Improving Immunization Coverage Rates: An Evidence-based Review of the Literature
Epidemiologic ReviewsPublished 1 January 1999
Abigail Shefer, P. A. Briss, Lance E. Rodewald, R Bernier, Raymond A. Strikas, H. Yusuf
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TL;DR
A framework for evaluating interventions to improve vaccination coverage is presented, selected strategies for improving coverage are described, and available information on the effectiveness of these strategies in improving vaccination coverage and other outcomes is reviewed.
Abstract
This systematic review evaluates the effectiveness of population-based interventions to improve vaccina-tion coverage. The paper 1) presents a framework for evaluating interventions to improve vaccination cover-age, 2) describes selected strategies for improving cov-erage, and 3) systematically reviews available infor-mation on the effectiveness of these strategies in improving vaccination coverage and other outcomes to assess their effectiveness.
Keywords
Social SciencesMathematicsMedicine
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PubMedHospital-based strategies for improving influenza vaccination rates.
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PubMedInfluenza vaccination in the elderly: 1. Determinants of acceptance.
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Journal of General Internal MedicineUse of an outpatient medical record audit to achieve educational objectives
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American Journal of Public HealthIncreasing influenza vaccination among high-risk elderly: a randomized controlled trial of a mail cue in an HMO setting.
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Family PracticeComputerized Protocol for Preventive Medicine: A Controlled Self-Audit in Family Practice
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JAMAThe Effect of a School Entry Law on Mumps Activity in a School District
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PEDIATRICSA Program to Immunize Hospitalized Preschool-aged Children: Evaluation and Impact
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JAMAImpact of Free Vaccine and Insurance Status on Physician Referral of Children to Public Vaccine Clinics
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Archives of Pediatrics and Adolescent MedicineThe Impact of Health Care Financing on Childhood Immunization Practices
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Preventive MedicineImpact of Medicare Reimbursement on Influenza Vaccination Rates in the Elderly
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Archives of Pediatrics and Adolescent MedicineEffects of Vaccine Information Pamphlets on Parents' Attitudes
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Journal of General Internal MedicineComputer-generated mailed reminders for influenza immunization
42 Citations1992William P. Moran, William Nelson +2 more
Analysis of the combined groups indicates that an appointment with a primary care provider remains the most reliable method of immunizing high-risk patients at this health center.
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42 Citations1997Lisa Unti, Karin Coyle +2 more
Although peer incentives appeared effective in encouraging some students to return parent consent or refusal forms, the desire to be protected may have been a stronger motivator.
BMJImpact of audit on preventive measures.
41 Citations1983Douglas Fleming, Martin Lawrence
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41 Citations1997P Satterthwaite
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Journal of the American Geriatrics SocietyIncreased Utilization of Influenza and Pneumococcal Vaccines in an Elderly Hospitalized Population
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PubMedInfluenza immunization: the impact of notifying patients of high-risk status.
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Journal of General Internal MedicineImproved preventive care following an intervention during an ambulatory care rotation
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