Exploring HPV vaccination policy and payer strategies for opportunities to improve uptake in safety-net settings.
Exploring HPV vaccination policy and payer strategies for opportunities to improve uptake in safety-net settings.
复制标题
DOI：
10.3389/fpubh.2023.1099552
复制
发表时间：
2023
影响因子：
5.2
通讯作者：
Tsui, Jennifer
中科院分区：
文献类型：
--
作者：
Sloan, Kylie;Shin, Michelle;Palinkas, Lawrence A.;Hudson, Shawna V.;Crabtree, Benjamin F.;Cantor, Joel C.;Tsui, Jennifer
我们探讨了在美国安全网环境中提高 HPV 疫苗接种率的卫生政策和支付者策略的优先事项和观点。 2020 年 12 月至 2022 年 1 月期间，我们对大洛杉矶地区和新泽西州的政策和付款人代表进行了定性访谈。实践变革模型领域指导数据收集、主题分析和解释。对 11 名政策参与者和 8 名付款人参与者的采访中出现了五个主题，包括：(1) 付款人代表在激励驱动的诊所指标中没有特别优先考虑 HPV 疫苗接种； (2) 政策代表指出特定区域的 HPV 疫苗政策选择； (3) 不同政策/支付群体改善 HPV 疫苗接种的动机不一致； (4) 在各政策/付款群体建议的质量改进举措中以 HPV 疫苗接种为目标； (5) COVID-19 大流行被视为跨政策/付款群体改善 HPV 疫苗接种的障碍和机遇。我们的研究结果表明将政策和付款人的观点纳入 HPV 疫苗改进过程的机会。我们发现需要转化有效的政策和支付者策略，例如按绩效付费计划，以改善安全网环境中的 HPV 疫苗接种。 COVID-19 疫苗接种策略和社区努力为扩大 HPV 疫苗的认识和获取创造了潜在的政策窗口。
We explored priorities and perspectives on health policy and payer strategies for improving HPV vaccination rates in safety-net settings in the United States. We conducted qualitative interviews with policy and payer representatives in the greater Los Angeles region and state of New Jersey between December 2020 and January 2022. Practice Change Model domains guided data collection, thematic analysis, and interpretation. Five themes emerged from interviews with 11 policy and 8 payer participants, including: (1) payer representatives not prioritizing HPV vaccination specifically in incentive-driven clinic metrics; (2) policy representatives noting region-specific HPV vaccine policy options; (3) inconsistent motivation across policy/payer groups to improve HPV vaccination; (4) targeting of HPV vaccination in quality improvement initiatives suggested across policy/payer groups; and (5) COVID-19 pandemic viewed as both barrier and opportunity for HPV vaccination improvement across policy/payer groups. Our findings indicate opportunities for incorporating policy and payer perspectives into HPV vaccine improvement processes. We identified a need to translate effective policy and payer strategies, such as pay-for-performance programs, to improve HPV vaccination within safety-net settings. COVID-19 vaccination strategies and community efforts create potential policy windows for expanding HPV vaccine awareness and access.
登录
查看更多内容
影响因子：
4.4
作者：
Ohannessian, Robin;Constantinou, Panayotis;Chauvin, Franck
通讯作者：
Chauvin, Franck
影响因子：
5.5
作者：
Hu T;Decker SL;Chou SY
通讯作者：
Chou SY
影响因子：
2.9
作者：
Garbutt JM;Dodd S;Walling E;Lee AA;Kulka K;Lobb R
通讯作者：
Lobb R
影响因子：
1.8
作者：
Cohen, D;McDaniel, RR;Stange, KC
通讯作者：
Stange, KC
影响因子：
1.7
作者：
Guest, Greg;Bunce, Arwen;Johnson, Laura
通讯作者：
Johnson, Laura