Rapid-Cycle Survey Collaborative for Provider Input on Immunization Issues: Vaccine Policy Collaborative Initiative

项目总结/摘要 疫苗接种被认为是美国世纪最伟大的公共卫生成就之一。 然而，实施新的和已建立的疫苗可能带来重大挑战。初级保健 提供者在免疫接种过程中发挥着核心作用，因此是免疫接种的关键来源。 关于新的或改变疫苗接种建议的可行性和可接受性的信息。在 目前的应用，我们描述了一个多学科的研究团队的经验和专业知识，以迅速 设计、开展和分析对提供者的调查，以应对与免疫接种有关的问题 交付政策。拟议的研究小组在进行邮件、电子邮件、电话和 混合模式调查和定性方法。此外，在此前的四次 项目，研究小组制定了一个创新的方法，进行快速周转（8周内） 利用四个初级保健专业（儿科、普通科、 内科、家庭医学和产科/妇科），被招募为相关 每个专业的国家组织。在目前的提案中，我们建议使用这种方法来创建 四个初级保健专科的哨点医生网络，如有需要，其他专科包括 公共卫生、药学或护理。我们每年至少进行三次供应商调查， 响应率，并计划在每次调查开始后8周内向CDC提供初步数据 议定书我们将使用一个以前成功的过程，与疾病预防控制中心在设计和 完善调查，并建立一个机制，征求两个国家政府对重要政策问题的意见， 顾问小组、疫苗提供专家咨询委员会和社区咨询委员会。我们 计划通过在ACIP会议上的演讲传播我们的调查和定性研究结果， 通过与CDC合作者共同出版手稿。研究团队将协同工作 与疾病预防控制中心在当前提案的最高优先级领域合作，包括提供建议的投入 新疫苗、提高免疫覆盖率的战略、疫苗筹资问题、 免疫信息系统（IIS）与电子健康记录的接口，或由提供者使用， 记录所有年龄段患者的疫苗，并制定应急计划以解决紧急问题， 例如疫苗供应短缺、疫苗安全问题或流行病。这些数据将有助于疾病预防控制中心 在制定免疫政策建议方面， 提供者和患者的材料。

Project Summary/Abstract Vaccination has been recognized as one of the greatest U.S. public health achievements of the 20th century. However, implementation of new and established vaccines can pose significant challenges. Primary care providers play a central role in the process of immunization delivery and are, therefore, a critical source of information about the feasibility and acceptability of new or changing vaccination recommendations. In the current application we describe a multidisciplinary study team with the experience and expertise to rapidly design, conduct and analyze surveys of providers in order to respond to issues relevant to immunization delivery policy. The proposed study team has extensive experience in conducting mail, e-mail, telephone and mixed-modality surveys and in qualitative methods, should they be required. In addition, during four previous projects, the study team developed an innovative methodology of conducting rapid turnaround (within 8 weeks) policy-relevant surveys using networks of sentinel providers in four primary care specialties (pediatrics, general internal medicine, family medicine and obstetrics/gynecology), recruited to be representative of the relevant national organization for each specialty. In the current proposal we propose using this methodology to create sentinel physician networks in the four primary care specialties and, if needed, in other specialties including public health, pharmacy or nursing. We will conduct a minimum of three provider surveys per year with high response rates and will plan to have preliminary data to CDC within 8 weeks after initiation of each survey protocol. We will use a previously successful process for collaborating with the CDC in the design and refinement of surveys and a mechanism for eliciting input regarding important policy issues from two national groups of advisors, a vaccine delivery expert advisory committee and a community advisory committee. We plan to disseminate findings of our surveys and qualitative studies through presentations at ACIP meetings and through publications of manuscripts jointly with CDC collaborators. The study team will work collaboratively with the CDC in the areas of highest priority to the current proposal, including input to inform recommendations for new vaccines, strategies to improve immunization coverage, vaccine financing issues, barriers to the interface of immunization information systems (IISs) with electronic health records or their use by providers to document vaccines for patients of all ages, and developing contingency plans to address urgent problems, such as vaccine supply shortages, vaccine safety issues or pandemic disease. Such data will assist the CDC in making immunization policy recommendations and will inform efforts to create educational and outreach materials for providers and patients.