The Task Force finding is based on evidence from a Community Guide systematic review published in 2000 (2 studies, Briss et al., search period 1980-1997) combined with more recent evidence (3 studies, search period 1997-2009). The systematic review was conducted on behalf of the Task Force by a team of specialists in systematic review methods, and in research, practice, and policy related to increasing appropriate vaccination.
Five studies with six study arms qualified for the review. Across the studies, results were inconsistent.
- Median increase in vaccination rates: 2.9 percentage points (Interquartile Interval [IQI]:-4.7 to +10.3 percentage points; 4 studies)
- Provider education was less effective than standing orders and provider reminders (1 study).
An economic review of this intervention was not conducted because the Task Force did not have enough information to determine if the intervention works.
Applicability of this intervention across different settings and populations was not assessed because the Task Force did not have enough information to determine if the intervention works.