The potential for centralized reminder/recall to increase immunization rates: A national survey of immunization information systems (IIS) managers.

The potential for centralized reminder/recall to increase immunization rates: A national survey of immunization information systems (IIS) managers.
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DOI:
10.1016/j.pmedr.2020.101296
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发表时间:
2021-03
影响因子:
2.8
通讯作者:
Kempe A
Kempe A
中科院分区:
医学3区
文献类型:
--
作者:
Saville AW;Gurfinkel D;Beaty BL;Chi AE;Dayton A;Hurley L;Suresh K;Kempe A

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人们对免疫信息系统(IIS)使用基于免疫信息系统的集中式提醒/召回(CI-R/R)的态度和经验知之甚少,这是提高免疫率的有效方法。为了描述IIS管理人员与CI-R/R有关的情况:1)过去进行CI-R/R的经验和未来计划;2)态度和障碍;3)影响IIS的能力和政策;4)区分已经和没有进行CI-R/R的IIS的因素。2018年7月,使用成员列表服务向所有IIS管理人员发送了电子调查问卷。在联系的62个IIS项目中,有57个(92%)做出了回应。大多数人(61%)曾经进行过CI-R/R;34%的人表示他们“很有可能”在6个月内进行CI-R/R。大多数人(%)支持CI-R/R,障碍包括缺乏人员(78%)、竞争需求(76%)和费用(63%)。30%的人报告说,75%的免疫数据是通过实时电子接口(≥)获得的。总体而言,49%和24%的司法管辖区分别为儿童和成人免疫提供了私营和公共卫生实体的强制性免疫报告。曾经和从未执行CI-R/R的国际机构之间的差异分别包括:私营和公共实体对儿童的强制性报告(65%对27%,p=0.006),对CI-R/R有法定授权(50%对19%,p=0.02),不太可能倾向于以实践为基础的R/R而不是CI-R/R(68%对91%,p=0.04),以及没有报告太多相互竞争的需求(29%对67%,p=0.007)。大多数IIS都进行了CI-R/R,并对其持积极态度。鉴于它的有效性和低成本,应该考虑为维持它所作的努力。
Little is known about Immunization Information System (IIS) attitudes and experiences using Centralized IIS-based Reminder/Recall (CI-R/R), an effective approach to increasing immunization rates. To describe among IIS managers as it relates to CI-R/R: 1) past experiences and future plans conducting it; 2) attitudes and barriers, 3) IIS capabilities and polices that influence, and 4) factors that differentiate IIS who have and have not conducted CI-R/R. Electronic Surveys were sent to all IIS managers in July 2018 using a member listserve. Fifty-seven of 62 IIS programs contacted (92%) responded. The majority (61%) had ever conducted CI-R/R; 34% reported they were “very likely” to conduct CI-R/R within 6 months. The majority (64%) were in favor of CI-R/R. Barriers included lack of staff (78%), competing demands (76%), and cost (63%). Thirty percent reported receiving a ≥75% of immunization data via real-time electronic interfaces (HL7). Overall, 49% and 24% of jurisdictions had mandatory immunization reporting from private and public health entities for childhood and adult immunizations, respectively. Differences between IIS that ever and never performed CI-R/R, respectively, included: mandatory reporting from private and public entities for children (65% v 27%, p = 0.006), having a legal mandate for CI-R/R (50% v 19%, p = 0.02), less likely to prefer practice-based R/R to CI-R/R (68% v. 91%, p = 0.04), and not reporting having too many competing demands (29% v 67%, p = 0.007). Most IIS have conducted CI-R/R and have positive attitudes towards it. Given it effectiveness and low cost, efforts to sustain it should be considered.
DOI: 10.1097/phh.0000000000000040
发表时间: 2015-05
期刊: Journal of public health management and practice : JPHMP
影响因子: --
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