Human papillomavirus vaccine series follow-through: comparison of four clinics in an academic medical center
| Autor: | Brittney Moore, Cierra Buckman, Lindsay Cortright, Hannah Morris, Dmitry Tumin, K Drew Baker, Abigail McRea |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Series (stratigraphy) business.industry Public health Confounding Public Health Environmental and Occupational Health Electronic medical record Pediatrics clinic Human papillomavirus vaccine 03 medical and health sciences Adolescent medicine 0302 clinical medicine 030225 pediatrics Family medicine Pediatrics Perinatology and Child Health medicine 030212 general & internal medicine business Adolescent health |
| Zdroj: | International Journal of Adolescent Medicine and Health. 34:431-436 |
| ISSN: | 2191-0278 2020-0145 |
| Popis: | Objective The Centers for Disease Control & Prevention (CDC) recommends that the human papillomavirus (HPV) vaccine series be initiated at ages 11–12 years, but many children never follow-through with the series. By examining differences in clinic-specific vaccine series follow-through rates across four clinics, we aimed to identify best practices related to communication around the vaccine and pathways to follow-through. Methods We used the electronic medical record (EMR) to retrospectively analyze HPV vaccine follow-through at four clinic settings. We limited the sample to children ages 11–17 who received a dose of the vaccine series at any of the clinics between January 2015 and June 2018. The primary outcome was follow-through of the HPV vaccine series within 18 months of initiation. Results A total of 3,813 patients were included in this study, 29% of which followed through with the HPV vaccine series. There was significant variability of vaccine follow-through among the clinics (p Conclusions We found that the likelihood of vaccine series follow-through was highest when the series was started in the Med/Peds and Family Medicine clinics, compared to Pediatrics and Adolescent Medicine. These results suggest that further qualitative research is needed to understand what communication strategies are most effective at facilitating HPV vaccine uptake among adolescents, and how the most effective strategies can be shared among clinics. |
| Databáze: | OpenAIRE |
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