Download or read book Improving Rates of HPV Vaccination in the Pediatric Primary Care Setting written by Angelica Hernandez and published by . This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Although the Human Papillomavirus (HPV) vaccine has been approved and recommended by the FDA and other vaccine experts for over a decade, the national uptake rate of the HPV vaccine has remained below the Healthy People 2020 goal of 80% (OFPHP, 2018). In 2016, the clinic0́9s completion rate for the HPV series was only 27.7% among 11- to 13-year-olds, which was not only below national targets, but also below the organization0́9s completion rate goal of 30.4%. In 2017, the clinic implemented the HPV Vaccination Improvement Project and was able to increase their completion rates up to 31.1%, which surpassed the previous year0́9s organizational goal. This change project aims to increase the rates of HPV vaccine uptake in the pediatric primary care clinic through patient outreach and reminder telephone calls and mailed letters. The project is planned to start July 9, 2018 and go until July 30, 2018. We will measure a combination of process, outcome and balancing measures, including/recall HPV initiation and completion rates, number of HPV vaccines given and appointments scheduled. Additionally, we will track 0́−used opportunities to vaccinate0́+, missed opportunities to vaccinate and simultaneous vaccines given. As a result of the outreach calls, we were able to reach an improvement of about 2%, which was less than our goal of 5-10% improvement. However, if all patients scheduled as a result of the outreach calls received an HPV vaccine, that would translate to an improvement rate of 7% which would meet our goal.
Download or read book Improving HPV Vaccine Uptake in the Primary Care Pediatric Outpatient Setting written by Amanda Laskoskie and published by . This book was released on 2022 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Meta Ethnography written by George W. Noblit and published by SAGE. This book was released on 1988-02 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt: How can ethnographic studies be generalized, in contrast to concentrating on the individual case? Noblit and Hare propose a new method for synthesizing from qualitative studies: meta-ethnography. After citing the criteria to be used in comparing qualitative research projects, the authors define the ways these can then be aggregated to create more cogent syntheses of research. Using examples from numerous studies ranging from ethnographic work in educational settings to the Mead-Freeman controversy over Samoan youth, Meta-Ethnography offers useful procedural advice from both comparative and cumulative analyses of qualitative data. This provocative volume will be read with interest by researchers and students in qualitative research methods, ethnography, education, sociology, and anthropology. "After defining metaphor and synthesis, these authors provide a step-by-step program that will allow the researcher to show similarity (reciprocal translation), difference (refutation), or similarity at a higher level (lines or argument synthesis) among sample studies....Contain(s) valuable strategies at a seldom-used level of analysis." --Contemporary Sociology "The authors made an important contribution by reframing how we think of ethnography comparison in a way that is compatible with the new developments in interpretive ethnography. Meta-Ethnography is well worth consulting for the problem definition it offers." --The Journal of Nervous and Mental Disease "This book had to be written and I am pleased it was. Someone needed to break the ice and offer a strategy for summarizing multiple ethnographic studies. Noblit and Hare have done a commendable job of giving the research community one approach for doing so. Further, no one else can now venture into this area of synthesizing qualitative studies without making references to and positioning themselves vis-a-vis this volume." -Educational Studies
