Computer reminders improve on-time immunization rates.
Computer reminders improve on-time immunization rates.
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计算机提醒提高了按时免疫率。
DOI：
10.1097/00005650-199610003-00005
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发表时间：
1996
期刊：
影响因子：
3
通讯作者：
Ghadiri,A
中科院分区：
文献类型：
--
作者：
Alemi,F;Alemagno,SA;Goldhagen,J;Ash,L;Finkelstein,B;Lavin,A;Butts,J;Ghadiri,A
本研究探讨了计算机生成的电话提醒在提高婴儿及时接受免疫接种方面的有效性。一台电脑打电话给家里的父母，提醒他们孩子的来访，并询问他们是否可以赴约。如果父母取消或未能荣誉预约，电脑会在几天后打电话回来，要求他们重新安排。METHODSA医疗助理招募了124名连续的母亲，接受自动电脑提醒。这些母亲的婴儿小于6个月，正在门诊诊所进行首次就诊，是三名主治医生和三名执业护士的病人。将这些婴儿与来自同一诊所的89名年龄相同的婴儿进行比较，这些婴儿在同一时期首次由相同的提供者看到，但没有与医疗助理联系。受试者是从母亲谁带来了他们的婴儿首次访问的门诊城市诊所，主要服务于少数民族客户。一名研究助理审查了患者的医疗记录，并收集了婴儿的生日、母亲的年龄、种族、付款来源和婴儿的免疫记录。如果在首次访视时，美国儿科学会推荐的任何免疫接种过期超过30天，则认为免疫接种延迟，但研究时不推荐的B型肝炎疫苗除外。因变量为按时免疫。独立变量是基线时母亲的年龄、基线时孩子的年龄以及比较组或实验组的成员资格。卡方检验和逻辑回归分析的data.STTSTThe参与率为实验组的预约为82%，相比之下，为诊所提供者的总体参与率为69%。实验对象的按时免疫率为67.8%，而对照组的按时免疫率为43.4%（差异显著，α水平小于0.01）。CONCLUSIONSSComputerized提醒发送给父母导致增加参与率在诊所和增加及时免疫他们的婴儿。
OBJECTIVESThis study examines the effectiveness of computer-generated telephone reminders in improving infants receiving on-time immunizations. A computer called parents at home, reminded them of their child's visit, and asked if they could keep the appointment. If parents either canceled or failed to honor the appointment, the computer called back a few days later and asked them to reschedule.METHODSA medical assistant recruited 124 consecutive mothers to receive automated computer reminders. These mothers' infants were younger than 6 months, were being seen at an outpatient clinic for a first visit, and were patients of three attending physicians and three nurse practitioners. These infants were compared to 89 infants from the same clinic, in the same age range, who were being seen for the first time during the same period by the same providers but not contacted by the medical assistant. Subjects were selected from mothers who brought their infants for their first visit in an outpatient urban clinic that serves predominantly minority clients. A research assistant reviewed patients' medical records and collected the infants' birthday, mothers' age, race, source of payments, and the immunization record of the infants. Immunization was considered to be late if, at the time of the first visit, it was more than 30 days past due for any of the recommended immunizations of the American Academy of Pediatrics, except for Hepatitis B vaccine which was not recommended at the time of the study. The dependent variable was on-time immunization. The independent variables were age of the mother at baseline, age of the child at baseline, and membership in either the comparison or the experimental group. Chi-square tests and logistic regression were used to analyze the data.RESULTSThe participation rate for appointments for the experimental group was 82%, as compared to a 69% overall participation rate for the clinic providers. The on-time immunization rate for experimental subjects was 67.8%, whereas the comparison group had an on-time immunization rate of 43.4%(differences were significant at alpha levels less than 0.01).CONCLUSIONSComputerized reminders sent to the parents led to an increase in participation rate at the clinic and an increase in on-time immunization for their infants.
DOI：
10.1001/jama.1993.03500140069038
发表时间：
1993
期刊：
JAMA
影响因子：
--
作者：
R. Bernier;V. Dietz;A. Lyons;H. L. McKnight;J. H. Mullen;D. O'mara;K. Bender;C. Broome;A. Cary;V. Caserta;K. Fessler;F. Guerra;E. Gursky;V. Hutchins;Samuel E. Katz;Janet C. Lenart;D. P. Leong;J. Lewin;E. Marcuse;M. McGuire;Freda Mitchem;E. Mortimer;K. Mountain;Paul W. Nannis;R. Nelson;A. Nora;C. Nye;T. Schlenker;J. Strain;D. Stevens;P. Stubbs;F. Thompson;Ronald C. Van Buren;K. Bart;R. Bernier;W. Orenstein
通讯作者：
W. Orenstein
DOI：
10.1001/archpedi.1995.02170210076013
发表时间：
1995-08-01
影响因子：
--
作者：
DINI, EF;LINKINS, RW;CHANEY, M
通讯作者：
CHANEY, M
DOI：
10.1001/archpedi.1994.02170090022002
发表时间：
1994-09-01
影响因子：
--
作者：
LINKINS, RW;DINI, EF;PATRIARCA, PA
通讯作者：
PATRIARCA, PA