Practical Approaches to Optimize Adolescent Immunization
Practical Approaches to Optimize Adolescent Immunization
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DOI：
10.1542/peds.2016-4187
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发表时间：
2017-03-01
期刊：
影响因子：
8
通讯作者：
Bocchini, Joseph A., Jr.
中科院分区：
文献类型：
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作者：
Bernstein, Henry H.;Bocchini, Joseph A., Jr.
在过去十年中，随着青少年免疫接种计划的扩大，免疫接种率因疫苗和州而异。解决提高青少年疫苗接种率的障碍是一个优先事项。每次访问都可以被视为更新和完成青少年免疫接种的机会。在办公室环境中，继续关注和改进接近青少年患者和父母的适当技术至关重要。卫生保健提供者必须不断努力教育他们的患者，并培养能够帮助父母和青少年克服疫苗犹豫的技能。目前正在研究提高疫苗接种率的战略，必须增加对这些战略的了解和执行。本临床报告的重点是增加对美国儿科学会、美国家庭医生学会、疾病控制和预防中心以及美国妇产科医师大会年度青少年免疫计划中普遍推荐疫苗的坚持。这将通过以下方式实现：（1）审查提高对免疫接种信心并解决患者和家长担忧的策略，以促进青少年免疫接种;（2）探索如何最好地接触青少年和家庭以提高免疫接种率。
With the expansion of the adolescent immunization schedule during the past decade, immunization rates notably vary by vaccine and by state. Addressing barriers to improving adolescent vaccination rates is a priority. Every visit can be viewed as an opportunity to update and complete an adolescent's immunizations. It is essential to continue to focus and refine the appropriate techniques in approaching the adolescent patient and parent in the office setting. Health care providers must continuously strive to educate their patients and develop skills that can help parents and adolescents overcome vaccine hesitancy. Research on strategies to achieve higher vaccination rates is ongoing, and it is important to increase the knowledge and implementation of these strategies. This clinical report focuses on increasing adherence to the universally recommended vaccines in the annual adolescent immunization schedule of the American Academy of Pediatrics, the American Academy of Family Physicians, the Centers for Disease Control and Prevention, and the American Congress of Obstetricians and Gynecologists. This will be accomplished by (1) examining strategies that heighten confidence in immunizations and address patient and parental concerns to promote adolescent immunization and (2) exploring how best to approach the adolescent and family to improve immunization rates.