管理式医疗中的公共卫生：明信片提醒效果的随机对照试验
Public health in managed care: a randomized controlled trial of the effectiveness of postcard reminders.
作者信息
Clayton A E, McNutt L A, Homestead H L, Hartman T W, Senecal S
机构信息
Kaiser Permanente Northeast Division, Quality Management Department, Latham, NY 12110, USA.
出版信息
Am J Public Health. 1999 Aug;89(8):1235-7. doi: 10.2105/ajph.89.8.1235.
Abstract
OBJECTIVES
This study evaluated the effectiveness of an annual public health intervention in a managed care setting.
METHODS
Managed care organization members 65 years and older who received influenza immunization in 1996 were randomized to an intervention group (mailed a postcard reminder to receive an influenza vaccination in 1997) or a control group (no postcard). Vaccination rates for both groups were assessed monthly.
RESULTS
Members receiving the intervention were no more likely to be immunized (78.6%) than members of the control group (77.2%, P = .222). Members were vaccinated at the same pace regardless of vaccination history and postcard intervention status.
CONCLUSIONS
Postcard reminders were not an effective intervention among seniors who had been vaccinated the previous year.
摘要
目的
本研究评估了在管理式医疗环境中进行年度公共卫生干预的效果。
方法
1996年接受流感疫苗接种的65岁及以上管理式医疗组织成员被随机分为干预组（邮寄明信片提醒其在1997年接种流感疫苗）或对照组（未收到明信片）。每月评估两组的疫苗接种率。
结果
接受干预的成员接种疫苗的可能性（78.6%）并不高于对照组成员（77.2%，P = 0.222）。无论疫苗接种史和明信片干预状态如何，成员接种疫苗的速度相同。
结论
对于前一年已接种疫苗的老年人，明信片提醒不是一种有效的干预措施。
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