Bernstein Therese A, Broome Marion, Millman Jennifer, Epstein Jessica, Derouin Anne
Greenwich Pediatric Associates, Old Greenwich, CT.
Dean and Vice-Chancellor for Nursing Affairs, School of Nursing, Duke University, Associate Vice-President for Academic Nursing, Duke University School of Nursing, Durham, NC.
J Pediatr Health Care. 2022 Mar-Apr;36(2):e36-e41. doi: 10.1016/j.pedhc.2021.10.009. Epub 2022 Feb 2.
Evaluation of a quality improvement project designed to improve HPV vaccine uptake in a pediatric primary care setting for young adolescents.
Three strategies were implemented in one private pediatric practice to promote HPV vaccine uptake for 11- and 12-year-old adolescents. 1) a standardized vaccine policy change was made to include HPV vaccine with other adolescent vaccines, 2) a pre-visit email was sent to parents of teens to provide factual vaccine information in preparation for the visit, and 3) a provider communication initiative was implemented to ensure all providers communicated consistent messages and delivered an effective cancer prevention recommendation for HPV vaccination. A pre/post design was used to compare vaccine rates. Data was obtained via the electronic health records.
The post-intervention group demonstrated HPV vaccine rates increased substantially from 17.8% to 63.6%.
Strategically implementing standardized clinical vaccine policies and presumprive provider communication practices has implications for significantly increasing HPV vaccine uptake among teens and may be key to preventing cancer among future generations.
评估一项旨在提高青少年初级保健机构中HPV疫苗接种率的质量改进项目。
在一家私立儿科诊所实施了三项策略，以促进11岁和12岁青少年接种HPV疫苗。1）进行了标准化的疫苗政策变更，将HPV疫苗纳入其他青少年疫苗；2）在就诊前向青少年家长发送电子邮件，提供疫苗实际信息，为就诊做准备；3）实施了一项医护人员沟通倡议，以确保所有医护人员传达一致信息，并就HPV疫苗接种给出有效的癌症预防建议。采用前后对照设计来比较疫苗接种率。数据通过电子健康记录获取。
干预后组的HPV疫苗接种率从17.8%大幅提高到了63.6%。
战略性地实施标准化临床疫苗政策和推测性的医护人员沟通做法，对于显著提高青少年的HPV疫苗接种率具有重要意义，可能是预防后代患癌的关键。
