Peter G. Szilâgyi|Christina Albertin|Sharon G. Humiston|Cynthia M. Rand|Stanley J. Schaffer|Howard Brill|Joseph A. Stankaitis|Byung Kwang Yoo|Aaron Blumkin|Shannon Stokley
A Randomized Trial of the Effect of Centralized Reminder/Recall on Immunizations and Preventive Care Visits for Adolescents
University of Rochester|University of Rochester|Children's Mercy Hospital|University of Rochester|University of Rochester|University of California, Davis|University of Rochester
h2abstracth2h3objectiveh3 assess impact managed carebased patient reminderrecall system immunization rates preventive care visits among lowincome adolescents h3methodsh3 conducted randomized controlled trial december 2009 december 2010 assigned adolescents aged 1117 years one three groups mailed letter telephone reminders control publicly insured youths n 4115 identified 37 participating primary care practices main outcome measures immunization rates routine vaccines meningococcus pertussis hpv preventive visit rates study end h3resultsh3 intervention control groups similar baseline demographics immunization rates preventive visits among adolescents behind start immunization rates study end increased 21 mailed ipi 01 vs control 17 telephone ipi 05 13 control groups proportion adolescents preventive visit within 12 months mailed 65 ipi 01 telephone 63 ipi 05 controls 59 number needed treat additional fully vaccinated adolescent 14 mailed 25 telephone reminders additional preventive visit 17 29 intervention cost 1878 mailed 1668 phone per adolescent per year deliver cost per additional adolescent fully vaccinated 46399 mailed 71498 telephone cost per additional adolescent receiving preventive visit 32475 48703 h3conclusionsh3 managed carebased mail telephone reminderrecall improved adolescent immunizations preventive visits modest costs modest impact