Your browser doesn't support javascript.
Exploring HPV vaccination policy and payer strategies for opportunities to improve uptake in safety-net settings.
Sloan, Kylie; Shin, Michelle; Palinkas, Lawrence A; Hudson, Shawna V; Crabtree, Benjamin F; Cantor, Joel C; Tsui, Jennifer.
  • Sloan K; Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States.
  • Shin M; Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States.
  • Palinkas LA; Department of Children, Youth, and Families, Suzanne Dworak-Peck School of Social Work University of Southern California, Los Angeles, CA, United States.
  • Hudson SV; Department of Family Medicine and Community Health, Robert Wood Johnson Medical School, Rutgers, The State University of New Jersey, New Brunswick, NJ, United States.
  • Crabtree BF; Department of Family Medicine and Community Health, Robert Wood Johnson Medical School, Rutgers, The State University of New Jersey, New Brunswick, NJ, United States.
  • Cantor JC; Center for State Health Policy, Rutgers, The State University of New Jersey, New Brunswick, NJ, United States.
  • Tsui J; Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States.
Front Public Health ; 11: 1099552, 2023.
Article in English | MEDLINE | ID: covidwho-2326367
ABSTRACT

Introduction:

We explored priorities and perspectives on health policy and payer strategies for improving HPV vaccination rates in safety-net settings in the United States.

Methods:

We conducted qualitative interviews with policy and payer representatives in the greater Los Angeles region and state of New Jersey between December 2020 and January 2022. Practice Change Model domains guided data collection, thematic analysis, and interpretation.

Results:

Five themes emerged from interviews with 11 policy and 8 payer participants, including (1) payer representatives not prioritizing HPV vaccination specifically in incentive-driven clinic metrics; (2) policy representatives noting region-specific HPV vaccine policy options; (3) inconsistent motivation across policy/payer groups to improve HPV vaccination; (4) targeting of HPV vaccination in quality improvement initiatives suggested across policy/payer groups; and (5) COVID-19 pandemic viewed as both barrier and opportunity for HPV vaccination improvement across policy/payer groups.

Discussion:

Our findings indicate opportunities for incorporating policy and payer perspectives into HPV vaccine improvement processes. We identified a need to translate effective policy and payer strategies, such as pay-for-performance programs, to improve HPV vaccination within safety-net settings. COVID-19 vaccination strategies and community efforts create potential policy windows for expanding HPV vaccine awareness and access.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Papillomavirus Infections / Papillomavirus Vaccines / COVID-19 Type of study: Experimental Studies / Observational study / Qualitative research / Randomized controlled trials Topics: Vaccines Limits: Humans Country/Region as subject: North America Language: English Journal: Front Public Health Year: 2023 Document Type: Article Affiliation country: Fpubh.2023.1099552

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Papillomavirus Infections / Papillomavirus Vaccines / COVID-19 Type of study: Experimental Studies / Observational study / Qualitative research / Randomized controlled trials Topics: Vaccines Limits: Humans Country/Region as subject: North America Language: English Journal: Front Public Health Year: 2023 Document Type: Article Affiliation country: Fpubh.2023.1099552