Improving HPV vaccination using implementation strategies in community pharmacies: Pilot study protocol.

Improving HPV vaccination using implementation strategies in community pharmacies: Pilot study protocol.
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DOI:
10.1016/j.sapharm.2019.05.022
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发表时间:
2020-03
期刊:
Research in social & administrative pharmacy : RSAP
影响因子:
--
通讯作者:
Curran GM
Curran GM
中科院分区:
其他
文献类型:
--
作者:
Teeter BS;Mosley C;Thomas JL;Martin B;Jones D;Romero JR;Curran GM

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美国有近8000万人感染了人乳头瘤病毒(HPV),它是目前最常见的性传播疾病。每年大约有 1400 万人新感染。这项研究将通过启动一项研究议程来解决提高 HPV 疫苗接种率的问题,该议程的重点是如何最好地利用社区药房作为儿童疫苗 (VFC) 的疫苗接种地点。与传统的疫苗接种地点相比,社区药房的交通便利性很高,因为晚上和周末的营业时间延长,无需支付自付费用,也不需要与药剂师预约。我们将通过与 5 家 Harps 药房的关键信息提供者(药剂师、药房经理、技术人员)进行半结构化访谈来进行发展形成性评估,通过药房工作人员和当地医生的混合方法设计,找出社区药房提供 HPV 疫苗的障碍和促进因素。为此,我们将选择药剂师-医生合作模式,并通过与主要利益相关者的循证质量改进 (EBQI) 流程来确定实施策略。随后将在两家 Harps 药店(​​1 家农村、1 家城市)试点选定的药师-医师合作模式和实施策略,并取得相关实施成果。本研究将探讨当前的 HPV 疫苗接种模式以及如何利用社区药房服务提高青少年 HPV 疫苗接种率。
Nearly 80 million people in the United States have contracted the Human Papillomavirus (HPV), and it is currently the most common sexually transmitted disease. Each year approximately 14 million people are newly infected. This study will address increasing the HPV vaccination rates by initiating a research agenda focusing on how best to utilize community pharmacies as Vaccines For Children (VFC) vaccination sites. Community pharmacies are highly accessible when compared to traditional vaccination sites due to extended evening and weekend business hours, no copays for visits, and no appointment required to speak with a pharmacist. We will conduct a Developmental Formative Evaluation using semi-structured interviews with key informants (pharmacists, pharmacy managers, technicians) from 5 Harps pharmacies to identify barriers and facilitators to community pharmacies’ provision of HPV vaccine through a mixed methods design with pharmacy staff members and local physicians. We will follow that by selecting a pharmacist-physician collaborative model and identify implementation strategies through an Evidence Based Quality Improvement (EBQI) process with key stakeholders. This will be followed by piloting the selected pharmacist-physician collaborative model and implementation strategies in two Harps pharmacies (1 rural, 1 urban) on relevant implementation outcomes. This study will examine the current model of HPV vaccinations and how to improve HPV vaccination rates among adolescents by utilizing community pharmacy services.
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