Targeted Vaccinations: Provider Assessment and Feedback - Inactive

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Snapshot

Summary of CPSTF Finding

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.

Intervention

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).

CPSTF Finding and Rationale Statement

Read the Task Force Finding [PDF - 390 kB].

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What the CPSTF Found

About The Systematic Review

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.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.

Context

There is no information for this section.

Summary of Results

Vaccination coverage:

Influenza: median increase of 32 percentage points (1 study)
Pneumococcal: median increase of 18 percentage points (1 study)

Summary of Economic Evidence

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

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.

Evidence Gaps

No content is available for this section.

Study Characteristics

No content is available for this section.

Publications

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. American Journal of Preventive Medicine. 2005;28(5S):248-79.

Task Force on Community Services. Recommendations to improve targeted vaccination coverage among high-risk adults. American Journal of Preventive Medicine. 2005;28(5S):231-7.

Ndiaye SM, Hopkins DP, Smith SJ, Hinman AR, Briss PA, Task Force on Community Services. Methods for conducting systematic reviews of targeted vaccination strategies for The Guide to Community Preventive Services. American Journal of Preventive Medicine. 2005;28(5S):238-47.

Centers for Disease Control and Prevention. Improving influenza, pneumococcal polysaccharide, and hepatitis B vaccination coverage among adults aged <65 years at high risk. MMWR. 2005;54(RR-5):1-11. Available at: http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5405a1.htm.

Task Force on Community Services, Zaza S, Briss PA, Harris KW. Vaccine preventable diseases. In: The Guide to Community Preventive Services: What Works to Promote Health?. The Guide to Community Preventive Services: What Works to Promote Health? Atlanta (GA): Oxford University Press; 2005:223-303.

Supporting Materials

Analytic Framework

Analytic Framework [PDF - 728 kB] - see Figure 1 on page 251

Summary Evidence Table

Summary Evidence Table [PDF - 728 kB] - See Appendix on pages 265-279

Included Studies

Content is in development.

Additional Materials

There is no information for this section.

Search Strategies

No content is available for this section.

Review References

There is no information for this section.

Considerations for Implementation

The Task Force did not have enough evidence to determine whether the intervention is or is not effective. This does not mean that the intervention does not work, but rather that additional research is needed to determine whether or not the intervention is effective.

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Targeted Vaccinations: Provider Assessment and Feedback - Inactive

Tabs

Summary of CPSTF Finding

Intervention

CPSTF Finding and Rationale Statement

Users who viewed this also viewed

About The Systematic Review

Context

Summary of Results

Summary of Economic Evidence

Applicability

Evidence Gaps

Study Characteristics

Publications

Analytic Framework

Summary Evidence Table

Included Studies

Additional Materials

Search Strategies

Review References

Considerations for Implementation

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