2023-09-28 14:46:10 +00:00
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abstract: 'Objective: This qualitative study aimed to identify doctors'' and nurses''
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perceptions of patient-, provider-, and system-level factors associated
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with human papillomavirus (HPV) vaccine completion that may be targets
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for intervention.
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Methods: We analyzed data from 61 qualitative interviews with
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pediatricians, family medicine physicians, and immunization nurses at
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medical centers that had the highest and lowest HPV vaccine completion
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rates within the same health care system.
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Results: In both groups, almost all providers reported strong support
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for the HPV vaccine. In detailing how they talk to parents and patients
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about the vaccine, more of the providers working at higher completion
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centers described using effective communication techniques, including
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engaging parents and patients in two-way conversation and demonstrating
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awareness of cultural and practical barriers to completion that families
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may face. Providers at higher completion centers were also more likely
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to depict a local medical culture supportive of and committed to HPV
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vaccine completion, with greater levels of proactivity and teamwork. In
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contrast, providers working at lower completion medical centers
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described a lack of proactivity, and the strategies they suggested to
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improve HPV vaccine completion tended to be approaches that someone
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other than medical providers would implement. The comments made by these
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providers sometimes reflected a level of negativity and judgment absent
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from the comments of providers at higher completion centers.
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Conclusion: Interventions to improve HPV vaccination completion rates
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should address both individual and system-level factors. Improving
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communication skills, encouraging a supportive medical culture, and
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addressing resource issues is likely to improve vaccine adherence. (C)
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2016 Published by Elsevier Ltd.'
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affiliation: 'Hudson, SM; Chao, C (Corresponding Author), Kaiser Permanente So Calif,
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Dept Res \& Evaluat, 100 S Los Robles,2nd Floor, Pasadena, CA 91101 USA.
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Hudson, Sharon M.; Preciado, Melissa; Chao, Chun, Kaiser Permanente So Calif, Dept
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Res \& Evaluat, 100 S Los Robles,2nd Floor, Pasadena, CA 91101 USA.
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Rondinelli, June, Kaiser Permanente So Calif, Reg Nursing Res Program, 393 E Walnut
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St, Pasadena, CA 91188 USA.
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Glenn, Beth A., Univ Calif Los Angeles, Ctr Canc Prevent \& Control Res, UCLA Kaiser
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Permanente Ctr Hlth Equ, Fielding Sch Publ Hlth, 650 Charles Young Dr South,A2-125
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CHS,Box 956900, Los Angeles, CA 90095 USA.
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Glenn, Beth A., Univ Calif Los Angeles, Jonsson Comprehens Canc Ctr, 650 Charles
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Young Dr South,A2-125 CHS,Box 956900, Los Angeles, CA 90095 USA.'
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author: Hudson, Sharon M. and Rondinelli, June and Glenn, Beth A. and Preciado, Melissa
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and Chao, Chun
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author-email: 'Sharon.M.Hudson@kp.org
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June.L.Rondinelli@kp.org
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bglenn@ucla.edu
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Melissa.X.Preciado@kp.org
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Chun.R.Chao@kp.org'
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author_list:
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- family: Hudson
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given: Sharon M.
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- family: Rondinelli
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given: June
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- family: Glenn
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given: Beth A.
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- family: Preciado
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given: Melissa
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- family: Chao
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given: Chun
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da: '2023-09-28'
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doi: 10.1016/j.vaccine.2016.02.066
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eissn: 1873-2518
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files: []
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issn: 0264-410X
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journal: VACCINE
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keywords: Human papillomavirus; Vaccine; Adherence; Patient-provider communication
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keywords-plus: 'HPV VACCINE; LOW-INCOME; PHYSICIAN COMMUNICATION; GIRLS;
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RECOMMENDATIONS; ATTITUDES'
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language: English
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month: JUN 24
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number: '30'
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number-of-cited-references: '34'
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pages: 3515-3521
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papis_id: bac97add6c9e39a8ace3dad78abbbede
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ref: Hudson2016humanpapillomavirus
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times-cited: '14'
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title: 'Human papillomavirus vaccine series completion: Qualitative information from
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providers within an integrated healthcare organization'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000378955400012
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usage-count-last-180-days: '0'
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usage-count-since-2013: '9'
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volume: '34'
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web-of-science-categories: Immunology; Medicine, Research \& Experimental
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year: '2016'
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