期刊
HUMAN VACCINES & IMMUNOTHERAPEUTICS
卷 19, 期 1, 页码 -出版社
TAYLOR & FRANCIS INC
DOI: 10.1080/21645515.2022.2163807
关键词
Quality improvement; HPV vaccination at age 9; immunization schedule; well child visit; COVID-19
HPV vaccination rates are low, but starting vaccination at age 9 may help. The HPV Vax at 9 Quality Improvement intervention was piloted in Washington and showed positive results, with high acceptance and increased vaccination rates. Pairing HPV vaccine with well child visits, posting immunization schedules, and implementing EMR supports can simplify workflows and improve timely vaccination.
HPV vaccination rates remain far below goal, leaving many adolescents unprotected against future HPV-related cancers. Starting HPV vaccine at age 9 may improve timely preteen vaccination. The HPV Vax at 9 Quality Improvement intervention paired HPV vaccination with 9- and 10-year well child visits and was piloted at two pediatric clinics (n = 9 sites) in Washington between 2018 and 2022. Supporting interventions included standardized immunization schedule posters in exam rooms, electronic medical record supports, provider and staff training, strong provider recommendations, printed educational resources, and peer-to-peer champion coaching. Provider and clinic acceptance was high with HPV vaccine administration occurring at 68-86% of the 9- and 10-year well child visits. During the first year, HPV initiation rates at age 9-10 increased by 30% or more at each clinic. Sustained improvements in initiation and series completion were seen with completion at age 11-12 rising as much as 40% from 22 to 62%. Downward pressure of the COVID-19 pandemic on HPV vaccination rates was mitigated. Pairing HPV vaccine with 9- and 10-year well child visits, posting the standardized immunization schedule, and instituting EMR supports for HPV at 9 may be effective and sustainable strategies to simplify clinic workflows and increase timely HPV vaccination.
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