Download or read book Two Shots to Cancer Prevention written by Julie Dang and published by . This book was released on 2018 with total page 47 pages. Available in PDF, EPUB and Kindle. Book excerpt: The current HPV vaccine uptake rate is not on track to achieve the Healthy People 2020 goal of 80%, nor attain the desired reduction in HPV-related cancer burden that could be achieved through optimal uptake. Increasing the HPV vaccination rates to 80% could prevent an additional 53,000 future cervical cancer cases in the U.S among girls who are 12 years or younger over the course of their lifetime as well as many additional cases of other cancers, precancers, and genital warts in both sexes. Understanding the current HPV vaccination trends, determining predictors of vaccination, and identifying the characteristics of primary care visits that are missed opportunities for HPV vaccination allows for the development of more effective strategies that can accelerate HPV vaccine uptake. My dissertation, comprised of three papers, examines the multiple levels of influence associated with uptake of the HPV vaccine among preadolescents ages 11-12 at the provider, patient/parent, and visit levels. The findings will help elucidate salient factors that influence the provider’s decision to recommend the HPV vaccine to their patients, the parent’s decision to accept and follow through with that recommendation, the processes of care that are required to ensure that recommendation is carried out, and the relationships among these various factors. The first and second paper utilizes electronic medical records and administrative data to identify: 1) patient and provider factors associated with HPV vaccine uptake and 2) patient, provider and visit factors associated with missed clinical opportunities to recommend and administer the HPV vaccine. The third paper explores the clinic, primary care team and parent level factors that affect uptake of the HPV vaccine through semi-structured key-informant interviews. The primary conclusions from this research highlight the importance of developing and implementing multi-level interventions that engage parents, all clinic staff (e.g. providers and support staff) and health care systems. Education, training and communication for HPV vaccines should focus on emphasizing the importance of timely vaccinations, bundling the HPV vaccines with other vaccines due at the same time, and ensuring that all clinic staff provide a strong and consistent HPV vaccination recommendation.
Download or read book Disease Control Priorities Third Edition Volume 8 written by Donald A. P. Bundy and published by World Bank Publications. This book was released on 2017-11-20 with total page 977 pages. Available in PDF, EPUB and Kindle. Book excerpt: More children born today will survive to adulthood than at any time in history. It is now time to emphasize health and development in middle childhood and adolescence--developmental phases that are critical to health in adulthood and the next generation. Child and Adolescent Health and Development explores the benefits that accrue from sustained and targeted interventions across the first two decades of life. The volume outlines the investment case for effective, costed, and scalable interventions for low-resource settings, emphasizing the cross-sectoral role of education. This evidence base can guide policy makers in prioritizing actions to promote survival, health, cognition, and physical growth throughout childhood and adolescence.
Download or read book Awareness of HPV Cervical Cancer and HPV Vaccine Among U S Nurse Practitioners written by Alberta Peters-Herron and published by . This book was released on 2011 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Canadian Immunization Guide written by Canada. Comité consultatif national de l'immunisation and published by . This book was released on 2006 with total page 392 pages. Available in PDF, EPUB and Kindle. Book excerpt: The seventh edition of the Canadian Immunization Guide was developed by the National Advisory Committee on Immunization (NACI), with the support ofthe Immunization and Respiratory Infections Division, Public Health Agency of Canada, to provide updated information and recommendations on the use of vaccines in Canada. The Public Health Agency of Canada conducted a survey in 2004, which confi rmed that the Canadian Immunization Guide is a very useful and reliable resource of information on immunization.
