威斯康星州 65 岁及以上接受初级保健的成年人对肺炎球菌疫苗的了解、态度和行为。

Mary F Henningfield, Alice Yuroff, Lisa Sampson, Paul H Hunter
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引用次数: 0

摘要

介绍:尽管共同决策受到高度重视,但其在临床实践中的执行情况却不尽如人意。美国疾病控制和预防中心 (CDC) 建议老年人接种 13 价肺炎球菌结合疫苗时纳入共同决策。作为开发和测试临床医生教育资源以促进老年人肺炎球菌疫苗共同决策的第一步,我们完成了一项需求评估,以确定知识差距、态度和行为:方法: 初级医疗临床医生、药剂师和患者护理人员填写了一份关于共同决策和肺炎球菌疫苗的问卷。在美国疾病预防控制中心推荐了新的肺炎球菌疫苗并取消了共同决策的作用后,我们向更多的临床医生分发了修订后的问卷,以增加样本量:回答知识问题的受访者对肺炎球菌疫苗建议的了解程度较高(75 位受访者中有 48 位)。虽然 96% 的受访者认为在 65 岁或以上的成年人中使用肺炎球菌疫苗的共同决策是可行的,但 25% 的受访者回答说解释 PCV13 的潜在危害和益处 "有些困难":讨论:尽管报告称共同决策是可行的,但在实施过程中仍面临挑战。我们观察到了有关肺炎球菌疫苗的知识缺口,这凸显了根据不断变化的疫苗建议持续开展医学教育的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Knowledge, Attitudes, and Behaviors Regarding Pneumococcal Vaccines in Adults 65 Years and Older in Primary Care in Wisconsin.

Introduction: Although shared decision-making is highly valued, its implementation in clinical practice is suboptimal. Shared decision-making was included in the Centers for Disease Control and Prevention (CDC) recommendations for the pneumococcal conjugate vaccine 13 valent for older adults. As a first step to develop and test clinician educational resources to facilitate shared decision-making for pneumococcal vaccines for older adults, we completed a needs assessment to identify knowledge gaps, attitudes, and behaviors.

Methods: Primary care clinicians, pharmacists, and patient care staff completed a questionnaire on shared decision-making and pneumococcal vaccines. After the CDC recommended new pneumococcal vaccines and eliminated the role of shared decision-making, a revised questionnaire was distributed to additional clinicians in an effort to increase the sample size.

Results: Knowledge of pneumococcal vaccine recommendations was high among those who responded to knowledge questions (48 of 75 respondents). Although 96% of respondents believed shared decision-making for use of pneumococcal vaccines in adults 65 years or older was feasible, 25% responded that it would be "somewhat difficult" to explain potential harms and benefits of PCV13.

Discussion: Although shared decision-making was reported to be feasible, challenges implementing it are ongoing. Knowledge gaps regarding pneumococcal vaccines were observed, highlighting the need for ongoing medical education with changing vaccine recommendations.

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