Impact of an electronic medical record reminder on hepatitis B vaccine initiation and completion rates among insured adults with diabetes mellitus
•Initiation rate rose after implementation of 1st-dose reminder at intervention site.•Completion rate rose after introduction of all-dose alert at intervention site.•During the same period, the corresponding rates at control site remained stable. The Advisory Committee on Immunization Practices reco...
Gespeichert in:
| Veröffentlicht in: | Vaccine 2019-01, Vol.37 (1), p.195-201 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 201 |
|---|---|
| container_issue | 1 |
| container_start_page | 195 |
| container_title | Vaccine |
| container_volume | 37 |
| creator | Hechter, Rulin C. Qian, Lei Luo, Yi Ling Grant, Deborah S. Baxter, Roger Klein, Nicola P. Valdez Nunley, Karen Aukes, Laurie Hogea, Cosmina Krishnarajah, Girishanthy Patterson, Brandon J. Im, Theresa M. Tseng, Hung Fu |
| description | •Initiation rate rose after implementation of 1st-dose reminder at intervention site.•Completion rate rose after introduction of all-dose alert at intervention site.•During the same period, the corresponding rates at control site remained stable.
The Advisory Committee on Immunization Practices recommends Hepatitis B (HepB) vaccine for previously unvaccinated adults |
| doi_str_mv | 10.1016/j.vaccine.2018.06.035 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2062839271</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0264410X18308636</els_id><sourcerecordid>2062839271</sourcerecordid><originalsourceid>FETCH-LOGICAL-c393t-4e2611b1bc46a3c8a6d1ca95cb1fb6b9375650297a07a7dba3bee163df9022b23</originalsourceid><addsrcrecordid>eNqFkc1u1TAQhS1ERS-FRwBZYtNNgn8SJ14hqApUqsQGJHaWfybUV4kdbKeI1-CJ68u9sGDDauTxNzNH5yD0gpKWEipe79t7ba0P0DJCx5aIlvD-EdrRceAN6-n4GO0IE13TUfL1HD3NeU8I6TmVT9A5k7KvnNihXzfLqm3BccI6YJjBlhSDt3gB562ecQIbk6tl8cFBwjHgO1h18cVn_A6fRGAfaqN267cODtu4rDP8fiZdIGO9xPCtUnlL4LB221wy_uHLHXZeGzggC8yzL1t-hs4mPWd4fqoX6Mv7689XH5vbTx9urt7eNpZLXpoOmKDUUGM7obkdtXDUatlbQycjjORDL3rC5KDJoAdnNDcAVHA3ScKYYfwCXR73ril-3yAXtfhsqwgdIG5ZMSLYyCUbaEVf_YPu45ZCVacY7UZJOCGiUv2RsinmnGBSa_KLTj8VJeoQmtqrk1_qEJoiQtXQ6tzL0_bNVNv_Tv1JqQJvjgBUO-49JJWth2BrRDWeolz0_znxAALOrZw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2148903006</pqid></control><display><type>article</type><title>Impact of an electronic medical record reminder on hepatitis B vaccine initiation and completion rates among insured adults with diabetes mellitus</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><source>ProQuest Central UK/Ireland</source><creator>Hechter, Rulin C. ; Qian, Lei ; Luo, Yi ; Ling Grant, Deborah S. ; Baxter, Roger ; Klein, Nicola P. ; Valdez Nunley, Karen ; Aukes, Laurie ; Hogea, Cosmina ; Krishnarajah, Girishanthy ; Patterson, Brandon J. ; Im, Theresa M. ; Tseng, Hung Fu</creator><creatorcontrib>Hechter, Rulin C. ; Qian, Lei ; Luo, Yi ; Ling Grant, Deborah S. ; Baxter, Roger ; Klein, Nicola P. ; Valdez Nunley, Karen ; Aukes, Laurie ; Hogea, Cosmina ; Krishnarajah, Girishanthy ; Patterson, Brandon J. ; Im, Theresa M. ; Tseng, Hung Fu</creatorcontrib><description>•Initiation rate rose after implementation of 1st-dose reminder at intervention site.•Completion rate rose after introduction of all-dose alert at intervention site.•During the same period, the corresponding rates at control site remained stable.
