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Policy considerations for improving influenza vaccination rates among pregnant women

机译：提高孕妇流感疫苗接种率的政策考虑

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Background: Influenza exposure during pregnancy can cause severe health problems for both the mother and her offspring, including an increased risk of mortality. Influenza vaccination during all trimesters of pregnancy is safe and effective, and recommended by professional organizations such as the American College of Obstetrics and Gynecology. Despite these recommendations, the U.S. vaccination rates remain low in this high-risk population. Method: A policy analysis based on the five-part method identified by Teitelbaum and Wilensky (2013) addresses factors to consider in identifying the best voluntary policy options to improve the vaccination rates. The authors provide discussion of the background, landscape, and stakeholder interests and the pros and cons of two voluntary policy options to increase vaccination. The policy options include: (a) financial incentives for providers and (b) an education emphasis for providers and staff. Conclusions: The authors conclude that based on considerations of cost, provider preference, and practicality of implementation, a continuing educational intervention is the preferred policy venue to increase vaccination rates.
机译：背景：怀孕期间接触流感会给母亲及其后代造成严重的健康问题，包括死亡风险增加。在怀孕的所有三个月中接种流感疫苗是安全有效的，并受到美国妇产科学院等专业组织的建议。尽管有这些建议，但在这一高风险人群中美国的疫苗接种率仍然很低。方法：基于Teitelbaum和Wilensky（2013）确定的五部分方法进行的政策分析解决了在确定最佳的自愿性政策选择以提高疫苗接种率时应考虑的因素。作者讨论了增加疫苗接种的两个自愿性政策选择的背景，前景和利益相关者的利益以及利弊。这些政策选择包括：（a）对提供者的经济激励，以及（b）对提供者和工作人员的教育重点。结论：作者得出结论，基于成本，提供者的偏爱和实施的实用性的考虑，继续进行教育干预是提高疫苗接种率的首选政策场所。

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