Early connections: effectiveness of a pre-call intervention to improve immunisation coverage and timeliness

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dc.contributor.author Goodyear-Smith, Felicity en
dc.contributor.author Grant, Cameron en
dc.contributor.author Ellis, Tracey en
dc.contributor.author Petousis-Harris, Helen en
dc.contributor.author Turner, Nicola en
dc.contributor.author Perera, R en
dc.contributor.author Harnden, A en
dc.coverage.spatial New Zealand en
dc.date.accessioned 2015-02-03T01:53:30Z en
dc.date.issued 2012 en
dc.identifier.citation Journal of Primary Health Care, 2012, 4 (3), pp. 189 - 198 en
dc.identifier.uri http://hdl.handle.net/2292/24386 en
dc.description.abstract INTRODUCTION: Children who have missed or delayed immunisations are at greater risk of vaccinepreventable diseases and getting their first scheduled dose on time strongly predicts subsequent complete immunisation. Developing a relationship with an infant’s parents and general practice staff soon after birth followed by a systematic approach can reduce the number of delayed first immunisations. AIM: To assess the effectiveness of a general practice–based pre-call intervention to improve immunisation timeliness. METHODS: Clustered controlled trial of general practices in a large urban district randomised to either delivery of pre-call intervention to all babies at aged four weeks or usual care. RESULTS: Immunisation timeliness for infants receiving the primary series of immunisations among their nominated Auckland general practices was higher than expected at 98% for the six week event. The intervention was statistically but not clinically significant. Coverage was significantly lower among infants with no nominated practice which reduced overall coverage rate for the district. DISCUSSION: Pre-call letters with telephone follow-up are simple interventions to introduce into the practice management system and can be easily implemented as usual standard of care. Early identification of newborn infants, primary care engagement and effective systems including tracking of infants not enrolled in general practices has the greatest potential to improve immunisation coverage rates even further. en
dc.language Eng en
dc.publisher The Royal New Zealand College of General Practitioners en
dc.relation.ispartofseries Journal of Primary Health Care en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.sherpa.ac.uk/romeo/issn/1172-6164/ en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/3.0/ en
dc.title Early connections: effectiveness of a pre-call intervention to improve immunisation coverage and timeliness en
dc.type Journal Article en
pubs.issue 3 en
pubs.begin-page 189 en
pubs.volume 4 en
dc.description.version VoR - Version of Record en
dc.identifier.pmid 22946066 en
pubs.author-url http://www.rnzcgp.org.nz/jphc-september-2012/ en
pubs.end-page 198 en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.subtype Article en
pubs.elements-id 360926 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Population Health en
pubs.org-id Gen.Practice& Primary Hlthcare en
pubs.org-id School of Medicine en
pubs.org-id Paediatrics Child & Youth Hlth en
dc.identifier.eissn 1172-6156 en
pubs.record-created-at-source-date 2012-09-20 en
pubs.dimensions-id 22946066 en


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