Disruptions to and Innovations in HPV Vaccination Strategies within Safety-Net Healthcare Settings Resulting from the COVID-19 Pandemic.
Disruptions to and Innovations in HPV Vaccination Strategies within Safety-Net Healthcare Settings Resulting from the COVID-19 Pandemic.
复制标题
COVID-19大流行造成的安全网医疗保健环境中HPV疫苗接种策略的中断和创新。
DOI：
10.3390/healthcare11172380
复制
发表时间：
2023-08-24
期刊：
影响因子：
2.8
通讯作者：
Tsui, Jennifer
中科院分区：
文献类型：
--
作者：
Garcia, Samantha;Shin, Michelle;Sloan, Kylie;Dang, Emily;Garcia, Carlos Orellana;Baezconde-Garbanati, Lourdes;Palinkas, Lawrence A.;Crabtree, Benjamin F.;Tsui, Jennifer
关键词：
COVID-19大流行扰乱了安全网内的医疗保健服务。大流行期间人乳头瘤病毒（HPV）疫苗接种的障碍和促进因素可为服务不足社区未来的HPV疫苗战略提供信息。2020年12月至2022年1月期间，在洛杉矶和新泽西州对参与HPV疫苗接种过程的提供者、诊所领导、诊所工作人员、倡导者、付款人和政策层面代表进行了定性访谈（n = 52）。使用更新的实施研究综合框架，我们确定了(1)外部设置障碍（即由社交媒体驱动的疫苗犹豫，大流行期间的政治观点）和促进因素（例如伙伴关系）；(2)内部设置诊所促进者（即动机驱动的诊所指标，患者外展，疫苗外展活动）；(3)个体特征，如患者障碍（即，在大流行期间不太可能利用诊所服务，因此需要额外的外展，以解决错过的疫苗剂量问题）；(4)创新HPV疫苗接种策略（即改变诊所工作流程以最大限度地减少COVID-19的暴露，利用新的社区伙伴关系（例如与当地学校））；(5)实施战略（即对人乳头瘤病毒目标的多部门承诺）。大流行的挫折迫使安全网制定新的疫苗方法和伙伴关系，这些方法和伙伴关系可能转化为地方和社区内HPV疫苗接种的新实施战略。
The COVID-19 pandemic disrupted healthcare delivery within safety-net settings. Barriers to and facilitators of human papillomavirus (HPV) vaccination during the pandemic can inform future HPV vaccine strategies for underserved communities. Qualitative interviews (n = 52) between December 2020 and January 2022 in Los Angeles and New Jersey were conducted with providers, clinic leaders, clinic staff, advocates, payers, and policy-level representatives involved in the HPV vaccine process. Using the updated Consolidated Framework for Implementation Research we identified (1) outer setting barriers (i.e., vaccine hesitancy driven by social media, political views during the pandemic) and facilitators (e.g., partnerships); (2) inner setting clinic facilitators (i.e., motivation-driven clinic metrics, patient outreach, vaccine outreach events); (3) individual characteristics such as patient barriers (i.e., less likely to utilize clinic services during the pandemic and therefore, additional outreach to address missed vaccine doses are needed); (4) innovations in HPV vaccination strategies (i.e., clinic workflow changes to minimize exposure to COVID-19, leveraging new community partnerships (e.g., with local schools)); and (5) implementation strategies (i.e., multisectoral commitment to HPV goals). Pandemic setbacks forced safety-net settings to develop new vaccine approaches and partnerships that may translate to new implementation strategies for HPV vaccination within local contexts and communities.
登录
查看更多内容
影响因子：
26.1
作者：
Dempsey, Amanda F.;Pyrznawoski, Jennifer;O'Leary, Sean T.
通讯作者：
O'Leary, Sean T.
影响因子：
7.2
作者：
Damschroder, Laura J.;Reardon, Caitlin M.;Widerquist, Marilla A. Opra;Lowery, Julie
通讯作者：
Lowery, Julie
影响因子：
4.8
作者：
Smulian EA;Mitchell KR;Stokley S
通讯作者：
Stokley S
DOI：
10.15585/mmwr.mm7023a2
发表时间：
2021-06-11
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Patel Murthy B;Zell E;Kirtland K;Jones-Jack N;Harris L;Sprague C;Schultz J;Le Q;Bramer CA;Kuramoto S;Cheng I;Woinarowicz M;Robison S;McHugh A;Schauer S;Gibbs-Scharf L
通讯作者：
Gibbs-Scharf L
DOI：
10.1158/1055-9965.epi-22-0156
发表时间：
2022-10-04
期刊：
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
影响因子：
--
作者：
通讯作者：
--