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成人疫苗接种门诊选址的偏好及驱动因素:一项在中国30个省份开展的横断面研究。

Preferences for and drivers of adult vaccination clinic site selection: A cross-sectional study in 30 provinces in China.

作者信息

Liu Yuxi, Cao Yanlin, Li Yugang, Liu Siyuan, Xu Yunshao, Yang Weizhong, Feng Luzhao

机构信息

School of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

State Key Laboratory of Respiratory Health and Multimorbidity, Key Laboratory of Pathogen Infection Prevention and Control (Peking Union Medical College), Ministry of Education, Beijing, China.

出版信息

Hum Vaccin Immunother. 2025 Dec;21(1):2442104. doi: 10.1080/21645515.2024.2442104. Epub 2025 Jan 10.

DOI:10.1080/21645515.2024.2442104
PMID:39794927
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11730677/
Abstract

Focusing on vaccines available to adults and not in the immunization schedule, this study investigates the preferences and factors influencing adults in selecting vaccination clinic locations. It aims to provide strategic insights for boosting vaccination rates by analyzing adults' decision-making factors. This contributes to developing more efficient, patient-focused vaccination strategies that tackle vaccine hesitancy and improve access to vaccination sites. We conducted a cross-sectional study through the "YueMiao" platform from November 1 to December 10, 2023, using convenience and purposive sampling to engage 2014 participants. We collected data via online surveys that included questions about sociodemographic characteristics, sources of vaccination clinic information, clinic satisfaction, and the impact of site selection on vaccination decisions. Our findings reveal that adults' site preferences for vaccination are influenced by gender, age, income, and vaccination history. Participants showed a strong preference for locations that offer convenience, efficiency, transparent pricing, and a comfortable environment. Analysis of service satisfaction at these clinics indicates that vaccinated individuals report higher satisfaction with appointment systems, wait times, and service hours than those unvaccinated. Furthermore, the preference for vaccination sites consistently aligns with the vaccine type, with a majority opting for community health service centers. Our results suggest that public health strategies should concentrate on enhancing site convenience, service quality, and information transparency to elevate adult vaccination rates. Future initiatives should aim to increase public trust in vaccines, improve the selection and quality of vaccination sites, and effectively utilize digital technology for spreading vaccination information.

摘要

本研究聚焦于成人可用但未纳入免疫规划程序的疫苗,调查成人在选择疫苗接种诊所地点时的偏好及影响因素。其旨在通过分析成人的决策因素,为提高疫苗接种率提供战略见解。这有助于制定更高效、以患者为中心的疫苗接种策略,解决疫苗犹豫问题并改善疫苗接种点的可及性。我们于2023年11月1日至12月10日通过“粤苗”平台开展了一项横断面研究,采用便利抽样和立意抽样的方法,招募了2014名参与者。我们通过在线调查收集数据,调查内容包括社会人口学特征、疫苗接种诊所信息来源、诊所满意度以及地点选择对疫苗接种决策的影响。我们的研究结果表明,成人对疫苗接种地点的偏好受性别、年龄、收入和疫苗接种史影响。参与者强烈倾向于选择提供便利、效率高、定价透明且环境舒适的地点。对这些诊所服务满意度的分析表明,接种疫苗的个体对比未接种者,对预约系统、等待时间和服务时长的满意度更高。此外,对疫苗接种地点的偏好始终与疫苗类型一致,大多数人选择社区卫生服务中心。我们的结果表明,公共卫生策略应集中于提高地点便利性、服务质量和信息透明度,以提高成人疫苗接种率。未来的举措应旨在增强公众对疫苗的信任,改善疫苗接种地点的选择和质量,并有效利用数字技术传播疫苗接种信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8782/11730677/464bc5a0564d/KHVI_A_2442104_F0003_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8782/11730677/4a12d4c05286/KHVI_A_2442104_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8782/11730677/1a55dd89f851/KHVI_A_2442104_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8782/11730677/464bc5a0564d/KHVI_A_2442104_F0003_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8782/11730677/4a12d4c05286/KHVI_A_2442104_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8782/11730677/1a55dd89f851/KHVI_A_2442104_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8782/11730677/464bc5a0564d/KHVI_A_2442104_F0003_OC.jpg

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