HPV vaccination: Pilot study assessing characteristics of high and low performing primary care offices
| Autor: | Elisa M. Rodriguez, Allison Lollier, Christy A. Widman, Martin C. Mahoney, Frances G. Saad-Harfouche |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Interview Office visits lcsh:Medicine Health Informatics Primary care Adolescents 03 medical and health sciences 0302 clinical medicine 030225 pediatrics medicine Standing orders 030212 general & internal medicine HPV vaccination Descriptive statistics business.industry lcsh:R Public Health Environmental and Occupational Health Champion Hpv vaccination Regular Article 3. Good health Vaccination Implementation Family medicine Vaccine champion Clinical staff business |
| Zdroj: | Preventive Medicine Reports, Vol 10, Iss, Pp 157-161 (2018) Preventive Medicine Reports |
| ISSN: | 2211-3355 |
| DOI: | 10.1016/j.pmedr.2018.03.002 |
| Popis: | This pilot study was undertaken to identify characteristics and approaches (e.g., social, behavioral, and/or systems factors) which differentiate primary care medical offices achieving higher rates of HPV vaccination. Eligible primary care practice sites providing care to adolescent patients were recruited within an eight county region of western New York State between June 2016 and July 2016. Practice sites were categorized as higher (n = 3) or lower performing (n = 2) based on three dose series completion rates for HPV vaccinations among females aged 13–17 years. Interviewer administered surveys were completed with office staff (n = 37) and focused on understanding approaches to adolescent vaccination. Results were summarized using basic descriptive statistics. Higher performing offices reported more full-time clinical staff (median = 25 vs. 9.5 in lower performing clinics), larger panels of patients ages 11–17 years (median = 3541 vs. 925) and completion of NYSIIS data entry within two weeks of vaccination. (less than a month vs. two). Staff in higher performing offices reviewed medical charts prior to scheduled visits (100% vs. 50) and identified their office vaccine champion as a physician and/or a nurse manager (75% vs. 22%). Also, staffs from higher performing offices were more likely to report the combination of having an office vaccine champion, previewing charts and using standing orders. These preliminary findings support future research examining implementation of organizational processes including identifying a vaccine champion, using standing orders and previewing medical charts prior to office visits as strategies to increase rates of HPV vaccination in primary care offices. Highlights • Use of standing orders facilitates higher rates of HPV vaccination. • “Higher performing offices” display greater staff and larger patient volume. • Chart preview and “vaccine champions” support vaccination series completion. |
| Databáze: | OpenAIRE |
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