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Increasing Appropriate Vaccination: Client Reminder and Recall Systems

Community Preventive Services Taskforce Task Force Finding and Rationale Statement (2015)

The Community Guide - N/A

Mapiau Tystiolaeth

  • Lleoliadau Gofal: Heb ei ddisgrifio
  • Grwpiau Poblogaeth: Oedolion
  • Ymyriadau: Nodyn atgoffa/cofio (claf)
  • Canlyniad: Nifer sy'n derbyn brechiadau
  • Canlyniad: Cost effeithiolrwydd

Math o Dystiolaeth

Adolygiad Systematig

Nodau

Dywed yr awduron:

"This report aims to determine whether client reminder and recall interventions increase vaccination rates in children, adolescents, and adults."

Canfyddiadau

Dywed yr awduron:

 

"This Task Force finding is based on evidence from a Community Guide systematic review completed in 2008 (19 studies, search period 1997-2007) combined with more recent evidence (10 studies, search period 2007-2012). Based on the combined evidence, the Task Force reaffirms its recommendation based on strong evidence of effectiveness. Included studies showed vaccination rates increased by a median of 11 percentage points (interquartile interval [IQI]: 4 to 17 percentage points). Client reminder and recall interventions used alone resulted in a median increase of 6 percentage points (IQI: 3 to 13 percentage points; 14 studies), and interventions implemented with additional components led to a median increase of 12 percentage points (IQI: 10 to 30 percentage points; 15 studies).

The economic review included 24 studies of client reminder and recall systems to increase vaccination rates (search period 1980 – 2012). One study each was from Denmark, New Zealand, and the U.K, three came from Canada, and the remaining studies were based in the United States. The vaccines covered were: influenza (8 studies), influenza/pneumococcal (1 study), pneumococcal (1 study), DTP/DTaP (1 study), MMR (2 studies), tetanus (2 studies), and various childhood series (9 studies). All monetary values are presented in 2013 U.S. dollars. The median size of intervention group was 654 (IQI: 273 to 5669, 23 studies). Interventions were implemented at a median cost per person per year of $2.13 (IQI: $0.96 to $8, 23 studies) and achieved a median cost per additional person vaccinated of $15 (IQI: $8 to $184, 22 studies). Evidence indicates that client reminder and recall systems can be an effective strategy to reach a large number of clients and achieve vaccinations with relatively few economic resources."

Casgliadau

Dywed yr awduron:

"The Community Preventive Services Task Force recommends client reminder and recall interventions based on strong evidence of effectiveness in improving vaccination rates: (1) in children, adolescents and adults; (2) in a range of settings and populations; (3) when applied at different levels of scale—from individual practice settings to entire communities; (4) across a range of intervention characteristics (e.g., reminder or recall, content, theoretical basis and method of delivery); and (5) whether used alone or with additional components"