title: A handout about tetanus immunisation: influence on immunisation rate in general practice.
abstract: OBJECTIVE
  To assess the influence of giving patients a handout about tetanus immunisation on the rate of immunisation against tetanus among adults in a general practice.
  
  
  METHODS
  Monthly tetanus immunisation rates were audited before and after the handout was introduced.
  
  
  METHODS
  A practice with six doctors and a list of 11,000 patients in an urban area of Hertfordshire.
  
  
  METHODS
  In the first month reception staff were instructed to give a handout about tetanus immunisation to all adults presenting at the reception desk. In the next seven months the doctors used the handouts opportunistically during consultations.
  
  
  RESULTS
  No significant change in immunisation rate was detected in the first month in which the handouts were used. During the next seven months the median monthly rate rose threefold.
  
  
  CONCLUSIONS
  Handouts given to patients can increase the uptake of preventive services in general practice.
authors.affiliation: Bushey Health Centre, Hertfordshire.
authors.forename: C J
authors.initials: CJ
authors.lastname: Cates
mesh_terms: D000328:Adult; D004739:England; D005194:Family Practice; D006266:Health Education; D006801:Humans; D007114:Immunization / Q000523:psychology*; D010174:Pamphlets; D010342:Patient Acceptance of Health Care; D013742:Tetanus / Q000517:prevention & control* / Q000523:psychology