The Advisory Committee on Immunization Practices recommends Hepatitis B (HepB) vaccine for previously unvaccinated adults <60 years with diabetes mellitus. This observational retrospective cohort study assessed the impact of implementing electronic provider reminders on HepB vaccine initiation and 3-dose series completion rates among insured adults with diabetes aged 19–59 years old.
Difference-in-difference (DID) analyses compared changes in vaccine initiation and completion rates (ratio of the rate ratio [RRR] and 95% confidence interval [CI]) during 12 months pre- and post-implementation between intervention and control sites. We examined trends in vaccine initiation and completion rates by plotting monthly rates during the study period. We also calculated the overall HepB vaccine coverage rates with 95% CI among all adults with diabetes aged 19–59 years old at the start and end date of the study period.
Baseline HepB vaccine initiation and completion rates were similar at both the intervention and control sites. Gender, age, and race/ethnicity distributions within both sites were similar during the 12 months pre- and post-implementation. DID analyses demonstrated statistically significant differences in the changes of the annual vaccine initiation rates (RRR: 70.7, 95% CI: 62.8–79.6) and the third dose completion rates (RRR = 18.7, 95% CI: 14.2–24.8) between the two sites. The coverage increased significantly at the intervention site while it remained low at the control site.
Use of provider reminders is highly effective in increasing both HepB vaccine initiation and series completion rates among adults with diabetes.</description><identifier>ISSN: 0264-410X</identifier><identifier>EISSN: 1873-2518</identifier><identifier>DOI: 10.1016/j.vaccine.2018.06.035</identifier><identifier>PMID: 29958736</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Adult ; Adults ; Advisory Committees ; Age ; Compliance ; Confidence intervals ; Coverage ; Diabetes ; Diabetes Mellitus ; Dosage ; Electronic Health Records ; Electronic medical records ; Electronic reminder ; Ethnicity ; Female ; Gender ; Hepatitis ; Hepatitis B ; Hepatitis B - prevention & control ; Hepatitis B Vaccines - administration & dosage ; Hispanic people ; Humans ; Immunization ; Insurance, Health ; Male ; Medical records ; Middle Aged ; Minority & ethnic groups ; Mortality ; Pacific Islander people ; Patients ; Reminder Systems ; Research design ; Retrospective Studies ; Statistical analysis ; Vaccination ; Vaccination Coverage - statistics & numerical data ; Vaccines ; Young Adult</subject><ispartof>Vaccine, 2019-01, Vol.37 (1), p.195-201</ispartof><rights>2018 Rulin C. Hechter, Lei Qian, Yi Luo, Deborah S. Ling Grant, Roger Baxter, Nicola P. Klein, Karen Valdez Nunley, Laurie Aukes, Cosmina Hogea, Girishanthy Krishnarajah, Brandon J. Patterson, Theresa M. Im, Hung Fu Tseng</rights><rights>Copyright © 2018 Rulin C. Hechter, Lei Qian, Yi Luo, Deborah S. Ling Grant, Roger Baxter, Nicola P. Klein, Karen Valdez Nunley, Laurie Aukes, Cosmina Hogea, Girishanthy Krishnarajah, Brandon J. Patterson, Theresa M. Im, Hung Fu Tseng. Published by Elsevier Ltd.. All rights reserved.</rights><rights>Copyright Elsevier Limited Jan 3, 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c393t-4e2611b1bc46a3c8a6d1ca95cb1fb6b9375650297a07a7dba3bee163df9022b23</citedby><cites>FETCH-LOGICAL-c393t-4e2611b1bc46a3c8a6d1ca95cb1fb6b9375650297a07a7dba3bee163df9022b23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2148903006?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>315,782,786,3554,27933,27934,46004,64394,64396,64398,72478</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29958736$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hechter, Rulin C.</creatorcontrib><creatorcontrib>Qian, Lei</creatorcontrib><creatorcontrib>Luo, Yi</creatorcontrib><creatorcontrib>Ling Grant, Deborah S.</creatorcontrib><creatorcontrib>Baxter, Roger</creatorcontrib><creatorcontrib>Klein, Nicola P.</creatorcontrib><creatorcontrib>Valdez Nunley, Karen</creatorcontrib><creatorcontrib>Aukes, Laurie</creatorcontrib><creatorcontrib>Hogea, Cosmina</creatorcontrib><creatorcontrib>Krishnarajah, Girishanthy</creatorcontrib><creatorcontrib>Patterson, Brandon J.</creatorcontrib><creatorcontrib>Im, Theresa M.</creatorcontrib><creatorcontrib>Tseng, Hung Fu</creatorcontrib><title>Impact of an electronic medical record reminder on hepatitis B vaccine initiation and completion rates among insured adults with diabetes mellitus</title><title>Vaccine</title><addtitle>Vaccine</addtitle><description>•Initiation rate rose after implementation of 1st-dose reminder at intervention site.•Completion rate rose after introduction of all-dose alert at intervention site.•During the same period, the corresponding rates at control site remained stable.
