确定有效的疫苗拥护者：一项针对初级保健专业人员的全国性调查结果。
Identifying effective vaccine champions: Findings from a national survey of primary care professionals.
机构信息
Lineberger Comprehensive Cancer Center, University of North Carolina, UNC Lineberger Building, 450 West Drive, Chapel Hill, NC 27514, USA; Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, 135 Dauer Drive, CB #7440, Chapel Hill, NC 27599-7440, USA.
Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, 135 Dauer Drive, CB #7440, Chapel Hill, NC 27599-7440, USA.
出版信息
Vaccine. 2024 May 10;42(13):3148-3152. doi: 10.1016/j.vaccine.2024.04.003. Epub 2024 Apr 4.
BACKGROUND
Vaccine champions are common in primary care, but little is known about which champions are effective.
METHODS
In 2022, we surveyed 2,144 US primary care professionals (PCPs) who reported working with vaccine champions. Respondents rated the champion with whom they worked most closely on their effectiveness at improving vaccination rates.
RESULTS
About half (49 %) of PCPs perceived their closest champion as highly effective. PCPs perceived advanced practice providers and nursing staff as highly effective somewhat more often than physicians (52 % and 58 % vs 43 %, p <.001). Other correlates of perceived effectiveness included being a formally appointed versus informal champion, working extremely versus less closely with PCPs, and using a high (4-5) versus low (0-1) number of implementation strategies to improve vaccination rates (all p <.001).
CONCLUSIONS
Results suggest vaccine champions may benefit from having formal roles and opportunities to work closely with colleagues to improve vaccination rates using multiple strategies.
背景
疫苗拥护者在初级保健中很常见，但对于哪些拥护者是有效的，人们知之甚少。
方法
2022 年，我们调查了 2144 名美国初级保健专业人员（PCP），他们报告与疫苗拥护者合作。受访者对与他们合作最密切的拥护者在提高疫苗接种率方面的有效性进行了评价。
结果
约一半（49%）的 PCP 认为他们最亲密的拥护者非常有效。PCP 认为高级执业医师和护理人员比医生更有效（52%和 58%比 43%，p<.001）。其他与感知有效性相关的因素包括正式任命与非正式任命的拥护者、与 PCP 密切合作还是较少合作、以及使用较多（4-5）还是较少（0-1）实施策略来提高疫苗接种率（均 p<.001）。
结论
结果表明，疫苗拥护者可能受益于拥有正式角色和机会，与同事密切合作，使用多种策略来提高疫苗接种率。
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