Getting Under the Hood: Exploring Issues That Affect Provider-Based Recall Using an Immunization Information System

被引:39
作者
Saville, Alison W. [1 ,3 ]
Albright, Karen [1 ,2 ,3 ]
Nowels, Carolyn [3 ]
Barnard, Juliana [1 ,3 ]
Daley, Matthew F. [1 ,4 ]
Stokley, Shannon [5 ]
Irby, Kimberly [6 ]
Kempe, Allison [1 ,4 ]
机构
[1] Childrens Hosp, Childrens Outcomes Res Program, Denver, CO 80218 USA
[2] Univ Colorado, Colorado Sch Publ Hlth, Dept Community & Behav Hlth, Denver, CO 80202 USA
[3] Univ Colorado, Colorado Hlth Outcomes Res Program, Denver, CO 80202 USA
[4] Univ Colorado, Dept Pediat, Denver, CO 80202 USA
[5] Ctr Dis Control & Prevent, Immunizat Serv Div, Natl Ctr Immunizat & Resp Dis, Atlanta, GA USA
[6] Colorado Dept Publ Hlth & Environm, Immunizat Program, Denver, CO USA
关键词
immunization information systems; immunizations; recall and reminder messages; INTERVENTIONS;
D O I
10.1016/j.acap.2010.12.009
中图分类号
R72 [儿科学];
学科分类号
100202 [儿科学];
摘要
OBJECTIVE: To assess 1) pediatric practices' use of provider-based recall using an immunization information system 8 months after training on the recall process; 2) initiation and sustainability barriers to provider-based recall using an immunization information system; 3) strategies that facilitated recall initiation; and 4) recommendations for alternative approaches for conducting recall. METHODS: In 2008,11 practices received training on the automatic recall function in the Colorado Immunization Information System (CIIS) for both infants and adolescents. The 2-hour computer-based training provided an opportunity for attendees to run real-time recall reports with CIIS staff assistance. Eight months later, key informant interviews were conducted with 24 providers and staff from these practices. RESULTS: Eight months after training, only 4 of 11 practices had implemented recall using CIIS: 3 practices recalled children <= 2 years of age, and I practice recalled adolescent girls for human papillomavirus vaccine. Initiation barriers included lack of awareness of baseline immunization rates, distrust in the accuracy of CHS-generated data, and perceived difficulties recalling adolescents. Having unrealistic expectations about recall effectiveness was a barrier to sustainability. Strategies that facilitated recall included having a dedicated staff person for recall efforts and recalling children <= 2 years of age. Most key informants viewed population-based recall conducted by public health departments or schools as an acceptable alternative to provider-based recall. CONCLUSIONS: Even with a promising tool to assist pediatric offices, implementing provider-based recall is challenging for pediatric practices. Given existing barriers, providers expressed support for alternative recall methods.
引用
收藏
页码:44 / 49
页数:6
相关论文
共 18 条
[1]
*AM IMM REG ASS, 2009, REM REC IMM INF SYST
[2]
[Anonymous], 2010, MMWR MORB MORTAL WKL, V59, P133
[3]
[Anonymous], 2005, Brokerage and Closure: An Introduction to Social Capital
[4]
Recommended immunization schedules for children and adolescents - United States, 2007 [J].
Bocchini, Joseph A., Jr. ;
Baltimore, Robert S. ;
Bernstein, Henry H. ;
Bradley, John S. ;
Brady, Michael T. ;
Dennehy, Penelope H. ;
Fisher, Margaret C. ;
Frenck, Robert W., Jr. ;
Kimberlin, David W. ;
Long, Sarah S. ;
McMillan, Julia A. ;
Rubin, Lorry G. .
PEDIATRICS, 2007, 119 (01) :207-208
[5]
Reviews of evidence regarding interventions to improve vaccination coverage in children, adolescents, and adults [J].
Briss, PA ;
Rodewald, LE ;
Hinman, AR ;
Shefer, AM ;
Strikas, RA ;
Bernier, RR ;
Carande-Kulis, VG ;
Yusuf, HR ;
Ndiaye, SM ;
Williams, SM .
AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2000, 18 (01) :97-140
[6]
*CO DEP PUBL HLTH, 2009, COL ANN IMM PROGR RE
[7]
*DEP HLTH HUM SERV, 2009, IMM PROGR OP MAN
[8]
Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness [J].
Graneheim, UH ;
Lundman, B .
NURSE EDUCATION TODAY, 2004, 24 (02) :105-112
[9]
Hinman AR, 2000, AM J PREV MED, V18, P92
[10]
Measuring Meaningful Use [J].
Hogan, Sean O. ;
Kissam, Stephanie M. .
HEALTH AFFAIRS, 2010, 29 (04) :601-606