Enrolling a rural community pharmacy as a Vaccines for Children provider to increase HPV vaccination: a feasibility study.
Enrolling a rural community pharmacy as a Vaccines for Children provider to increase HPV vaccination: a feasibility study.
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DOI：
10.1186/s12889-021-11304-8
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发表时间：
2021-06-29
影响因子：
4.5
通讯作者：
Turberville S
中科院分区：
文献类型：
--
作者：
Daniel CL;Lawson F;Vickers M;Green C;Wright A;Coyne-Beasley T;Lee HY;Turberville S
人乳头瘤病毒(HPV)是美国最常见的性传播疾病，感染人数超过8000万。高危菌株与6种不同的癌症有关。尽管感染是可以预防的，但美国的疫苗接种率仍然低于最佳水平，而且由于经济障碍、缺乏机会以及意识和教育程度低，城市和农村社区之间存在明显的差距。目前的试点研究试图通过跨专业合作，在阿拉巴马州一个医疗服务不足的农村县注册一家社区药房作为儿童疫苗(VFC)提供者，为符合条件的青少年提供免费疫苗。对干预方案进行评估，以确定干预的可行性。通过使用国家免疫登记数据分析县级HPV疫苗接种率和完成率来评估潜在的疗效。在为期8个月的研究中，共为10-18岁的青少年接种了166剂疫苗，其中包括55剂HPV疫苗、53剂TDAP疫苗、45剂脑膜炎双球菌疫苗和13剂流感疫苗。在这些青少年中，平均年龄为12.6岁，(71.9%)为 患者。与前一年相比，在研究期间，该药房记录的疫苗总剂量增加了158.8%，处方药收入增加了34.8%，总收入增加了24.4%。当前工作的结果显示了这一战略的潜力，可以作为全州和全国传播和实施的蓝图，最终增加获得疫苗服务的机会，提高疫苗接种率，并缩小城乡疫苗差距。
Human papillomavirus (HPV) is the most common sexually transmitted infection in the U.S. with over 80 million infected individuals. High-risk strains are associated with 6 different cancers. Although infection is preventable, U.S. vaccination rates remain suboptimal and there are noted disparities between urban and rural communities due to economic barriers, lack of access, and low awareness and education. The current pilot study sought to overcome these barriers through an interprofessional collaborative enrolling a community pharmacy in a rural, medically underserved Alabama county as a Vaccines for Children (VFC) provider to provide free vaccines to eligible adolescents. Program evaluation was conducted to determine the intervention’s feasibility. Potential efficacy was assessed by analyzing county-level HPV vaccination uptake and completion rates using state immunization registry data. Over the 8-month study, 166 total vaccines were administered to 89 adolescents ages 10–18, including 55 doses of HPV vaccine, 53 doses of Tdap vaccine, 45 doses of meningococcal vaccine, and 13 doses of influenza vaccine. Among these adolescents, mean age was 12.6 years old, and 64 (71.9%) were VFC patients. The pharmacy recorded an increase in total vaccine administration of 158.8%, an increase in prescription revenue of 34.8%, and an increase in total revenue by 24.4% during the course of the study, compared to the previous year. Findings from the current work demonstrate the potential of this strategy and can serve as a blueprint for statewide and national dissemination and implementation to ultimately increase access to vaccination services, increase vaccination rates, and reduce urban-rural vaccine disparities.
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