Publicação
Impact of vaccine quality monitoring and management on vaccination improvement
| Resumo: | Vaccination has been vital to China’s public health since 1950 and reaffirmed as a priority in 2019. Despite progress, service quality varies, and no cohesive evaluation system exists. This study aims to develop and assess a quality monitoring system for vaccination clinics. A mixed-methods approach combined bibliometric analysis, interviews, and the Delphi and Analytic Hierarchy Process (AHP) methods to build the indicator system. Fifty clinics across four provinces were assessed using descriptive statistics. An intervention study in Heilongjiang Province randomly divided 20 clinics into intervention and control groups, using a quasi-experimental design. Data were collected via surveys, observations, and archival analysis, with t-tests and variance analysis for evaluation. The system included four domains - professional services, personnel management, social services, and information management - with 61 indicators. The average management score was 6.12 (9-point scale), with information management scoring lowest. Interventions significantly improved vaccination rates, adverse reaction rates, complaints, satisfaction, and public awareness. 85% of personnel found training valuable, and 89% reported improved standardization and motivation. The system provides a structured framework for clinic management, with recommendations to strengthen systems, enhance training, improve information management, raise public awareness, and foster inter-departmental collaboration. |
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| Autores principais: | Zhang Yan |
| Assunto: | Vaccination Outpatient clinic Quality monitoring management system Evaluation system Intervention effect Vacinação Clínica de atendimento Sistema de gestão de monitorização da qualidade Sistema de avaliação Efeito da intervenção |
| Ano: | 2025 |
| País: | Portugal |
| Tipo de documento: | tese de doutoramento |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | ISCTE |
| Idioma: | inglês |
| Origem: | Repositório ISCTE |
| Resumo: | Vaccination has been vital to China’s public health since 1950 and reaffirmed as a priority in 2019. Despite progress, service quality varies, and no cohesive evaluation system exists. This study aims to develop and assess a quality monitoring system for vaccination clinics. A mixed-methods approach combined bibliometric analysis, interviews, and the Delphi and Analytic Hierarchy Process (AHP) methods to build the indicator system. Fifty clinics across four provinces were assessed using descriptive statistics. An intervention study in Heilongjiang Province randomly divided 20 clinics into intervention and control groups, using a quasi-experimental design. Data were collected via surveys, observations, and archival analysis, with t-tests and variance analysis for evaluation. The system included four domains - professional services, personnel management, social services, and information management - with 61 indicators. The average management score was 6.12 (9-point scale), with information management scoring lowest. Interventions significantly improved vaccination rates, adverse reaction rates, complaints, satisfaction, and public awareness. 85% of personnel found training valuable, and 89% reported improved standardization and motivation. The system provides a structured framework for clinic management, with recommendations to strengthen systems, enhance training, improve information management, raise public awareness, and foster inter-departmental collaboration. |
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