Impact of New Adolescent Vaccines

描述(由申请人提供)：从历史上看，青少年很难获得预防性医疗护理，包括免疫接种。由于许多新疫苗和现有疫苗的新用途现在以青少年为目标，制定有效的战略来为这一年龄段的人接种疫苗至关重要，并正在成为各种社区非常感兴趣的领域。这项研究将调查青少年免疫接种与向11-18岁青少年提供其他预防性服务之间的关系。具体地说，我们将确定目前提供免疫接种和其他推荐临床预防服务(CP)的费率。我们将检查照顾青少年的医生中与免疫接种和CPS相关的态度和优先顺序，并研究每种服务提供之间的关系。这些观察将按年龄(11-14岁和15-18岁)、提供者类型(儿科医生与家庭医生)、诊所类型(卫生保健组织、私人诊所、社区卫生中心和公共卫生中心)、诊所地点和疫苗进行分层。我们还将研究青少年及其父母对所接受预防服务的看法和理解。这些调查的结果将有助于规划战略，以加强向青少年人口提供免疫接种和其他建议的预防服务。具体目标1.通过深入的关键信息者访谈，评估儿科医生和家庭从业者在向青少年提供免疫接种和其他临床预防服务(CP)方面的知识、态度和经验。2.通过深入的关键线人访谈，确定儿科医生和家庭医生如何优先为青少年接种疫苗和其他CPS建议。3.确定提供目标疫苗和选定的适龄CPS的基准率，并确定这两项服务的提供之间的关系。4.对父母和青少年进行调查，以记录接种疫苗的情况以及接受和了解CPS的情况。5.调查父母和青少年，以确定按年龄分层的青少年向儿科医生和家庭医生以外的提供者寻求护理的比例。对于那些由这些其他提供者提供护理的人，确定在这些环境中提供免疫接种或CP的程度。这项研究将有助于确定11-18岁青少年接受新的免疫接种是否与接受为这一年龄段提供的其他建议的预防性保健服务有关，并将为改善其提供情况的战略提供依据。

DESCRIPTION (provided by applicant): Historically, adolescents have been difficult to reach for preventive medical care, including immunization. Because a number of new vaccines and new uses of existing vaccines now target adolescents, the development of effective strategies to immunize this age group is critical, and is emerging as an area of great interest for a variety of communities. This study will investigate the relationship between the immunization of adolescents and the delivery of other preventive services to adolescents 11-18 years of age. Specifically we will determine current rates for delivery of both immunizations and other recommended clinical preventive services (CPS). We will examine immunization- and CPS-related attitudes and prioritization among physicians who care for adolescents, and look at the relationships between the delivery of each type of service. These observations will be stratified by age (11-14 and 15-18 years), provider type (pediatrician vs. family practice), clinic type (HMO, private practice, community health center, and public health center), clinic location, and vaccine. We will also look at perception and understanding of the adolescents and their parents regarding preventive services received. The results from these investigations will facilitate the planning of strategies to enhance the delivery of both immunizations and other recommended preventive services to adolescent populations. Specific Goals 1. Evaluate the knowledge, attitudes, and experiences of pediatricians and family practitioners regarding delivery of immunizations and other clinical preventive services (CPS) to adolescents through the use of in- depth key informant interviews. 2. Determine how pediatricians and family practitioners prioritize immunizations and other CPS recommendations for adolescents through the use of in-depth key informant interviews. 3. Establish a baseline rate for delivery of target vaccines and selected age-appropriate CPS and determine the relationship between the deliveries of these two services. 4. Survey parents and adolescents to document the receipt of immunizations and the receipt and understanding of CPS. 5. Survey parents and adolescents to determine the proportion of adolescents stratified by age that seek care from providers other than pediatricians and family physicians. For those cared for by these other provider types determine the degree to which immunizations or CPS are delivered in these settings. This study will help determine if receipt of the new immunizations for adolescents, ages 11-18, is associated with receipt of other recommended preventive health services for this age group, and will provide the basis of strategies for improving their delivery.