Evaluation of telephoned computer-generated reminders to improve immunization coverage at inner-city clinics.

Details

• Alternative Title:
  Public Health Rep
• Personal Author:
  Stehr-Green, Paul A. ; Dini, Eugene F. ; Lindegren, Mary Lou ; Patriarca, Peter A.
• Description:
  The authors evaluated the effectiveness of computer-generated telephoned reminders used to raise the rates of on-time immunization among preschool-age children in two public clinics in Atlanta, GA. The overall effect of the intervention on immunization levels appeared to be minimal (crude relative risk = 1.07, 95 percent confidence interval = 0.78, 1.46), in part because only about 80 percent of children in both the randomly selected intervention group and in the control group were members of a household with a telephone number listed in clinic records. However, logistic regression analysis indicated that 36 of 68 children (52.9 percent) in the intervention group whose households were reached were vaccinated within 30 days of their due dates, compared to 31 of 75 children (41.3 percent) in the control group whose household telephone numbers were recorded but not called (adjusted odds ratio = 2.12, 95 percent confidence interval = 1.01, 4.46). This analysis indicates that telephoned reminders demonstrated a level of effectiveness in improving immunization levels at inner-city clinics that recommends further trial and study.
• Subjects:
  Child Health Services Computers Evaluation Studies As Topic Female Humans Infant Logistic Models Male Patient Compliance Reminder Systems Research Article Telephone Urban Population Vaccination

  More +
• Source:
  Public Health Rep. 108(4):426-430
• Pubmed ID:
  8341774
• Pubmed Central ID:
  PMCnull
• Document Type:
  Journal Article
• Place as Subject:
  Georgia
• Volume:
  108
• Issue:
  4
• Collection(s):
  Public Health Reports
• Main Document Checksum:
  urn:sha256:a756ac84da581c02efbb1a4867f4d4b2e9442ee643a911ac8bcd8c1060c53298
• Download URL:
  https://stacks.cdc.gov/view/cdc/63915/cdc_63915_DS1.pdf
• File Type:
  [PDF - 938.56 KB ]