Population-based versus practice-based recall for childhood immunizations: A randomized controlled comparative effectiveness trial

A. Kempe, A. Saville, L.M. Dickinson, S. Eisert, Jessi Reynolds, D. Herrero, B. Beaty, K. Albright, E. Dibert, V. Koehler, S. Lockhart and N. Calonge

American Journal of Public Health, 2013, vol. 103, issue 6, 1116-1123

Abstract: Objectives. We compared the effectiveness and cost-effectiveness of populationbased recall (Pop-recall) versus practice-based recall (PCP-recall) at increasing immunizations among preschool children. Methods. This cluster-randomized trial involved children aged 19 to 35 months needing immunizations in 8 rural and 6 urban Colorado counties. In Pop-recall counties, recall was conducted centrally using the Colorado Immunization Information System (CIIS). In PCP-recall counties, practices were invited to attend webinar training using CIIS and offered financial support for mailings. The percentage of up-to-date (UTD) and vaccine documentation were compared 6 months after recall. A mixed-effects model assessed the association between intervention and whether a child became UTD. Results. Ten of 195 practices (5%) implemented recall in PCP-recall counties. Among children needing immunizations, 18.7% became UTD in Pop-recall versus 12.8% in PCP-recall counties (P

Keywords: article; comparative effectiveness; controlled clinical trial; controlled study; cost benefit analysis; economics; human; immunization; infant; preschool child; private practice; public health service; randomized controlled trial; reminder system; rural population; statistics; United States; urban population, Child, Preschool; Colorado; Comparative Effectiveness Research; Cost-Benefit Analysis; Humans; Immunization; Infant; Private Practice; Public Health Practice; Reminder Systems; Rural Population; Urban Population (search for similar items in EconPapers)
Date: 2013
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2012.301035_2

DOI: 10.2105/AJPH.2012.301035

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