Using Health Information Technology to Improve Delivery of HPV Vaccine

利用健康信息技术改善 HPV 疫苗的交付

• 批准号: 8150925
• 负责人: Cynthia M Rand
• 金额: $ 14.97万
• 依托单位: UNIVERSITY OF ROCHESTER
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2014-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8150925
• 关键词: Using; Health; Information; Technology; Improve

DESCRIPTION (provided by the applicant): This K08 application supports the faculty development of Cynthia Rand, MS, MD, MPH, an academic general pediatrician who combines health services research with inner-city pediatric practice. The project will evaluate the effectiveness of a health information technology (HIT) intervention in improving HPV vaccination delivery to female adolescents in inner-city primary care practices in Rochester, NY. The award will provide Dr. Rand with a rigorous didactic and mentored training program in clinical research, the use of HIT to improve quality of care, immunization delivery, and health services research. The didactic program includes coursework in medical informatics, quality improvement, statistical analysis, and qualitative research methodology. HPV is the most common sexually transmitted infection in the U.S., and the cause of cervical cancer. The HPV vaccine is recommended for females 11-12 years and those 13-26 years who are unvaccinated. Multiple barriers impede vaccine receipt, including infrequent use of healthcare by teens, competing healthcare priorities, and missed opportunities for vaccination during healthcare visits. HPV vaccination rates are low. This study will focus on the translation of evidence-based practices of immunization delivery to the delivery of HPV vaccine to teens. Under guidance of an experienced team, Dr. Rand will develop and implement an HIT intervention in inner-city clinics to improve delivery of HPV vaccine to underserved teens. The project aims are to (1) measure baseline rates of missed opportunities for HPV vaccination, vaccination intervals, overall HPV vaccination rates, and rates of health maintenance visits in 4 urban practices, (2a) implement provider prompting based on HIT in all practices and measure the before and after impact on missed opportunities, (2b) develop and implement, using a RCT (randomizing practices), an HIT-based intervention (patient electronic reminders, via text messaging, e-mail or social networking sites) in inner-city practices to decrease intervals between HPV vaccination doses and increase overall HPV vaccination rates, (3) measure post-intervention rates and the impact of the intervention on missed opportunities, vaccination intervals, overall HPV vaccination rates, and health maintenance visits. Results will guide development of an R01 (Aim 4) to test the intervention widely. This award will prepare Dr. Rand to perform independent HIT-based health services research to improve preventive health care delivery to adolescents. This project supports several of AHRQ's missions: This work focuses on an AHRQ priority population of inner-city, mostly minority, adolescent females. It uses HIT to support both health care decision making and patient-centered care. The project also represents the essence of translational research: taking a recently developed vaccine, and understanding how to improve its delivery to the targeted population. This work aims to improve timely completion of the HPV vaccination series for low income, minority adolescents. Delivering HPV vaccine to all young women will ultimately reduce their risk for cervical cancer and genital warts, and decrease their lifetime healthcare costs. Using electronic means to reach adolescents can improve their receipt of preventive services, and overall health outcomes.

描述（由申请人提供）：该K08申请支持Cynthia Rand，MS，MD，MPH的教师发展，该学术普通儿科医生将健康服务研究与内城儿科实践相结合。该项目将评估健康信息技术（HIT）干预措施在纽约州罗切斯特市中心初级保健实践中向女性青少年提供HPV疫苗接种的有效性。该奖项将为兰德博士提供严格的教学和指导的临床研究培训计划，用于改善护理质量，免疫交付和卫生服务研究的命中率。教学计划包括医学信息学，质量改进，统计分析和定性研究方法的课程。 HPV是美国最常见的性传播感染，也是宫颈癌的原因。建议使用11至12岁的女性和未接种疫苗的13-26岁的女性进行HPV疫苗。多个障碍会阻碍疫苗收据，包括很少使用青少年医疗保健，竞争医疗保健的优先事项以及在医疗访问期间错过的疫苗接种机会。 HPV疫苗接种率较低。这项研究将集中于将免疫传递到HPV疫苗传递到青少年传递的循证实践的翻译。在经验丰富的团队的指导下，兰德博士将在城市内诊所开发并实施热门干预措施，以改善HPV疫苗到服务不足的青少年的交付。 The project aims are to (1) measure baseline rates of missed opportunities for HPV vaccination, vaccination intervals, overall HPV vaccination rates, and rates of health maintenance visits in 4 urban practices, (2a) implement provider prompting based on HIT in all practices and measure the before and after impact on missed opportunities, (2b) develop and implement, using a RCT (randomizing practices), an HIT-based intervention (patient electronic reminders, via text messaging,城市内部实践中的电子邮件或社交网站）减少HPV疫苗接种剂量之间的间隔并提高总体HPV疫苗接种率，（3）测量干预后以及干预措施对错过机会，疫苗接种间隔，整体HPV疫苗接种率和健康维持率的影响。结果将指导R01（目标4）的开发以广泛测试干预措施。该奖项将使兰德博士准备进行基于HIT的独立卫生服务研究，以改善向青少年提供的预防性医疗保健。该项目支持AHRQ的几项任务：这项工作着重于AHRQ的优先人口，城市中的少数族裔是青少年的女性。它使用HIT来支持医疗保健决策和以患者为中心的护理。该项目还代表了转化研究的本质：采用最近开发的疫苗，并了解如何改善其向目标人群的交付。这项工作旨在提高低收入，少数青少年的HPV疫苗接种系列的及时完成。向所有年轻女性提供HPV疫苗最终将降低其宫颈癌和生殖器疣的风险，并降低其终身医疗费用。使用电子手段接触青少年可以改善他们的预防服务和整体健康结果。