成人初级保健中在线疫苗提醒的随机研究。
Randomized study of online vaccine reminders in adult primary care.
作者信息
Flanagan J R, Doebbeling B N, Dawson J, Beekmann S
机构信息
Information Systems Department, University of Iowa Hospitals and Clinics, Iowa City, USA.
出版信息
Proc AMIA Symp. 1999:755-9.
Online immunization reminders were implemented in an adult medicine setting in which all immunization history, vaccine ordering and charting were required online. Physicians were randomized to one of two arms in a cross-over design. Each arm was shown online recommendations for vaccines indicated by nationally accepted guidelines either during the first or during the second part of the study period. The main purpose of the study was to assess the impact of reminders on correct decisions related to prescribing vaccines. Online reminders had the following impact on physician behavior: 1) Physicians used the application almost 3 times as often when shown reminders. 2) Physicians in the reminder group were 27% less likely to order a vaccine in the reminder group (P- value 0.0005). 3) Compliance with guidelines was improved significantly for Tetanus and for Hepatitis B in several analyses. No such effects were found for Pneumoccocal, Measles, or Influenza vaccines.
在一个成人医疗环境中实施了在线免疫提醒，在该环境中所有免疫史、疫苗订购和记录都需要在线完成。医生在交叉设计中被随机分为两组。在研究期的第一部分或第二部分，每组都会看到国家公认指南所指示疫苗的在线推荐。该研究的主要目的是评估提醒对与开具疫苗相关的正确决策的影响。在线提醒对医生行为产生了以下影响：1）当看到提醒时，医生使用该应用程序的频率几乎是原来的3倍。2）提醒组的医生订购疫苗的可能性比非提醒组低27%（P值为0.0005）。3）在多项分析中，破伤风和乙肝疫苗的指南依从性显著提高。而肺炎球菌、麻疹或流感疫苗未发现此类效果。
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