The Advisory Committee on Immunization Practices recommends Hepatitis B (HepB) vaccine for previously unvaccinated adults <60 years with diabetes mellitus. This observational retrospective cohort study assessed the impact of implementing electronic provider reminders on HepB vaccine initiation and 3-dose series completion rates among insured adults with diabetes aged 19–59 years old.
Difference-in-difference (DID) analyses compared changes in vaccine initiation and completion rates (ratio of the rate ratio [RRR] and 95% confidence interval [CI]) during 12 months pre- and post-implementation between intervention and control sites. We examined trends in vaccine initiation and completion rates by plotting monthly rates during the study period. We also calculated the overall HepB vaccine coverage rates with 95% CI among all adults with diabetes aged 19–59 years old at the start and end date of the study period.
Baseline HepB vaccine initiation and completion rates were similar at both the intervention and control sites. Gender, age, and race/ethnicity distributions within both sites were similar during the 12 months pre- and post-implementation. DID analyses demonstrated statistically significant differences in the changes of the annual vaccine initiation rates (RRR: 70.7, 95% CI: 62.8–79.6) and the third dose completion rates (RRR = 18.7, 95% CI: 14.2–24.8) between the two sites. The coverage increased significantly at the intervention site while it remained low at the control site.
Use of provider reminders is highly effective in increasing both HepB vaccine initiation and series completion rates among adults with diabetes.</description><subject>Adult</subject><subject>Adults</subject><subject>Advisory Committees</subject><subject>Age</subject><subject>Compliance</subject><subject>Confidence intervals</subject><subject>Coverage</subject><subject>Diabetes</subject><subject>Diabetes Mellitus</subject><subject>Dosage</subject><subject>Electronic Health Records</subject><subject>Electronic medical records</subject><subject>Electronic reminder</subject><subject>Ethnicity</subject><subject>Female</subject><subject>Gender</subject><subject>Hepatitis</subject><subject>Hepatitis B</subject><subject>Hepatitis B - prevention & control</subject><subject>Hepatitis B Vaccines - administration & dosage</subject><subject>Hispanic people</subject><subject>Humans</subject><subject>Immunization</subject><subject>Insurance, Health</subject><subject>Male</subject><subject>Medical records</subject><subject>Middle Aged</subject><subject>Minority & ethnic groups</subject><subject>Mortality</subject><subject>Pacific Islander people</subject><subject>Patients</subject><subject>Reminder Systems</subject><subject>Research design</subject><subject>Retrospective Studies</subject><subject>Statistical analysis</subject><subject>Vaccination</subject><subject>Vaccination Coverage - statistics & numerical data</subject><subject>Vaccines</subject><subject>Young Adult</subject><issn>0264-410X</issn><issn>1873-2518</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkc1u1TAQhS1ERS-FRwBZYtNNgn8SJ14hqApUqsQGJHaWfybUV4kdbKeI1-CJ68u9sGDDauTxNzNH5yD0gpKWEipe79t7ba0P0DJCx5aIlvD-EdrRceAN6-n4GO0IE13TUfL1HD3NeU8I6TmVT9A5k7KvnNihXzfLqm3BccI6YJjBlhSDt3gB562ecQIbk6tl8cFBwjHgO1h18cVn_A6fRGAfaqN267cODtu4rDP8fiZdIGO9xPCtUnlL4LB221wy_uHLHXZeGzggC8yzL1t-hs4mPWd4fqoX6Mv7689XH5vbTx9urt7eNpZLXpoOmKDUUGM7obkdtXDUatlbQycjjORDL3rC5KDJoAdnNDcAVHA3ScKYYfwCXR73ril-3yAXtfhsqwgdIG5ZMSLYyCUbaEVf_YPu45ZCVacY7UZJOCGiUv2RsinmnGBSa_KLTj8VJeoQmtqrk1_qEJoiQtXQ6tzL0_bNVNv_Tv1JqQJvjgBUO-49JJWth2BrRDWeolz0_znxAALOrZw</recordid><startdate>20190103</startdate><enddate>20190103</enddate><creator>Hechter, Rulin C.</creator><creator>Qian, Lei</creator><creator>Luo, Yi</creator><creator>Ling Grant, Deborah S.</creator><creator>Baxter, Roger</creator><creator>Klein, Nicola P.