Download or read book Implementation of an Evidence based Intervention at a Public Health Clinic written by Zachary Krush and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Low HPV vaccination rates in adolescents are a significant problem locally in Utah. The outcome of missed HPV vaccination can lead to poor health outcomes including HPV-related precancers, HPV-related cancers, genital warts, and increased spread of the virus. A possible solution to the low HPV vaccination rates is nurse/provider education on evidence-based strategies to improve HPV vaccination receipt and the standardization of an educational patient handout on HPV. Improving HPV vaccination among children will lead to the prevention of thousands of cancers each year in Utah and the United States. Evidence-Based Framework: To increase HPV vaccination rates in adolescents aged 9 to 18 years old, a quality improvement project was conducted at two Salt Lake County Public Health Vaccination Clinics. This included an educational in-service for staff and an HPV educational handout tool for patient education. The Clinical Scholar Model and Pender's Health Promotion Theory were used as the evidence-based practice model and theory to develop and guide this project. Method: Approval from the health department management and Rocky Mountain University of Health Professions' IRB was obtained. Interventions were implemented at two public health clinics to improve provider practice strategies for HPV vaccination delivery. Specifically, the intervention included two components: (1) implementation of a staff educational in-service on the HPV vaccine and how to provide a strong HPV vaccination recommendation; (2) standardization of an HPV educational handout given to eligible adolescent patients and parents. The goal of the project was to increase HPV immunization rates in patients aged 9 to 18 years old and improve vaccination nurse knowledge and confidence surrounding HPV vaccination. Pre- and post-intervention HPV vaccination rates were compared to evaluate the project. Nurse knowledge and confidence were assessed with pre- and post-surveys. Data were collected using a retrospective chart review and a self-made pre/post-collection tool. Pre- and Post-intervention rates of HPV immunizations were compared to evaluate the project. Findings: The implementation of staff education and a standardized patient educational handout was associated with a significant increase in immunization rates of 2.7% pre-intervention to 27.2% post-intervention. Nurse knowledge and confidence on HPV vaccination also improved. Conclusion/Recommendations: The implementation of the educational interventions HPV adolescent vaccination rates, nurse HPV knowledge, and nurse confidence. Therefore, the results of this quality improvement project indicate a provider educational in-service on HPV and the implementation of an HPV educational handout can produce favorable outcomes in a public health vaccination clinic setting. Areas for future study include additional vaccination settings and varied age ranges.
Download or read book Deadly Choices written by Paul A. Offit and published by Basic Books (AZ). This book was released on 2015-03-10 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: A renowned researcher vigorously challenges the anti-vaccine movement in this powerful defense of science in the face of fear.
Download or read book Guide to Introducing HPV Vaccine Into National Immunization Programmes written by World Health Organization and published by . This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This document is intended for use by national immunization programme managers and immunization partners to inform the policy discussions and operational aspects for the introduction of HPV vaccine into national immunization programmes and to provide upto-date references on the global policy, as well as the technical and strategic issues related to the introduction of HPV vaccine."--Publisher's description.
Download or read book The Learning Healthcare System written by Institute of Medicine and published by National Academies Press. This book was released on 2007-06-01 with total page 374 pages. Available in PDF, EPUB and Kindle. Book excerpt: As our nation enters a new era of medical science that offers the real prospect of personalized health care, we will be confronted by an increasingly complex array of health care options and decisions. The Learning Healthcare System considers how health care is structured to develop and to apply evidence-from health profession training and infrastructure development to advances in research methodology, patient engagement, payment schemes, and measurement-and highlights opportunities for the creation of a sustainable learning health care system that gets the right care to people when they need it and then captures the results for improvement. This book will be of primary interest to hospital and insurance industry administrators, health care providers, those who train and educate health workers, researchers, and policymakers. The Learning Healthcare System is the first in a series that will focus on issues important to improving the development and application of evidence in health care decision making. The Roundtable on Evidence-Based Medicine serves as a neutral venue for cooperative work among key stakeholders on several dimensions: to help transform the availability and use of the best evidence for the collaborative health care choices of each patient and provider; to drive the process of discovery as a natural outgrowth of patient care; and, ultimately, to ensure innovation, quality, safety, and value in health care.
Download or read book Disease Control Priorities Third Edition Volume 2 written by Robert Black and published by World Bank Publications. This book was released on 2016-04-11 with total page 419 pages. Available in PDF, EPUB and Kindle. Book excerpt: The evaluation of reproductive, maternal, newborn, and child health (RMNCH) by the Disease Control Priorities, Third Edition (DCP3) focuses on maternal conditions, childhood illness, and malnutrition. Specifically, the chapters address acute illness and undernutrition in children, principally under age 5. It also covers maternal mortality, morbidity, stillbirth, and influences to pregnancy and pre-pregnancy. Volume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. The DCP3 evaluation of these conditions produced three key findings: 1. There is significant difficulty in measuring the burden of key conditions such as unintended pregnancy, unsafe abortion, nonsexually transmitted infections, infertility, and violence against women. 2. Investments in the continuum of care can have significant returns for improved and equitable access, health, poverty, and health systems. 3. There is a large difference in how RMNCH conditions affect different income groups; investments in RMNCH can lessen the disparity in terms of both health and financial risk.
