Rapid-cycle Survey Collaborative for Provider Input on Immunization Issues

描述（由申请人提供）：疫苗接种已被公认为美国20世纪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，因此是有关新的或不断变化的疫苗接种建议的可行性和可接受性的重要信息来源。在本申请中，我们描述了一个多学科研究团队，该团队具有快速设计、进行和分析提供者调查的经验和专业知识，以应对与免疫接种政策相关的问题。拟议的研究小组在进行邮件、电子邮件、电话和混合方式调查以及必要时采用定性方法方面具有丰富的经验。此外，在前两个项目中，研究小组开发了一种创新方法，利用三个初级保健专业（儿科、普通内科和家庭医学）中每一个专业的哨点提供者网络，进行快速周转（8周内）与政策有关的调查，这些哨点提供者被招募为每个专业的相关国家组织的代表。在当前的提案中，我们建议使用这种方法在三个初级保健专业中创建哨点医生网络，如果需要的话，还可以在其他专业中创建哨点医生网络，包括妇产科、公共卫生、药房或护理。我们将每年至少进行三次回应率高的供应商调查，并计划在每个调查方案启动后8周内向CDC提供初步数据。我们将利用以前成功的过程，与疾病预防控制中心合作，设计和完善调查，并建立一个机制，从两个国家顾问小组、一个疫苗提供专家咨询委员会和一个社区咨询委员会中征求有关重要政策问题的意见。我们计划通过在ACIP会议上的演讲以及与CDC合作者联合出版手稿来传播我们的调查和定性研究结果。研究小组将与CDC在当前提案的最优先领域合作，包括为新疫苗提供信息建议的投入，制定提高免疫覆盖率的战略以及与制定应急计划有关的问题，以解决紧急问题，如疫苗供应短缺或疫苗安全问题。这些数据将有助于疾病预防控制中心制定免疫政策建议，并为为提供者和患者创建教育和宣传材料提供信息。

DESCRIPTION (provided by applicant): 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 two 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 each of the three primary care specialties (pediatrics, general internal medicine and family medicine), 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 three primary care specialties and, if needed, in other specialties including obstetrics and gynecology, 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, developing strategies to improve immunization coverage and issues related to instituting contingency plans to address urgent problems, such as vaccine supply shortages or vaccine safety issues. 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.