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20世纪美国最伟大的公共卫生成就之一。然而，新疫苗和现有疫苗的实施可能带来重大挑战。初级保健提供者在免疫接种过程中发挥核心作用，因此是关于新的或不断变化的疫苗接种建议的可行性和可接受性的关键信息来源。在当前的应用程序中，我们描述了一个具有经验和专业知识的多学科研究小组，可以快速设计，实施和分析提供者的调查，以响应与免疫提供政策相关的问题。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在定性方法方面具有丰富的经验。此外，在之前的两个项目中，研究小组开发了一种创新的方法，利用三个初级保健专业（儿科、普通内科和家庭医学）的哨点提供者网络，进行与政策相关的快速转变（在8周内）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。在目前的建议中，我们建议使用这种方法在三个初级保健专业建立哨点医生网络，如果需要，在其他专业，包括产科和妇科，公共卫生，药学或护理。我们将每年至少进行三次高回复率的提供者调查，并计划在每次调查方案启动后8周内向CDC提供初步数据。我们将利用以前成功的程序与疾病预防控制中心合作，设计和改进调查，并建立机制，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就重要政策问题征求意见。我们计划通过在ACIP会议上的报告和与CDC合作者联合出版的手稿来传播我们的调查和定性研究的结果。研究小组将在当前提案最优先的领域与疾病预防控制中心合作，包括为新疫苗的建议提供投入，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提出免疫政策建议，并将为为提供者和患者制作教育和推广材料的工作提供信息。

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.