Improving human papillomavirus (HPV) vaccination in the postpartum setting
Autor: | Stephen Sung, Mark Hiraoka, John J. Chen, Reni Soon, May Rose Dela Cruz |
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Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
Adult
Postnatal Care medicine.medical_specialty Health (social science) Adolescent Reminder Systems Article 03 medical and health sciences Young Adult 0302 clinical medicine 030225 pediatrics medicine Outpatient clinic Electronic Health Records Humans 030212 general & internal medicine Papillomavirus Vaccines Human papillomavirus Gynecology Obstetrics business.industry Public Health Environmental and Occupational Health Electronic medical record Hpv vaccination Intervention studies Quality Improvement Vaccination Controlled Before-After Studies Female business |
Popis: | Although the HPV vaccine has been shown to be highly effective in preventing cervical dysplasia, vaccination rates remain low. The objective of this study was to assess the effectiveness of an electronic medical record (EMR) prompt on HPV vaccination rates in the postpartum setting. We conducted a pre-post intervention study among postpartum women ages 18–26 seen at an outpatient clinic from 09/01/2012–08/31/2013 (pre-intervention) and from 10/01/2013–03/31/2014 (post-intervention). The intervention was a drop-down menu that was inserted into the EMR postpartum note template inquiring about the patient’s HPV vaccination status and whether or not the vaccine was administered at that visit. HPV vaccination uptake was compared pre and post-intervention. Of the 278 postpartum visits during the study period, 241 were eligible for analysis. There was a significant increase of the HPV vaccine uptake, from 1.2 % (2/173) among pre-intervention visits to 26.5 % (18/68) among post-intervention visits (p |
Databáze: | OpenAIRE |
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