Improving Influenza Vaccination Delivery Across a Health System by the Electronic Health Records Patient Portal

通过电子健康记录患者门户改善整个卫生系统的流感疫苗接种

基本信息

  • 批准号:
    10319923
  • 负责人:
  • 金额:
    $ 74.31万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2018
  • 资助国家:
    美国
  • 起止时间:
    2018-01-16 至 2023-12-31
  • 项目状态:
    已结题

项目摘要

Abstract Annual epidemics of influenza cause substantial morbidity in the US with up to 40,000 deaths/year and many hospitalizations, emergency department visits, outpatient visits, and costs. The Advisory Committee on Immunization Practices (ACIP) recommends annual influenza vaccination for all people above 6 months of age. However, less than half of all Americans receive the influenza vaccine. Two sets of interventions that can improve influenza vaccination rates include patient reminders (generally by mail or phone), and enhancing access and ease of obtaining the vaccine. However, due to resource limitations and difficulty scaling up reminders, only a small proportion of practices or health systems remind patients about the need for vaccination, and few systems implement innovative strategies to ease access to influenza vaccination. A technological breakthrough that might overcome these barriers is the electronic health records patient portal. Patient portals are secure, web-based communication systems, embedded within electronic health records (EHRs), allowing patients and providers to communicate via email and the internet. Portal-based reminder has the potential to raise vaccination rates for several reasons: the messages come from the patient's provider, portal reminders are easily scalable, portal messages can be personalized by drawing on information found in the patient's medical record, and portals can facilitate access by helping patients schedule their own appointments for vaccination. This study will implement and evaluate a portal reminder system for influenza vaccination across a large UCLA-wide health system that serves >275,000 patients in 49 primary care practices, half of whom use the portal. For Aim 1 we will adapt algorithms, educational messages, and protocols previously used for mailed or phone influenza vaccine reminder/recall to create a patient portal research platform. For Aim 2, we will assess the impact of portal reminders, and key design features of these reminders, on influenza vaccination rates and costs using 3 sequential RCTs over 3 flu seasons. RCT #1 will test the optimal number of portal reminders (3, 2, or 1 vs. 0). RCT #2 will test the additional benefit of adding patient direct appointment scheduling to the portal reminder system. RCT #3 will test the additional benefit of linking portal reminders with the EHR to customize portal messages. For Aim 3 we will develop an adoption guide/toolkit for use by other health systems. We will disseminate the portal reminder system in a network of Los Angeles Department Health community health centers serving more than 30,000 low-income patients. By study end we will have an advanced influenza vaccine portal reminder system, ready for dissemination.
摘要 每年的流感疫情在美国造成相当大的发病率,每年高达40,000人死亡, 许多住院、急诊科就诊、门诊就诊和费用。咨询委员会关于 免疫实践(ACIP)建议所有6个月以上的人每年接种流感疫苗。 年龄。然而,只有不到一半的美国人接种了流感疫苗。 可以提高流感疫苗接种率的两套干预措施包括提醒患者(通常 通过邮件或电话),并加强获得疫苗的机会和便利性。然而,由于资源的原因, 局限性和难以扩大提醒,只有一小部分做法或卫生系统提醒 患者对疫苗接种的必要性,很少有系统实施创新战略来简化获得疫苗的机会 接种流感疫苗。 一项可能克服这些障碍的技术突破是电子健康记录患者 传送门。患者门户是安全的、基于Web的通信系统,嵌入到电子健康中 记录(EHR),允许患者和提供者通过电子邮件和互联网进行交流。基于门户的 提醒有可能提高疫苗接种率,原因有几个:这些信息来自 患者的提供者,门户提醒很容易扩展,门户消息可以通过绘制 在患者的医疗记录和门户网站中找到的信息可以帮助患者安排 他们自己预约接种疫苗。 这项研究将在全国范围内实施和评估流感疫苗接种门户提醒系统。 全加州大学洛杉矶分校的医疗系统,在49个初级保健诊所为275,000名患者提供服务,其中一半使用 传送门。对于目标1,我们将调整算法、教育消息和以前用于邮寄或 电话流感疫苗提醒/召回,打造患者门户研究平台。对于目标2,我们将评估 门户提醒的影响,以及这些提醒的主要设计特点对流感疫苗接种率和 在3个流感季节使用3次连续随机对照试验的成本。RCT#1将测试门户提醒的最佳数量(3, 2,或1比0)。RCT#2将测试将患者直接预约计划添加到 门户提醒系统。RCT#3将测试将门户提醒与电子病历链接到 自定义门户消息。对于Aim 3,我们将开发一个可供其他健康机构使用的采用指南/工具包 系统。我们将在洛杉矶卫生局的一个网络中传播门户提醒系统 社区卫生中心为3万多名低收入患者提供服务。 到研究结束时,我们将拥有一个先进的流感疫苗门户提醒系统,准备传播。

