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  1. Computer-generated recall letters for underimmunized children : how cost-effective ?

    Article - En anglais

    Objective

    To evaluate the effectiveness and cost effectiveness of computer-generated recall letters to parents of children overdue for immunizations.

    Methods

    This randomized controlled trial included children of two facilities in a regional health maintenance organization.

    Parents of 20-month-olds who had not yet received a measlesmumps-rubella (MMR) immunization were identified via a computerized immunization tracking system.

    One half were mailed personalized letters that included the recommended immunization schedule and a request to call for an appointment ; the other half served as a control group.

    Receipt of the MMR between 20 and 24 months of age was evaluated with the computerized tracking system.

    A telephone survey was conducted with parents whose children had not received the MMR by 24 months.

    Decision analysis was used to project the theoretical outcomes and costs of a recall letter policy for other populations.

    Results

    Among 20-month-old children 10% had not received the MMR ; 289 families were included in the analysis.

    Of families who were mailed letters, 54% (82 of 153) received the MMR by 24 months of age, compared with 35% (47 of 136) of those in the control group (P=0.001).

    The telephone survey was completed with 110 parents of children who still did not appear on the health plan computer as having received the MMR by 24 months. (...)

    Mots-clés Pascal : Immunodéficit, Dépistage, Soin santé primaire, Intérêt, Rappel, Proposition, Prise participation, Base donnée, Assistance ordinateur, Efficacité, Analyse avantage coût, Enfant, Homme, Immunopathologie, Informatique biomédicale, Economie santé

    Mots-clés Pascal anglais : Immune deficiency, Medical screening, Primary health care, Interest, Recall, Proposition, Share taking, Database, Computer aid, Efficiency, Cost benefit analysis, Child, Human, Immunopathology, Biomedical data processing, Health economy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0147562

    Code Inist : 002B06D01. Création : 21/05/1997.