Urban and rural safety net health care system clinics: no disparity in HPV4 vaccine completion rates
| Autor: | Christopher A. Paynter, Kelly Jo Sandri, Gerard J. Malnar, Beth Rosemergey, Inge Verdenius, Mitchell J. Bartley, Aaron J. Bonham, George D. Harris, Sean M. Harper, R. Stephen Griffith, Britney M. Else, Diane M. Harper |
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| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Gerontology
Rural Population Urban Population Medical Doctors Safety net Health Care Providers Gynecologic Infections lcsh:Medicine Global Health Database and Informatics Methods Health care Medicine and Health Sciences Medicine Public and Occupational Health Young adult Child lcsh:Science Multidisciplinary Evidence-Based Medicine Vaccination Health services research Obstetrics and Gynecology Vaccination and Immunization Female Research Article Adult Adolescent Immunology Dose-Response Relationship Immunologic Health Informatics Research and Analysis Methods Vulnerable Populations Young Adult Physicians Humans Dosing Papillomavirus Vaccines Healthcare Disparities Health Care Quality Primary Care Retrospective Studies Missouri business.industry Papillomavirus Infections lcsh:R Biology and Life Sciences Retrospective cohort study Communication in Health Care Underinsured Health Care Patient Compliance Women's Health lcsh:Q business Delivery of Health Care Medical Humanities Demography |
| Zdroj: | PLoS ONE, Vol 9, Iss 5, p e96277 (2014) PLoS ONE |
| ISSN: | 1932-6203 |
| Popis: | Objective: Safety net health care centers in the US serve vulnerable and underinsured females. The primary aim of this work was to determine if HPV4 dosing compliance differs between females who receive doses at rural vs. urban core safety net health care locations. Methods: Females exclusively receiving health care in the Truman Medical Center (TMC) safety net system at the urban core and rural locations were identified by their HPV4 vaccine records. Dates and number of HPV4 doses as well as age, gravidity, parity and race/ethnicity were recorded from the electronic medical record (EMR). Appropriate HPV4 dosing intervals were referenced from the literature. Results: 1259 females, 10–26 years of age, received HPV4 vaccination at either the rural (23%) or urban core location (77%). At the rural location, 23% received three doses on time, equal to the 24% at the urban core. Females seen in the urban core were more likely to receive on-time doublet dosing than on-time triplet dosing (82% vs. 67%, p,0.001). Mistimed doses occurred equally often among females receiving only two doses, as well as those receiving three doses. Conclusions: Compliance with on-time HPV4 triplet dose completion was low at rural and urban core safety net health clinics, but did not differ by location. |
| Databáze: | OpenAIRE |
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