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Improving influenza vaccination performance in an HMO setting: the use of computer-generated reminders and peer comparison feedback


, : Improving influenza vaccination performance in an HMO setting: the use of computer-generated reminders and peer comparison feedback. American Journal of Public Health 80(5): 534-536

We evaluated a program for improving influenza immunization performance in a health maintenance organization (HMO). The HMO implemented several interventions successively from 1984-87: a postcard reminder to members at high risk for complications of influenza, a computer-generated reminder to the physician at the time of any primary care visit by high-risk patients, performance feedback to chiefs of service, and, finally, retrospective feedback to each physician comparing his/her performance with that of the other physicians. We examined immunization rates for a group of members older than age 65, a high-risk group under age 65, and a group of diabetic members who had not been subject to the reminders (vs a group who had been covered by the program). Vaccination rates were increased in those diabetic members who received reminders. Nevertheless, among members younger and older than age 65 whose experience was observed over three flu seasons, a significant increase in vaccination rates was not achieved until physician feedback was added to the program. We conclude that each element of the reminder and feedback program has contributed to the overall increase in vaccination rates at the HMO and that effective ongoing influenza immunization programs can be implemented in practice settings with appropriate systems support.

US$29.90

PMID: 2327527


Other references

Mallucci, L., 1958: Age in relation to receptivity to viral infections; observations on the enzymatic activity of some tissues in the neonatal and adult periods. Bollettino Dell'istituto Sieroterapico Milanese 37(5-6): 246-251

Anaskina, A.A.; Tumanyan, V.G.; Kuznetsov, E.N.; Galkin, A.V.; Esipova, N.G., 2008: Geometrical analysis of protein-DNA interactions on the basis of Voronoi-Delaune tessellation. A new method for the rigorous analysis of DNA-protein contacts has been developed on the basis of Voronoi tessellation. This method permits one to determine close neighbors on the atomic level and compute the area of contact by edges of Voronoi p...

Mort, A.J.; Bauer, W.D., 1980: Composition of the Capsular and Extracellular Polysaccharides of Rhizobium japonicum: CHANGES WITH CULTURE AGE AND CORRELATIONS WITH BINDING OF SOYBEAN SEED LECTIN TO THE BACTERIA. The chemical compositions of the capsular and extracellular polysaccharides of two strains of Rhizobium japonicum (311b 138 and 110) have been determined and correlated as a function of culture age with the ability of the bacteria from which they...

Déodati, F.; Bec, P.; Camezind, M., 1969: Diffuse papillomatosis of the conjunctiva. Bulletin des Societes D'ophtalmologie de France 69(2): 288-292

Nikitishen, V.; Shcherbakov, A.; Logoshin, V., 1987: Efficiency of nitrogenous fertilizers at their systematic application in crop rotations on typical Chernozems. Agrokhimiia (6) 3-7

Olsen, L.E.; Hoy, M.A., 2002: Heat curing Metaseiulus occidentalis (Nesbitt) (Acari, Phytoseiidae) of a fitness-reducing microsporidium. Laboratory colonies of the predatory mite Metaseiulus occidentalis in Gainesville, FL were found to be infected with an undescribed microsporidium. Experiments were performed to quantify the effect of infection on the fitness of M. occidentalis an...

Marnett, L.J., 2000: Cyclooxygenase mechanisms. Several advances have occurred in the past year in our understanding of cyclooxygenase catalysis. The role of specific heme oxidation states in the formation of catalytically competent tyrosyl radicals has been defined; the identity of physiologic...

Kazmers, A.; Perkins, A.J.; Huber, T.S.; Jacobs, L.A., 1999: Carotid surgery in octogenarians in Veterans Affairs medical centers. The purpose of this study was to define outcomes after carotid surgery in octogenarians in the Veterans Affairs health care system. During fiscal years 1991-1994, 9152 patients in DRG 5 underwent extracranial vascular surgery procedures in Veteran...

Hamacher, K.; Coenen, H.H., 2006: No-carrier-added nucleophilic 18F-labelling in an electrochemical cell exemplified by the routine production of [18F]altanserin. A new type of electrochemical cell with anodic deposition of no-carrier-added [(18)F]fluoride and variable reaction volume has been developed. The reactor is designed for small reaction volumes and non-thermal drying of [(18)F]fluoride. The implem...

Smith, F.F., 1951: A tool for applying ammate crystals. Describes (with diagrams) a tool developed on the Fayette Experiment Forest, Alabama, for application of Ammate crystals, It consists of a cylindrical chamber in which a tablespoonful of crystals is picked up, and a plunger which pushes the crysta...