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.
Keywords
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Article Info
Publication History
Accepted:
September 17,
2013
Received:
December 21,
2012
Footnotes
The authors declare that they have no conflict of interest.
Identification
Copyright
© 2014 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.