Download or read book Red Book 2015 written by David W. Kimberlin and published by . This book was released on 2015-05 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The AAP's authoritative guide to the manifestations, etiology, epidemiology, diagnosis, and treatment of more than 200 childhood conditions." -- Provided by publisher.
Download or read book Building Primary Care in a Changing Europe written by Dionne S. Kringos and published by World Health Organization. This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: For many citizens primary health care is the first point of contact with their health care system, where most of their health needs are satisfied but also acting as the gate to the rest of the system. In that respect primary care plays a crucial role in how patients value health systems as responsive to their needs and expectations. This volume analyses the way how primary are is organized and delivered across European countries, looking at governance, financing and workforce aspects and the breadth of the service profiles. It describes wide national variations in terms of accessibility, continuity and coordination. Relating these differences to health system outcomes the authors suggest some priority areas for reducing the gap between the ideal and current realities.
Download or read book Qualitative Research Methods written by Monique Hennink and published by SAGE. This book was released on 2010-11-30 with total page 329 pages. Available in PDF, EPUB and Kindle. Book excerpt: Lecturers, click here to request an e-inspection copy of this text Qualitative Research Methods is based on the authors′ highly successful multidisciplinary qualitative methods workshops, which have been conducted for over a decade. In this book the authors propose a ′qualitative research cycle′ that leads students through the selection of appropriate methods, the collection of data and the transformation of findings into a finished project. It provides a clear explanation of the nature of qualitative research and its key concepts. Topics covered include: o formulating qualitative research questions o ethical issues o in-depth interviews o focus group discussions o observation o coding o data analysis o writing up qualitative research This text is ideal for any students taking a qualitative methods course or producing a qualitative research project at undergraduate or graduate level. It is illustrated throughout with case studies and field examples from a range of international contexts. The practical techniques are also accompanied by the author′s own research tools including interview guides, real coded data and comprehensive research checklists.
Download or read book Comprehensive Cervical Cancer Control written by World Health Organization and published by World Health Organization. This book was released on 2006 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt: Most women who die from cervical cancer, particularly in developing countries, are in the prime of their life. They may be raising children, caring for their family, and contributing to the social and economic life of their town or village. Their death is both a personal tragedy, and a sad and unnecessary loss to their family and their community. Unnecessary, because there is compelling evidence, as this Guide makes clear, that cervical cancer is one of the most preventable and treatable forms of cancer, as long as it is detected early and managed effectively. Unfortunately, the majority of women in developing countries still do not have access to cervical cancer prevention programmes. The consequence is that, often, cervical cancer is not detected until it is too late to be cured. An urgent effort is required if this situation is to be corrected. This Guide is intended to help those responsible for providing services aimed at reducing the burden posed by cervical cancer for women, communities and health systems. It focuses on the knowledge and skills needed by health care providers, at different levels of care.
Download or read book WHO global air quality guidelines written by Weltgesundheitsorganisation and published by World Health Organization. This book was released on 2021-09-07 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: The main objective of these updated global guidelines is to offer health-based air quality guideline levels, expressed as long-term or short-term concentrations for six key air pollutants: PM2.5, PM10, ozone, nitrogen dioxide, sulfur dioxide and carbon monoxide. In addition, the guidelines provide interim targets to guide reduction efforts of these pollutants, as well as good practice statements for the management of certain types of PM (i.e., black carbon/elemental carbon, ultrafine particles, particles originating from sand and duststorms). These guidelines are not legally binding standards; however, they provide WHO Member States with an evidence-informed tool, which they can use to inform legislation and policy. Ultimately, the goal of these guidelines is to help reduce levels of air pollutants in order to decrease the enormous health burden resulting from the exposure to air pollution worldwide.
