Journal article
Effectiveness and cost-effectiveness of letters- automated telephone messages- or both for underimmunized children in a health maintenance organization.
BACKGROUND: Immunization rates have improved in the United States- but are still far from the national 90% goal for the year 2000. There is scant evidence about the effectiveness and costs of automated telephone messages to improve immunization rates among privately insured children. OBJECTIVE: To evaluate the effectiveness and cost-effectiveness of sending letters- automated telephone messages- or both to families of underimmunized 20-month-olds in a health maintenance organization (HMO). METHODS: In this randomized trial- underimmunized 20-month-olds identified by the HMO's computerized immunization tracking system were assigned to one of four interventions: 1) an automated telephone message alone/ 2) a letter alone/ 3) an automated telephone message followed by a letter 1 week later/ and 4) a letter followed by an automated telephone message 1 week later. The primary outcome was receipt of any needed immunization by 24 months of age. Decision analysis was used to evaluate the projected cost-effectiveness o
Languages
- English
Publication year
1998
Journal
Pediatrics
Volume
4
Type
Journal article
Categories
- Data
Tags
- ICT
