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Provider attitudes toward public-private collaboration to improve immunization reminder/recall: a mixed-methods study.
Acad Pediatr. 2014 Jan-Feb; 14(1):62-70.APed

Abstract

OBJECTIVE

To assess primary care providers' current reminder/recall practices, preferences for collaboration with health departments in reminder/recall efforts, attitudes toward practice-based and population-based reminder/recall, and experiences with a population-based reminder/recall intervention.

METHODS

Providers responsible for making decisions about immunization delivery at all primary care practices that participate in the Colorado Immunization Information System were surveyed. Data collection was preceded by an intervention in which half of 14 counties received a population-based reminder/recall intervention conducted by the health department. Practice staff involved in immunization activities were then selected for semistructured telephone interviews that were based on the location of their practice within specified strata, including whether they were in the intervention counties, urban/rural location, and practice type.

RESULTS

A total of 282 (73.6%) of 383 of providers responded to the survey, and 253 who administered vaccines to children 19 to 35 months were retained; 82 staff members at 36 practices were interviewed. Providers' preferences for who should conduct reminder/recall were almost evenly split, with slightly more indicating that it should be conducted by the health department. Cost and feasibility issues were perceived barriers to conducting practice-based recall, particularly among urban practices. Support for population-based reminder/recall was highest among rural practices. Concern about perceived inaccuracies in immunization registry data was the major barrier to conducting population-based reminder/recall. The population-based intervention did not create an undue burden on practices.

CONCLUSIONS

A collaborative approach to reminder/recall involving both providers and health departments is preferable for many providers and may be a viable solution to the barriers of practice-based reminder/recall.

Authors+Show Affiliations

Children's Outcomes Research Program, The Children's Hospital, Denver, Colo; Colorado Health Outcomes Program, University of Colorado, Anschutz Medical Campus, Aurora, Colo; Department of Community and Behavioral Health, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, Aurora, Colo. Electronic address: Karen.Albright@ucdenver.edu.Children's Outcomes Research Program, The Children's Hospital, Denver, Colo; Colorado Health Outcomes Program, University of Colorado, Anschutz Medical Campus, Aurora, Colo.Children's Outcomes Research Program, The Children's Hospital, Denver, Colo.Children's Outcomes Research Program, The Children's Hospital, Denver, Colo.Children's Outcomes Research Program, The Children's Hospital, Denver, Colo; Colorado Health Outcomes Program, University of Colorado, Anschutz Medical Campus, Aurora, Colo.Children's Outcomes Research Program, The Children's Hospital, Denver, Colo; Department of Pediatrics, University of Colorado, Anschutz Medical Campus, Aurora, Colo.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

24369870

Citation

Albright, Karen, et al. "Provider Attitudes Toward Public-private Collaboration to Improve Immunization Reminder/recall: a Mixed-methods Study." Academic Pediatrics, vol. 14, no. 1, 2014, pp. 62-70.
Albright K, Saville A, Lockhart S, et al. Provider attitudes toward public-private collaboration to improve immunization reminder/recall: a mixed-methods study. Acad Pediatr. 2014;14(1):62-70.
Albright, K., Saville, A., Lockhart, S., Widmer Racich, K., Beaty, B., & Kempe, A. (2014). Provider attitudes toward public-private collaboration to improve immunization reminder/recall: a mixed-methods study. Academic Pediatrics, 14(1), 62-70. https://doi.org/10.1016/j.acap.2013.09.003
Albright K, et al. Provider Attitudes Toward Public-private Collaboration to Improve Immunization Reminder/recall: a Mixed-methods Study. Acad Pediatr. 2014;14(1):62-70. PubMed PMID: 24369870.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Provider attitudes toward public-private collaboration to improve immunization reminder/recall: a mixed-methods study. AU - Albright,Karen, AU - Saville,Alison, AU - Lockhart,Steven, AU - Widmer Racich,Katina, AU - Beaty,Brenda, AU - Kempe,Allison, PY - 2012/12/21/received PY - 2013/09/15/revised PY - 2013/09/17/accepted PY - 2013/12/28/entrez PY - 2013/12/29/pubmed PY - 2015/4/7/medline KW - immunizations KW - public–private collaboration KW - recall and reminder messages SP - 62 EP - 70 JF - Academic pediatrics JO - Acad Pediatr VL - 14 IS - 1 N2 - OBJECTIVE: To assess primary care providers' current reminder/recall practices, preferences for collaboration with health departments in reminder/recall efforts, attitudes toward practice-based and population-based reminder/recall, and experiences with a population-based reminder/recall intervention. METHODS: Providers responsible for making decisions about immunization delivery at all primary care practices that participate in the Colorado Immunization Information System were surveyed. Data collection was preceded by an intervention in which half of 14 counties received a population-based reminder/recall intervention conducted by the health department. Practice staff involved in immunization activities were then selected for semistructured telephone interviews that were based on the location of their practice within specified strata, including whether they were in the intervention counties, urban/rural location, and practice type. RESULTS: A total of 282 (73.6%) of 383 of providers responded to the survey, and 253 who administered vaccines to children 19 to 35 months were retained; 82 staff members at 36 practices were interviewed. Providers' preferences for who should conduct reminder/recall were almost evenly split, with slightly more indicating that it should be conducted by the health department. Cost and feasibility issues were perceived barriers to conducting practice-based recall, particularly among urban practices. Support for population-based reminder/recall was highest among rural practices. Concern about perceived inaccuracies in immunization registry data was the major barrier to conducting population-based reminder/recall. The population-based intervention did not create an undue burden on practices. CONCLUSIONS: A collaborative approach to reminder/recall involving both providers and health departments is preferable for many providers and may be a viable solution to the barriers of practice-based reminder/recall. SN - 1876-2867 UR - https://www.unboundmedicine.com/medline/citation/24369870/Provider_attitudes_toward_public_private_collaboration_to_improve_immunization_reminder/recall:_a_mixed_methods_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1876-2859(13)00244-1 DB - PRIME DP - Unbound Medicine ER -