Details:

Alternative Title:
J Public Health Manag Pract
Personal Author:
Ng, Judy H. ; Sobel, Katherine ; Roth, Lindsey ; Byron, Sepheen ; Lindley, Megan C. ; ... More +
Ng, Judy H. ; Sobel, Katherine ; Roth, Lindsey ; Byron, Sepheen ; Lindley, Megan C. ; Stokley, Shannon Less -
Description:
Context

An estimated 79 million Americans are infected with human papillomavirus (HPV). Vaccination can reduce the burden of infection and HPV-associated cancers, yet vaccination rates remain low. Little is known about why some health plans achieve higher vaccination rates.

Objective

This study sought to identify strategies used by higher-performing health plans to support HPV vaccination.

Design

We used 2013 data from the Health Effectiveness Data and Information Set (HEDIS®) Human Papillomavirus Vaccine for Female Adolescents measure to identify high-performing plans. The measure examines the percentage of female adolescent plan members who received three doses of HPV vaccine by their 13th birthday. High performers were defined as the subset of commercial plans with the top 10 rates and the subset of Medicaid plans with the top 10 rates. An interview guide was developed to assess activities related to providing HPV vaccination. Interviews were conducted with selected plans and audio-recorded. Transcripts were reviewed independently by two interviewers and analyzed by hand to identify key themes.

Participants

Ten plans agreed to be interviewed, representing a diversity of plan size (range: 5,500 members to over 2.7 million members); plan type (about half were commercial, half were Medicaid plans); patient population, from predominantly White to predominantly non-White; and geographic region.

Results

Plans highlighted multiple strategies that support HPV vaccination, particularly the “normalizing” of the vaccine. Plans’ efforts highlighted patient and provider education, reminders, feedback loops, community collaborations, immunization registries and use of medical home concepts—including team-driven efforts and coordination.

Conclusions

Although HPV immunization rates are low nationally, health plans can employ multiple efforts to encourage vaccination by implementing activities that involve the patient, provider and community.


Subjects:
[+]
Adolescent Article Health Planning Humans Insurance Coverage Medicaid Papillomavirus Infections Papillomavirus Vaccines Vaccination
Source:
J Public Health Manag Pract. 23(3):283-290.
Pubmed ID:
27798527
Pubmed Central ID:
PMC5374051
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:4c99df18fcf84ebfe67365978021ec7d2a2a935cae4471739595793c631a0adb
Download URL:
https://stacks.cdc.gov/view/cdc/44897/cdc_44897_DS1.pdf
File Type:

Supporting Files

• 	NIHMS820720-supplement-supplemental_material.docx	docx
  	nihms820720.nxml	xml

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