Electronic Health Record Clinical Decision Support to Close the Human Papillomavirus Vaccination Gender Disparity in Children Aged 9 and 10 Years.

IF 1 4区医学 Q3 PEDIATRICS

Clinical Pediatrics Pub Date : 2025-03-12 DOI:10.1177/00099228251324017

Carole H Stipelman, Erica Ulibarri, Natalie Wilson, Alexis Olivas, Andie Sanders, Elly Trepman, Kensaku Kawamoto

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引用次数: 0

Abstract

We performed a quality improvement project (31 clinics; July 2021 to October 2023) to increase human papillomavirus vaccination initiation frequency and decrease gender disparity in children aged 9 and 10 years. The 11 process changes included electronic health record clinical decision support (CDS) tools for providers, staff, and parents and medical assistant participation. In phase 1 (preparation), initiation frequency was lower in boys (250 of 1688 visits, 15%) than girls (289 of 1549 visits, 19%; P = .003). In phase 2 (CDS alerts; recommended initiation age lowered from 11 to 9 years), initiation frequency was increased and similar between boys (906 of 1847 visits, 49%) and girls (867 of 1740 visits, 50%; P = .64). In phase 3 (patient portal outreach), initiation frequency was increased further for boys and girls. The multifaceted intervention, including CDS tools and lowering the initiation age, was associated with increased initiation frequency and decreased gender disparity.

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电子健康记录临床决策支持消除9岁和10岁儿童人乳头瘤病毒疫苗接种的性别差异

我们实施了质量改进项目(31个诊所；（2021年7月至2023年10月），以增加人乳头瘤病毒疫苗接种频率，并减少9岁和10岁儿童的性别差异。11项流程变更包括电子健康记录临床决策支持（CDS）工具，供提供者、工作人员、家长和医疗助理参与。在第一阶段（准备），男孩的起始频率（1688次就诊中250次，15%）低于女孩（1549次就诊中289次，19%）；P = .003)。在第2阶段(CDS警报；建议起始年龄从11岁降至9岁)，起始频率在男孩（1847次就诊中有906次，49%）和女孩（1740次就诊中有867次，50%）之间增加且相似；P = .64)。在第3阶段（患者门户外展），男孩和女孩的起始频率进一步增加。多方面的干预，包括CDS工具和降低起始年龄，与起始频率增加和性别差异减少有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Pediatrics 医学-小儿科

CiteScore

2.10

自引率

6.20%

发文量

189

审稿时长

3-8 weeks

期刊介绍： Clinical Pediatrics (CLP) a peer-reviewed monthly journal, is a must read for the busy pediatrician. CLP contains state-of-the-art, accurate, concise and down-to earth information on practical, everyday child care topics whether they are clinical, scientific, behavioral, educational, or ethical.