal explanation to pregnant women to raise awareness of the vaccinations. Not all pharmacies provided these vaccinations, and frontline staff could help to raise awareness. Funded maternal vaccinations in pharmacies are generally well accepted and provide an opportunity to increase uptake and prevent disease.

摘要

一项将孕妇流感和百日咳疫苗接种资金扩展至社区药房的政策,可能会解决孕妇疫苗接种率低的问题。该政策已在新西兰的一个地区实施。本研究探讨了符合疫苗接种条件的女性以及医疗保健专业人员对药房提供的孕产妇疫苗接种资助政策的看法和体验。特意选取了妊娠晚期的女性或有婴儿的女性,以及助产士、药剂师和全科医疗工作人员,就孕产妇疫苗接种及新政策进行访谈,内容包括她们对药房提供的疫苗接种资助的认知和看法,以及该政策在实际中的运作情况。探讨了药剂师进行疫苗接种的推动因素和障碍。采用框架分析法对访谈内容进行转录和分析。共进行了53次访谈。大多数女性和医疗保健专业人员对药房提供的孕产妇疫苗接种资助政策持积极态度,认为该政策提高了认知度并提供了接种途径。许多女性收到了来自药房的信息。大多数药房通过海报、传单和/或向孕妇进行口头解释来提高对疫苗接种的认知。并非所有药房都提供这些疫苗接种服务,一线工作人员有助于提高认知度。药房提供的孕产妇疫苗接种资助政策总体上得到了广泛认可,并为提高接种率和预防疾病提供了契机。

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