Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Proc AMIA Symp. 1999:755-9.

Randomized study of online vaccine reminders in adult primary care.

Author information

  • 1Information Systems Department, University of Iowa Hospitals and Clinics, Iowa City, USA.

Abstract

Online immunization reminders were implemented in an adult medicine setting in which all immunization history, vaccine ordering and charting were required online. Physicians were randomized to one of two arms in a cross-over design. Each arm was shown online recommendations for vaccines indicated by nationally accepted guidelines either during the first or during the second part of the study period. The main purpose of the study was to assess the impact of reminders on correct decisions related to prescribing vaccines. Online reminders had the following impact on physician behavior: 1) Physicians used the application almost 3 times as often when shown reminders. 2) Physicians in the reminder group were 27% less likely to order a vaccine in the reminder group (P- value 0.0005). 3) Compliance with guidelines was improved significantly for Tetanus and for Hepatitis B in several analyses. No such effects were found for Pneumoccocal, Measles, or Influenza vaccines.

PMID:
10566461
[PubMed - indexed for MEDLINE]
PMCID:
PMC2232874
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Icon for PubMed Central
    Loading ...
    Write to the Help Desk