title: Patient views on reminder letters for influenza vaccinations in an older primary care patient population: a mixed methods study.
abstract: OBJECTIVE
  To explore the perspectives of older adults on the acceptability of reminder letters for influenza vaccinations.
  
  
  METHODS
  We randomly selected 23 family physicians from each Family Health and Primary Care network participating in a demonstration project designed to increase the delivery of preventive services in Ontario. From the roster of each physician, we surveyed 35 randomly selected patients over 65 years of age who recently received a reminder letter regarding influenza vaccinations from their physician. The questionnaires sought patient perspectives on the acceptability and usefulness of the letter. We also conducted follow-up telephone interviews with a subgroup of respondents to explore some of the survey findings in greater depth.
  
  
  RESULTS
  85.3% (663/767) of patients completed the questionnaire. Sixty-five percent of respondents recalled receiving the reminder (n=431), and of those, 77.3% found it helpful. Of the respondents who recalled the letter and received a flu shot (n=348), 11.2% indicated they might not have done so without the letter. The majority of respondents reported that they would like to continue receiving reminder letters for influenza vaccinations (63.0%) and other preventive services (77.1%) from their family physician. The interview participants endorsed the use of reminder letters for improving vaccination coverage in older adults, but did not feel that the strategy was required for them personally.
  
  
  CONCLUSIONS
  The general attitude of older adults towards reminder letters was favourable, and the reminders appear to have contributed to a modest increase in influenza vaccination rates.
authors.affiliation: Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON.
authors.forename: Kelly K
authors.initials: KK
authors.lastname: Anderson
authors.forename: Rolf J
authors.initials: RJ
authors.lastname: Sebaldt
authors.forename: Lynne
authors.initials: L
authors.lastname: Lohfeld
authors.forename: Tina
authors.initials: T
authors.lastname: Karwalajtys
authors.forename: Afisi S
authors.initials: AS
authors.lastname: Ismaila
authors.forename: Ron
authors.initials: R
authors.lastname: Goeree
authors.forename: Faith C
authors.initials: FC
authors.lastname: Donald
authors.forename: Ken
authors.initials: K
authors.lastname: Burgess
authors.forename: Janusz
authors.initials: J
authors.lastname: Kaczorowski
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D007252:Influenza Vaccines; D007251:Influenza, Human / Q000517:prevention & control*; D008297:Male; D009864:Ontario; D010342:Patient Acceptance of Health Care; D017060:Patient Satisfaction; D010821:Physicians, Family; D011314:Preventive Health Services; D011320:Primary Health Care / Q000379:methods*; D036301:Qualitative Research; D017010:Reminder Systems; D011795:Surveys and Questionnaires
chemical_list: D007252:Influenza Vaccines