Targeted Vaccinations: Assessment & Feedback for Providers
Provider assessment and feedback involve retrospective evaluation of provider performance in delivering one or more vaccinations to client populations and giving this information to providers. Assessment and feedback can result in improvements in vaccination coverage either by changing provider knowledge, attitudes, and behaviors, or by stimulating use of additional changes in the vaccination delivery system (e.g., reminders or standing orders).
Summary of Task Force Recommendations & Findings
The Community Preventive Services Task Force finds insufficient evidence to determine the effectiveness of using assessment plus feedback for providers when implemented alone in improving influenza, pneumococcal polysaccharide, or hepatitis B vaccination coverage in high-risk adults because only one study qualified for review.
Results from the Systematic Reviews
One study qualified for the systematic review. This study evaluated the effect on influenza and pneumococcal vaccine coverage of annual chart reviews and feedback to resident physicians.
Vaccination coverage:
- Influenza: median increase of 32 percentage points (1 study)
- Pneumococcal: median increase of 18 percentage points (1 study)
These results were based on a systematic review of all available studies, conducted on behalf of the Task Force by a team of specialists in systematic review methods, and in research, practice, and policy related to vaccinations to prevent diseases.
Economic Review
An economic review of this intervention was not conducted because the Task Force found insufficient evidence to determine its effectiveness.
Supporting Materials
- Analytic framework
[PDF - 728KB] - see Figure 1 on page 251 - Summary evidence table [PDF - 728KB] - See Appendix on pages 265-279
Publications
CDC. Improving influenza, pneumococcal polysaccharide, and hepatitis B vaccination coverage among adults aged <65 years at high risk: a report on recommendations of the Task Force on Community Preventive Services. MMWR 2005;54(No. RR-5):1-12. 
Task Force for Community Preventive Services. Recommendations to improve targeted vaccination coverage among high-risk adults. [PDF - 97KB] Am J Prev Med 2005:28(5S);231-7.
Ndiaye SM, Hopkins DP, Smith SJ, et al. Methods for conducting systematic reviews of targeted vaccination strategies for The Guide to Community Preventive Services. [PDF - 132KB] Am J Prev Med 2005:28(5S);238-47.
Ndiaye SM, Hopkins DP, Shefer AM, et al. Interventions to improve influenza, pneumococcal polysaccharide, and hepatitis B vaccination coverage among high-risk adults: a systematic review. [PDF - 728KB] Am J Prev Med 2005:28(5S);248-79.
Task Force on Community Preventive Services. Vaccine preventable diseases. [PDF - 97KB] In : Zaza S, Briss PA, Harris KW, eds. The Guide to Community Preventive Services: What Works to Promote Health? Atlanta (GA): Oxford University Press;2005:223-303.
More Community Guide publications about Vaccinations to Prevent Diseases
Disclaimer
The findings and conclusions on this page are those of the Community Preventive Services Task Force and do not necessarily represent those of CDC.
Sample Citation
The content of publications of the Guide to Community Preventive Services is in the public domain. Citation as to source, however, is appreciated. Sample citation: Guide to Community Preventive Services. Targeted vaccinations: assessment & feedback for providers. www.thecommunityguide.org/vaccines/targeted/providerfeedback.html. Last updated: MM/DD/YYYY.
Review completed: June 2002
- Page last reviewed: February 9, 2011
- Page last updated: January 14, 2012
- Content source: The Guide to Community Preventive Services
