Incomplete Records as a Leading Cause of Missed Opportunity for Human Papillomavirus Vaccine Initiation in a Safety Net Health System

McGee, Lindy U.; Ressler, Kelly S.; Boom, Julie A.; Bulsara, Shaun; Sangi‐Haghpeykar, Haleh; Jibaja‐Weiss, Maria; Montealegre, Jane R.

doi:10.1016/j.acap.2020.12.003

Cited by 3 publications

(5 citation statements)

References 32 publications

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“… 10 , 14 , 37–43 , 45 , 46 , 48 , 50 , 52 , 53 , 55–66 Security and Privacy Protection of the security and privacy of user data in the VIS. 47 , 48 , 58 Software Standardization Technology standards in the development of VIS 14 , 37 , 39 , 46–48 , 50 , 56 , 58 , 61 Usability Efficiency and effectiveness of VIS usage by the users 14 , 40 , 42 , 43 , 45 , 53 , 55–57 , 60 , 66 Hardware Internet Connectivity Availability or user access to the internet in using the VIS 14 , 43 , 56 , 57 , 64–66 Infrastructure Availability and capability of server, database structure, and hardware to run the VIS 37 , 43 , 47 , 48 , …”

Section: Discussionmentioning

confidence: 99%

“… 58 The standardization problems during system development include: (1) incomplete definition of the data elements to be stored by the VIS, 37 , 61 (2) use of non-compatible programming language, 56 (3) errors in defining the functions and information required by the system, 58 and (4) non-systematic documentation of the system. 55 …”

Section: Discussionmentioning

confidence: 99%

“…The challenges and issues related to the usability of VIS have been successfully identified in the selected studies, which include user difficulties in operating the VIS, 49 , 51 , 56 suboptimal access to VIS, with some VIS not accepting adult vaccination records, 40 , 49 , 59 a lack of active support from developers to continuously improve the quality of VIS, 43 the inability of VIS to adapt to different user information needs, 50 the inability of VIS to input old vaccination data previously carried out, 14 the inability of VIS to produce required vaccination reports, 14 the inability of VIS to track vaccine accountability, 65 the separate operation of VIS from other health care systems, providing an unsatisfactory experience, 42 , 60 manual data input processes without providing automatic mechanisms, 53 , 55 slow and sometimes unusable web interfaces, 53 , 66 and the failure of VIS to perform a certain function. 56 …”

Section: Discussionmentioning

confidence: 99%

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Challenges of vaccination information system implementation: A systematic literature review

Rahmadhan,

Handayani

2023

Human Vaccines & Immunotherapeutics

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Globally, healthcare services have begun to show interest in switching from paper-based to electronic-based vaccination records through Vaccination Information Systems (VIS). VIS have been implemented in various countries, but the study on the challenges of implementing VIS in these countries is still limited. The challenges of implementing VIS need to be understood to become a subject of discussion and anticipation by other countries that are just starting to implement VIS. We analyzed 32 selected publications from 634 initially retrieved. Fourteen challenges were successfully identified when implementing VIS, including interoperability, data quality, security and privacy, standardization, usability, internet connectivity, infrastructure, workflow, funding, government regulations, awareness, skeptical response, computer literacy, and staff-related challenges. The challenges of interoperability and data quality were found to be the most widely discussed by previous studies. In addition to identifying the challenges, this study includes a series of solutions that can be applied to overcome each challenge.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Challenges of vaccination information system implementation: A systematic literature review

Rahmadhan,

Handayani

2023

Human Vaccines & Immunotherapeutics

View full text Add to dashboard Cite

show abstract

“…Providers may themselves have a low knowledge of HPV and the HPV vaccine [ 35 , 36 , 37 , 38 ] and/or have low confidence and self-efficacy for talking with patients and parents about the HPV vaccine [ 38 , 39 , 40 , 41 ]. Providers often miss opportunities to recommend the HPV vaccine due to time constraints, as well as incomplete vaccine records and other challenges with electronic health records systems [ 41 , 42 ]. Finally, some providers may perceive that their patients are vaccine-hesitant [ 43 ] or underestimate the importance of the HPV vaccine to parents [ 44 , 45 , 46 , 47 ].…”

Section: Discussionmentioning

confidence: 99%

Regular Healthcare Provider Status Does Not Moderate Racial/Ethnic Differences in Human Papillomavirus (HPV) and HPV Vaccine Knowledge

et al. 2021

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Background: Racial/ethnic minorities generally have a lower knowledge of human papillomavirus (HPV) and the HPV vaccine than non-Hispanic Whites. They are also less likely to have a regular healthcare provider (HCP). Given the role of HCPs in disseminating health information, we evaluated whether racial/ethnic disparities in HPV knowledge are moderated by regular HCP status. Methods: Data from the Health Information National Trends Survey Five (HINTS 5) Cycles One and Two (2017–2018) were analyzed. HPV and HPV vaccine knowledge were compared by regular HCP status across race/ethnicities. Independent partially-adjusted multivariable logistic regression models were used to assess the association between race/ethnicity and knowledge after controlling for sociodemographic characteristics. The resulting adjusted odds ratios were compared to those from fully-adjusted models that included HCP status. Results: After adjusting for regular HCP status, differences in knowledge persisted between racial/ethnic groups. Compared to Whites, Hispanics and Other race/ethnicities had significantly lower odds of having heard of HPV. Blacks, Hispanics, and Other race/ethnicities had significantly lower odds of having heard of the HPV vaccine. Conclusion: Racial/ethnic minorities had significantly lower levels of knowledge despite HCP status. These data suggest the need to address disparities in health information and strengthen provider–patient communication regarding HPV and the HPV vaccine.

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“…This has also worsened with the pandemic, when many clinics struggled to provide routine care [10]. In states without effective centralized immunization record systems, such as Texas, lack of access to vaccine records also presents a barrier to UTD immunization [11].…”

Section: Introductionmentioning

confidence: 99%

Perceived Barriers and Use of Evidence-Based Practices for Adolescent HPV Vaccination among East Texas Providers

et al. 2023

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Adolescents living in rural areas are less likely to be up to date on the human papillomavirus (HPV) vaccine, which can prevent cervical cancer. We administered a telephone survey to 27 clinics in rural East Texas to assess perceived barriers to HPV vaccination and current use of evidence-based interventions to promote HPV vaccination. Perceived barriers were assessed using a 5-point Likert scale and clinical implementation of evidence-based practices was determined. Findings are reported using descriptive statistics. The most commonly reported barriers were missed vaccination opportunities due to the pandemic (66.7%), followed by vaccine hesitancy due to the pandemic (44.4%) and due to the HPV vaccine specifically (33.3%). Fewer than a third of clinics reported using the evidence-based strategies of use of a “refusal to vaccinate” form (29.6%), having an identified HPV vaccine champion (29.6%), and recommending the HPV vaccine at age 9 (22.2%). While many clinics surveyed currently implement evidence-based practices to promote HPV vaccination, there is a need and desire for additional HPV vaccination interventions in East Texas clinics.

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Incomplete Records as a Leading Cause of Missed Opportunity for Human Papillomavirus Vaccine Initiation in a Safety Net Health System

Cited by 3 publications

References 32 publications

Challenges of vaccination information system implementation: A systematic literature review

Challenges of vaccination information system implementation: A systematic literature review

Regular Healthcare Provider Status Does Not Moderate Racial/Ethnic Differences in Human Papillomavirus (HPV) and HPV Vaccine Knowledge

Perceived Barriers and Use of Evidence-Based Practices for Adolescent HPV Vaccination among East Texas Providers

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