项目成果

期刊论文数量(6)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
Evaluation of behavioral economic strategies to raise influenza vaccination rates across a health system: Results from a randomized clinical trial.
对提高整个卫生系统流感疫苗接种率的行为经济策略的评估:随机临床试验的结果。
  • DOI:
    10.1016/j.ypmed.2023.107474
  • 发表时间:
    2023
  • 期刊:
  • 影响因子:
    5.1
  • 作者:
    Szilagyi,PeterG;Casillas,Alejandra;Duru,OKenrik;Ong,MichaelK;Vangala,Sitaram;Tseng,Chi-Hong;Albertin,Christina;Humiston,SharonG;Ross,MindyK;Friedman,SarahR;Evans,Sharon;Sloyan,Michael;Bogard,JonathanE;Fox,CraigR;Lerner,
  • 通讯作者:
    Lerner,
Patient Portal Reminders for Pediatric Influenza Vaccinations: A Randomized Clinical Trial.
  • DOI:
    10.1542/peds.2020-048413
  • 发表时间:
    2021-08
  • 期刊:
  • 影响因子:
    8
  • 作者:
    Lerner C;Albertin C;Casillas A;Duru OK;Ong MK;Vangala S;Humiston S;Evans S;Sloyan M;Fox CR;Bogard JE;Friedman S;Szilagyi PG
  • 通讯作者:
    Szilagyi PG
Effect of Personalized Messages Sent by a Health System's Patient Portal on Influenza Vaccination Rates: a Randomized Clinical Trial.
  • DOI:
    10.1007/s11606-021-07023-w
  • 发表时间:
    2022-03
  • 期刊:
  • 影响因子:
    5.7
  • 作者:
    Szilagyi PG;Albertin CS;Casillas A;Valderrama R;Duru OK;Ong MK;Vangala S;Tseng CH;Humiston SG;Evans S;Sloyan M;Bogard JE;Fox CR;Lerner C
  • 通讯作者:
    Lerner C
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PETER G SZILAGYI其他文献

PETER G SZILAGYI的其他文献

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{{ truncateString('PETER G SZILAGYI', 18)}}的其他基金

The STOP-HPV Scale-Up Study
STOP-HPV 扩大研究
  • 批准号:
    10564651
  • 财政年份:
    2023
  • 资助金额:
    $ 74.31万
  • 项目类别:
National Immunization Partnership with the APA (NIPA)
与 APA 的国家免疫合作伙伴关系 (NIPA)
  • 批准号:
    8916858
  • 财政年份:
    2014
  • 资助金额:
    $ 74.31万
  • 项目类别:
National Immunization Partnership with the APA (NIPA)
与 APA 的国家免疫合作伙伴关系 (NIPA)
  • 批准号:
    8931758
  • 财政年份:
    2014
  • 资助金额:
    $ 74.31万
  • 项目类别:
National Partnership for Adolescent Immunization
国家青少年免疫合作伙伴关系
  • 批准号:
    8495004
  • 财政年份:
    2012
  • 资助金额:
    $ 74.31万
  • 项目类别:
School Located Influenza Vaccinations for Children: Community-Wide Dissemination
学校为儿童接种流感疫苗:社区范围内的传播
  • 批准号:
    8266976
  • 财政年份:
    2012
  • 资助金额:
    $ 74.31万
  • 项目类别:
School Located Influenza Vaccinations for Children: Community-Wide Dissemination
学校为儿童接种流感疫苗:社区范围内的传播
  • 批准号:
    8897991
  • 财政年份:
    2012
  • 资助金额:
    $ 74.31万
  • 项目类别:
School Located Influenza Vaccinations for Children: Community-Wide Dissemination
学校为儿童接种流感疫苗:社区范围内的传播
  • 批准号:
    8551623
  • 财政年份:
    2012
  • 资助金额:
    $ 74.31万
  • 项目类别:
National Partnership for Adolescent Immunization
国家青少年免疫合作伙伴关系
  • 批准号:
    8705921
  • 财政年份:
    2012
  • 资助金额:
    $ 74.31万
  • 项目类别:
School Located Influenza Vaccinations for Children: Community-Wide Dissemination
学校为儿童接种流感疫苗:社区范围内的传播
  • 批准号:
    8708812
  • 财政年份:
    2012
  • 资助金额:
    $ 74.31万
  • 项目类别:
National Partnership for Adolescent Immunization
国家青少年免疫合作伙伴关系
  • 批准号:
    8529214
  • 财政年份:
    2012
  • 资助金额:
    $ 74.31万
  • 项目类别:

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