Effect of computer-generated nurse/physician reminders on influenza immunization among seniors.

Hutchison Bg

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Vaccine Coverage and Hesitancy Electronic Health Records Systems Health Promotion and Cardiovascular Prevention

Abstract

Despite long-standing recommendations by the Canadian and U.S. national immunization advisory committees that all persons aged 65 or older be vaccinated annually against influenza, vaccination rates among North American seniors remain approximately 20%. This paper reports a study of the effect of computer-generated nurse/physician reminders to offer influenza vaccine to elderly patients seen during the pre-influenza season in a community based group family practice. The study employed a pretest-post-test design strengthened by the use of a no-intervention comparison practice and repeated pretest measures of vaccine coverage. Outcome was measured by clinical records review. The influenza vaccination rate increased by 165% from 10.1% to 26.8% following introduction of the computer-generated reminders. There was no increase in influenza immunization in the comparison practice during the corresponding time period. Over 60% of eligible patients were seen in the practice during the pre-influenza season; 41.6% of those received influenza vaccinations.

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2000Reviews of evidence regarding interventions to improve vaccination coverage in children, adolescents, and adults11The names and affiliations of the Task Force members are listed on page v of this supplement and at http://www.thecommunityguide.org22Some of this material was published previously in: Shefer A, Briss P, Rodewald L, et al. Improving immunization coverage rates: an evidence-based review of the literature. Epidemiol Rev 1999;20:96–142.1999Improving Immunization Coverage Rates: An Evidence-based Review of the Literature 1998Meta-Analysis of Effectiveness of Interventions to Increase Influenza Immunization Rates among High-Risk Population Groups 1993Improving influenza vaccine coverage in at‐risk groups 2024Effectiveness of educational interventions for healthcare workers on vaccination dialogue with older adults: a systematic review 2019The situation of vaccines for the prevention of infections in adults: An opinion paper on the situation in Spain.2000Compliance with influenza vaccination in Israel in two successive winters, 1998/1999 and 1999/2000.1994Requiring elderly patients to give signed consent for influenza vaccine. Does it affect acceptance?

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