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Reminders, recall systems boost immunization rates

20 Jan 2018
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Rates of immunization particularly in a primary care setting can be improved by constant patient reminders and recall systems, a recent study has found.

Researchers performed a systematic review of 75 studies that assessed the efficacy of patient reminders and recall intervention on the immunization rates in children, adolescents and adults. The databases of Medline, Central, Embase and Cinahl were accessed for the study.

Pooled data from 55 studies (n=138,625) showed that reminders likely increase the rate of immunization (risk ratio [RR], 1.28; 95 percent CI, 1.23–1.35). Examples of recall interventions included autodialer calls, text messages, letters and postcards, a combination of mail or telephone, and recall with outreach.

Based on high-quality evidence, the most effective reminder methods appear to be the use of postcards (RR, 1.18; 1.08–1.30), text messages (RR, 1.29; 1.15–1.44) and autodialer calls (RR, 1.17; 1.03–1.32). Telephone calls (RR, 1.75; 1.20–2.54) and letters (RR, 1.29; 1.21–1.38) also effectively boost immunization rates, but calculations were based on studies with moderate-quality evidence.

Reminders and recalls are also effective in improving overall immunization rates in children (RR, 1.22; 1.15–1.29) and adolescents (1.29; 1.17–1.42).

When analysed by disease type, rates of influenza vaccination also benefited from patient reminders both in children (RR, 1.51; 1.14–1.99) and in adults (RR, 1.29; 1.17–1.43). Immunization against other adult diseases improved, including tetanus, pneumococcus and hepatitis B, although calculations were based on low-quality evidence (RR, 2.08; 0.91–4.78).

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Most Read Articles
11 Oct 2018
Use of statin appears to reduce the risks of osteoporosis, hip fractures and vertebral fracture in patients newly diagnosed with a stroke, suggests a recent study.
4 days ago
Elderly adults using hypoglycaemic glucose-lowering drugs, such as insulin and glinides, have an excess risk of hospitalization for serious trauma, a recent study has found.
Pearl Toh, 5 days ago

The duration of dual antiplatelet therapy (DAPT) should be individualized based on ischaemic and bleeding risk of a particular patient, rather than focusing on a dualistic short- vs long-duration therapy thinking, advocates a leading expert during AFCC 2018.

07 Oct 2018
Patients using long-acting opioids with immunosuppressive properties are at greater risk of developing serious infections compared with those using the nonimmunosuppressive opioid counterpart, according to a study.