</creator><creator>Valdez Nunley, Karen</creator><creator>Aukes, Laurie</creator><creator>Hogea, Cosmina</creator><creator>Krishnarajah, Girishanthy</creator><creator>Patterson, Brandon J.</creator><creator>Im, Theresa M.</creator><creator>Tseng, Hung Fu</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7T2</scope><scope>7T5</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M7N</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20190103</creationdate><title>Impact of an electronic medical record reminder on hepatitis B vaccine initiation and completion rates among insured adults with diabetes mellitus</title><author>Hechter, Rulin C. ; Qian, Lei ; Luo, Yi ; Ling Grant, Deborah S. ; Baxter, Roger ; Klein, Nicola P. ; Valdez Nunley, Karen ; Aukes, Laurie ; Hogea, Cosmina ; Krishnarajah, Girishanthy ; Patterson, Brandon J. ; Im, Theresa M. ; Tseng, Hung Fu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c393t-4e2611b1bc46a3c8a6d1ca95cb1fb6b9375650297a07a7dba3bee163df9022b23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Adults</topic><topic>Advisory Committees</topic><topic>Age</topic><topic>Compliance</topic><topic>Confidence intervals</topic><topic>Coverage</topic><topic>Diabetes</topic><topic>Diabetes Mellitus</topic><topic>Dosage</topic><topic>Electronic Health Records</topic><topic>Electronic medical records</topic><topic>Electronic reminder</topic><topic>Ethnicity</topic><topic>Female</topic><topic>Gender</topic><topic>Hepatitis</topic><topic>Hepatitis B</topic><topic>Hepatitis B - prevention & control</topic><topic>Hepatitis B Vaccines - administration & dosage</topic><topic>Hispanic people</topic><topic>Humans</topic><topic>Immunization</topic><topic>Insurance, Health</topic><topic>Male</topic><topic>Medical records</topic><topic>Middle Aged</topic><topic>Minority & ethnic groups</topic><topic>Mortality</topic><topic>Pacific Islander people</topic><topic>Patients</topic><topic>Reminder Systems</topic><topic>Research design</topic><topic>Retrospective Studies</topic><topic>Statistical analysis</topic><topic>Vaccination</topic><topic>Vaccination Coverage - statistics & numerical data</topic><topic>Vaccines</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hechter, Rulin C.</creatorcontrib><creatorcontrib>Qian, Lei</creatorcontrib><creatorcontrib>Luo, Yi</creatorcontrib><creatorcontrib>Ling Grant, Deborah S.</creatorcontrib><creatorcontrib>Baxter, Roger</creatorcontrib><creatorcontrib>Klein, Nicola P.</creatorcontrib><creatorcontrib>Valdez Nunley, Karen</creatorcontrib><creatorcontrib>Aukes, Laurie</creatorcontrib><creatorcontrib>Hogea, Cosmina</creatorcontrib><creatorcontrib>Krishnarajah, Girishanthy</creatorcontrib><creatorcontrib>Patterson, Brandon J.</creatorcontrib><creatorcontrib>Im, Theresa M.</creatorcontrib><creatorcontrib>Tseng, Hung Fu</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Vaccine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hechter, Rulin C.</au><au>Qian, Lei</au><au>Luo, Yi</au><au>Ling Grant, Deborah S.</au><au>Baxter, Roger</au><au>Klein, Nicola P.</au><au>Valdez Nunley, Karen</au><au>Aukes, Laurie</au><au>Hogea, Cosmina</au><au>Krishnarajah, Girishanthy</au><au>Patterson, Brandon J.</au><au>Im, Theresa M.</au><au>Tseng, Hung Fu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of an electronic medical record reminder on hepatitis B vaccine initiation and completion rates among insured adults with diabetes mellitus</atitle><jtitle>Vaccine</jtitle><addtitle>Vaccine</addtitle><date>2019-01-03</date><risdate>2019</risdate><volume>37</volume><issue>1</issue><spage>195</spage><epage>201</epage><pages>195-201</pages><issn>0264-410X</issn><eissn>1873-2518</eissn><abstract>•Initiation rate rose after implementation of 1st-dose reminder at intervention site.•Completion rate rose after introduction of all-dose alert at intervention site.•During the same period, the corresponding rates at control site remained stable.
