Sahni Leila C, Banes Monica R, Boom Julie A
Immunization Project, Texas Children's Hospital, Houston, Tex.
Ambulatory Services, Texas Children's Hospital, Houston, Tex.
Acad Pediatr. 2017 Apr;17(3):323-329. doi: 10.1016/j.acap.2016.03.002. Epub 2016 Mar 9.
Immunization reminder/recall is widely recommended as an effective strategy for increasing vaccination rates. We examined the revenue generated from well-child visits scheduled as a result of reminder/recall activities implemented in a multipractice pediatric organization.
Patients aged 19 to 35 months who were due or overdue for vaccines were identified from participating practices and assigned to either standard or enhanced reminder/recall activities. Participants who received standard reminder/recall were observed for the 6-week study period, and the number of appointments in which vaccines were administered was tracked. Participants who received enhanced reminder/recall were contacted up to 3 times and received a letter followed by up to 2 phone calls. Financial information associated with appointments scheduled during the study period was obtained, and revenue was calculated for each dose of vaccine administered. Reminder/recall costs were calculated and overall revenue generated was calculated.
We identified 3916 children who were potentially due or overdue for immunizations. After review and manual uploading of missing historical vaccines, a total of 1892 participants received the reminder/recall initiative; 942 received standard reminder/recall, and 950 received enhanced reminder/recall. One hundred eighty-two (19%) standard and 277 (29%) enhanced reminder/recall participants scheduled an appointment by the end of the study period (P < .001). After subtracting the cost of reminder/recall activities, an additional $20,066 and $20,235 were generated by standard and enhanced reminder/recall, respectively.
We show that conducting reminder/recall is at a minimum financially neutral, and might increase revenue generated by vaccine administration.
免疫接种提醒/召回被广泛推荐为提高疫苗接种率的有效策略。我们研究了在一个多机构儿科组织中实施的提醒/召回活动所安排的健康儿童就诊产生的收入。
从参与的机构中识别出19至35个月大且疫苗接种到期或逾期的患者，并将其分配到标准或强化提醒/召回活动组。在为期6周的研究期间观察接受标准提醒/召回的参与者，并跟踪接种疫苗的预约次数。对接受强化提醒/召回的参与者最多联系3次，先寄一封信，随后最多打2次电话。获取与研究期间安排的预约相关的财务信息，并计算每剂疫苗接种产生的收入。计算提醒/召回成本并计算产生的总收入。
我们识别出3916名可能疫苗接种到期或逾期的儿童。在审查并手动上传缺失的既往疫苗接种信息后，共有1892名参与者接受了提醒/召回倡议；942名接受标准提醒/召回，950名接受强化提醒/召回。在研究期结束时，182名（19%）接受标准提醒/召回的参与者和277名（29%）接受强化提醒/召回的参与者安排了预约（P <.001）。在减去提醒/召回活动的成本后，标准提醒/召回和强化提醒/召回分别额外产生了20,066美元和20,235美元的收入。
我们表明，开展提醒/召回至少在财务上是中性的，并且可能增加疫苗接种产生的收入。
