Healthcare professionals' perceptions and recommendations regarding adolescent vaccinations in Georgia and Tennessee during the COVID-19 pandemic: A qualitative research.
Healthcare professionals' perceptions and recommendations regarding adolescent vaccinations in Georgia and Tennessee during the COVID-19 pandemic: A qualitative research.
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DOI：
10.1371/journal.pone.0277748
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发表时间：
2022
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
--
作者：
尽管有益处，但在美国，HPV疫苗的吸收率历来低于其他推荐的青少年疫苗。虽然犹豫和错误信息多年来一直威胁着疫苗接种，但COVID-19大流行对预防服务的不利影响是深远的。探讨青少年卫生保健提供者在COVID-19大流行期间对常规疫苗接种服务的看法和经验。在2020年12月至2021年5月期间，通过Zoom视频会议，在美国东南部佐治亚州和田纳西州的5个医疗保健实践中，有目的地选择了不同的青少年医疗保健提供者群体（n = 16），进行了深入的定性访谈。录音被逐字转录并使用快速定性分析框架进行分析。我们的分析以扎根理论和归纳法为指导。参与者报告说，患者与提供者之间的沟通；假设语言的有效运用；提供商的继续教育/培训；定期提醒/召回信息；提供者对疫苗安全性/有效性的个人信念；在9岁时尽早开始HPV疫苗接种系列；与社区卫生导航员/疫苗倡导者/疫苗倡导者的社区伙伴关系；使用标准化表格/预先编写的脚本/标准操作协议进行医患互动；通过社交媒体、小册子/海报/小册子以及向学校和教堂外展进行疫苗宣传，促进了青少年接种HPV疫苗。青少年预防性服务受到COVID-19大流行的不利影响。与会者强调，由于大流行，患者人数最初有所减少，而一些做法出于卫生考虑而避免分发疫苗信息材料。作为一项大型研究的一部分，我们提供了背景信息，以完善目前正在开发的干预方案，以改善医疗保健实践中青少年预防性护理的提供。我们的结果可以为实施提高HPV疫苗接种率的综合干预策略提供信息。此外，吸取的经验教训（例如优化患者与提供者的互动）可用于大规模扩大COVID-19疫苗的接受度。
Despite its benefits, HPV vaccine uptake has been historically lower than other recommended adolescent vaccines in the United States (US). While hesitancy and misinformation have threatened vaccinations for many years, the adverse impacts from COVID-19 pandemic on preventive services have been far-reaching. To explore the perceptions and experiences of adolescent healthcare providers regarding routine vaccination services during the COVID-19 pandemic. Between December 2020 and May 2021, in-depth qualitative interviews were conducted via Zoom video conferencing among a purposively selected, diverse group of adolescent healthcare providers (n = 16) within 5 healthcare practices in the US southeastern states of Georgia and Tennessee. Audio recordings were transcribed verbatim and analyzed using a rapid qualitative analysis framework. Our analysis was guided by the grounded theory and inductive approach. Participants reported that patient-provider communications; effective use of presumptive languaging; provider’s continuing education/training; periodic reminders/recall messages; provider’s personal conviction on vaccine safety/efficacy; early initiation of HPV vaccination series at 9 years; community partnerships with community health navigators/vaccine champions/vaccine advocates; use of standardized forms/prewritten scripts/standard operating protocols for patient-provider interactions; and vaccine promotion through social media, brochures/posters/pamphlets as well as outreaches to schools and churches served as facilitators to adolescent HPV vaccine uptake. Preventive adolescent services were adversely impacted by the COVID-19 pandemic at all practices. Participants highlighted an initial decrease in patients due to the pandemic, while some practices avoided the distribution of vaccine informational materials due to sanitary concerns. As part of a larger study, we provided contextual information to refine an intervention package currently being developed to improve adolescent preventive care provision in healthcare practices. Our results could inform the implementation of comprehensive intervention strategies that improve HPV vaccination rates. Additionally, lessons learned (e.g. optimizing patient- provider interactions) could be adopted to expand COVID-19 vaccine acceptance on a sizable scale.
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