The Advisory Committee on Immunization Practices recommends Hepatitis B (HepB) vaccine for previously unvaccinated adults <60 years with diabetes mellitus. This observational retrospective cohort study assessed the impact of implementing electronic provider reminders on HepB vaccine initiation and 3-dose series completion rates among insured adults with diabetes aged 19–59 years old.
Difference-in-difference (DID) analyses compared changes in vaccine initiation and completion rates (ratio of the rate ratio [RRR] and 95% confidence interval [CI]) during 12 months pre- and post-implementation between intervention and control sites. We examined trends in vaccine initiation and completion rates by plotting monthly rates during the study period. We also calculated the overall HepB vaccine coverage rates with 95% CI among all adults with diabetes aged 19–59 years old at the start and end date of the study period.
Baseline HepB vaccine initiation and completion rates were similar at both the intervention and control sites. Gender, age, and race/ethnicity distributions within both sites were similar during the 12 months pre- and post-implementation. DID analyses demonstrated statistically significant differences in the changes of the annual vaccine initiation rates (RRR: 70.7, 95% CI: 62.8–79.6) and the third dose completion rates (RRR = 18.7, 95% CI: 14.2–24.8) between the two sites. The coverage increased significantly at the intervention site while it remained low at the control site.
Use of provider reminders is highly effective in increasing both HepB vaccine initiation and series completion rates among adults with diabetes.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>29958736</pmid><doi>10.1016/j.vaccine.2018.06.035</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0264-410X |
| ispartof | Vaccine, 2019-01, Vol.37 (1), p.195-201 |
| issn | 0264-410X 1873-2518 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2062839271 |
| source | MEDLINE; Access via ScienceDirect (Elsevier); ProQuest Central UK/Ireland |
| subjects | Adult Adults Advisory Committees Age Compliance Confidence intervals Coverage Diabetes Diabetes Mellitus Dosage Electronic Health Records Electronic medical records Electronic reminder Ethnicity Female Gender Hepatitis Hepatitis B Hepatitis B - prevention & control Hepatitis B Vaccines - administration & dosage Hispanic people Humans Immunization Insurance, Health Male Medical records Middle Aged Minority & ethnic groups Mortality Pacific Islander people Patients Reminder Systems Research design Retrospective Studies Statistical analysis Vaccination Vaccination Coverage - statistics & numerical data Vaccines Young Adult |
| title | Impact of an electronic medical record reminder on hepatitis B vaccine initiation and completion rates among insured adults with diabetes mellitus |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-01T11%3A23%3A24IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Impact%20of%20an%20electronic%20medical%20record%20reminder%20on%20hepatitis%20B%20vaccine%20initiation%20and%20completion%20rates%20among%20insured%20adults%20with%20diabetes%20mellitus&rft.jtitle=Vaccine&rft.au=Hechter,%20Rulin%20C.&rft.date=2019-01-03&rft.volume=37&rft.issue=1&rft.spage=195&rft.epage=201&rft.pages=195-201&rft.issn=0264-410X&rft.eissn=1873-2518&rft_id=info:doi/10.1016/j.vaccine.2018.06.035&rft_dat=%3Cproquest_cross%3E2062839271%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2148903006&rft_id=info:pmid/29958736&rft_els_id=S0264410X18308636&rfr_iscdi=true |