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Increasing Appropriate Vaccination: Provider Reminders

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

The Community Guide - N/A

Evidence Categories

  • Care setting: Secondary Care
  • Care setting: Primary care
  • Population group: Adults
  • Intervention: Reminder/recall (provider)
  • Outcome: Change in vaccination rates

Type of Evidence

Systematic Review

Aims

"This report aimed to determine whether provider reminders increase vaccination rates among adults, adolescents and children."

Findings

The authors state:

"The Task Force finding is based on evidence from a Community Guide systematic review completed in 2008 (23 studies, search period 1997–2007) combined with more recent evidence (5 studies, search period 2007–February 2012). Based on the combined evidence, the Task Force reaffirms its recommendation based on strong evidence of effectiveness.

The Task Force considered evidence from 28 studies. Twenty-two studies provided a measurement of change in vaccination rates, with an overall median increase of 10 percentage points (interquartile interval [IQI]: 6 to 25 percentage points). Of these, seven studies examined provider reminders alone with a median increase of 12 percentage points (IQI: 6 percentage point to 25 percentage points). Fifteen studies examined the impact of provider reminders with additional interventions and observed a median increase of 9 percentage points (IQI: 5 to 25 percentage points). Six additional studies did not provide a common measurement of change in vaccination rates; however, five of the studies provided additional support for the use of provider reminders."

Conclusions

The authors state:

"The Community Preventive Services Task Force recommends provider reminders on the basis of strong evidence of effectiveness in increasing vaccination rates: (1) among adults, adolescents and children; (2) when used alone or with additional interventions; (3) across a range of intervention characteristics (e.g., computerized or simple reminders, checklists, flowcharts); and (4) in a range of settings and populations."