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| Ranking |
Evidence-Based Practice |
| Description |
Health care system-based interventions implemented in combination involve the use of two or more coordinated interventions to increase vaccination rates within a targeted population. Interventions are implemented primarily in health care settings, although efforts may include additional activities within the community.
The selection and implementation of coordinated interventions may result from an overall quality improvement effort in a health care setting.
The Community Preventive Services Task Force recommends health care system-based interventions implemented in combination on the basis of strong evidence of effectiveness in increasing vaccination rates in targeted client populations.
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| Results / Accomplishments |
Results from the Systematic Review:
Sixty-two studies with 74 study arms qualified for the review. Most of the studies evaluated combinations of two or three different interventions.
• Overall change in vaccination rates from the combination of at least two interventions: absolute median increase of 8.0 percentage points (interquartile interval [IQI]: 4 to 21 percentage points; 56 studies, 68 study arms)
-Increases in vaccination rates were larger when implemented in settings with low rates at baseline.
• Change in vaccination rates from the combination of at least one intervention each from two different strategies, or from all three strategies: absolute median increase of 16.0 percentage points (IQI: 6 to 26 percentage points; 36 studies, 42 study arms)
• Health care system-based efforts were effective in increasing vaccination rates when implemented in a range of clinical settings, communities, and client populations.
• Combined approaches were effective when delivered to both young children (childhood series, and influenza vaccinations) and older adults (influenza and pneumococcal vaccinations).
• Information on implementation in rural settings was limited and only one of the studies evaluated interventions targeted at adolescents. |
| Categories |
Health / Immunizations & Infectious Diseases
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| Source |
Community Guide Branch Epidemiology and Analysis Program Office, Centers for Disease Control and Prevention |
| Location |
Country: USA |
| Primary Contact |
communityguide@cdc.gov
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| For more details |
http://www.thecommunityguide.org/index.html#topics
http://www.thecommunityguide.org/vaccines/unive...
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| Target Audience |
Children, Teens, Adults |
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