Journal article

Challenges and successes of immunization registry reminders at inner-city practices.

OBJECTIVES: To assess the effectiveness of two serial registry reminder protocols and the interactive effects of reminders with child characteristics on immunization rates. METHODS: At an inner city practice network in New York City we randomized 1662 children aged 6 weeks-15 months due or late for a diphtheria-tetanus-pertussis (DTaP) to 3 groups: continuous reminders (as needed)- limited reminders (up to 3) and controls- for 6 months. Reminders were triggered by the hospital registry and immunizations were tracked with both the hospital and city registries. Analyses were based on intention to treat. RESULTS: At randomization- the study groups were comparable (9.2 months of age- 77% Latino- 86% Medicaid- 49.3% up-to date). A quarter of the children were sent false reminders- 15% had incorrect contact information- and 15% had missed opportunities for vaccination. In the univariate analysis- reminders improved coverage rates- but only for the children sent continuous reminders (51.2% vs. 44.9% controls- p

Languages

  • English

Publication year

2006

Journal

Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association

Volume

2

Type

Journal article

Categories

  • Data

Tags

  • ICT
  • Ultra-cold chain (UCC)

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