A comprehensive patient assessment and physician reminder tool for adult immunization: effect on vaccine administration.
We determined if a patient-self assessment/provider reminder tool (A/R) would increase administration of the eight vaccines that may be indicated for adults. In three family practice clinics, the A/R was completed by intervention patients and given to their provider. Control patients received an exercise reminder. On the day of the intervention, influenza, pneumococcal polysaccharide, and tetanus-diphtheria (Td) vaccines vaccine were administered significantly (P<0.01) more commonly to intervention patients in one clinic, Td in the second, and none in the third. There were no additional significant differences during one year of follow-up. A number of barriers to comprehensive vaccination were encountered.
Fishbein
Daniel B
DB
Centers for Disease Control and Prevention, Health Services Research and Evaluation Branch, Immunization Services Division, National Immunization Program, Atlanta, GA 30333, USA. dbf1@cdc.gov
Willis
Bayo C
BC
Cassidy
William M
WM
Marioneaux
Dale
D
Winston
Carla A
CA
D019433:Chickenpox Vaccine; D005260:Female; D006266:Health Education; D022362:Hepatitis A Vaccines; D017325:Hepatitis B Vaccines; D006801:Humans; D007252:Influenza Vaccines; D008297:Male; D022542:Measles-Mumps-Rubella Vaccine; D022242:Pneumococcal Vaccines; D017010:Reminder Systems; D011795:Surveys and Questionnaires; D013745:Tetanus Toxoid; D014611:Vaccination / Q000706:statistics & numerical data*
D019433:Chickenpox Vaccine; D022362:Hepatitis A Vaccines; D017325:Hepatitis B Vaccines; D007252:Influenza Vaccines; D022542:Measles-Mumps-Rubella Vaccine; D022242:Pneumococcal Vaccines; D013745:Tetanus Toxoid