Kempe Allison, Stockwell Melissa S, Szilagyi Peter
Adult and Child Consortium for Health Outcomes Research and Delivery Science (ACCORDS), University of Colorado School of Medicine and Children's Hospital Colorado (A Kempe), Aurora, Colo; Department of Pediatrics, University of Colorado School of Medicine (A Kempe), Aurora, Colo.
Division of Child and Adolescent Health, Department of Pediatrics, Columbia University Irving Medical Center (MS Stockwell), New York, NY; Department of Population and Family Health, Columbia University Irving Medical Center (MS Stockwell), New York, NY.
Acad Pediatr. 2021 May-Jun;21(4S):S17-S23. doi: 10.1016/j.acap.2021.02.016.
Reminders, alerting patients to the need for vaccines that will be due in the future, and recall messages, informing patients about vaccines that are overdue, have been shown to improve immunization rates for children and adolescents in numerous systematic reviews. Therefore, reminder and recall interventions (R/R) are recommended by the Task Force on Community Preventive Services for increasing immunization rates on the basis of strong evidence. R/R messages can be delivered by mail (letter or postcard), via personal or auto-dialer phone calls, by text or e-mail or via patient-portals and can simply be alerts to action or can include educational material with the aim of motivating patients to seek vaccination. R/R has also been shown to be a relatively low-cost intervention with high cost-effectiveness compared with other recommended strategies. However, although R/R as a strategy is consistently effective and cost-effective overall, there is wide variation in the impact of R/R by 1) modality of how it is delivered, 2) the targeted vaccine, 3) the age group, and 4) whether the R/R is conducted centrally by a health system or Immunization Information System or by individual practices. This narrative review summarizes the literature about effectiveness of R/R within each of these categories. We also discuss limitations of R/R, with a focus on the potential impact of parental vaccine hesitancy in blunting its effectiveness and problems with data integrity, on which R/R relies. We also discuss challenges to sustaining R/R efforts, including potential methods of funding for R/R efforts.
提醒（告知患者未来需要接种的疫苗）和召回信息（告知患者逾期未种的疫苗）在众多系统评价中已被证明可提高儿童和青少年的免疫接种率。因此，社区预防服务特别工作组基于有力证据，推荐采用提醒和召回干预措施（R/R）来提高免疫接种率。R/R信息可通过邮件（信件或明信片）、人工或自动拨号电话、短信或电子邮件、患者门户网站发送，既可以只是行动提醒，也可以包含教育材料，目的是促使患者寻求接种疫苗。与其他推荐策略相比，R/R还被证明是一种成本相对较低且具有高成本效益的干预措施。然而，尽管R/R作为一种策略总体上始终有效且具有成本效益，但在以下方面其影响存在很大差异：1）传递方式；2）目标疫苗；3）年龄组；4）R/R是由卫生系统或免疫信息系统集中开展还是由个体医疗机构开展。本叙述性综述总结了关于这些类别中每一类R/R有效性的文献。我们还讨论了R/R的局限性，重点关注父母对疫苗的犹豫态度可能对其有效性产生的影响以及R/R所依赖的数据完整性问题。我们还讨论了维持R/R工作的挑战，包括R/R工作的潜在资金筹集方法。
