Effectiveness of computer-generated telephone messages in increasing clinic visits

Article Abstract:

Computer-generated telephone reminder messages appear to be effective in increasing patient attendance at previously scheduled medical appointments. During a four-week period, researchers studied the rate of kept appointments among 517 public health clinic patients. Of these, 277 received a preappointment computer-generated reminder message. Approximately 59% of the patients who received the telephone reminder and 32.5% of those who did not receive a reminder kept their appointment. Among the patients who received the telephone reminder, there was almost a three-fold increase in the kept appointment rate for immunization services and a significant increase in kept appointments for the women, infant, and children programs. Year-long use of the computer-generated telephone messages in this 600-patient clinic would increase the number of kept appointments by an estimated 1,735.

Usage, Telecommunications systems, Medical appointments and schedules, Medical scheduling, Automated dialing, Automatic dialers, Predictive dialing

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The impact of interventions by a community-based organization on inner-city vaccination coverage: Fulton County, Georgia, 1992-1993

Article Abstract:

A community-based vaccination education and promotion program in Fulton County, GA, did not appear to improve childhood vaccination rates. Researchers compared the effects of a clinic-based reminder system and a comprehensive neighborhood intervention on inner-city vaccination coverage. Compared to clinics with no reminder system, those that reminded parents of pending vaccinations produced a 15% increase in the vaccination completion rate. The community outreach program did not produce a significant change in coverage rates, compared to communities with no vaccination outreach.

Evaluation, Community health services

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Impact of measurement and feedback on vaccination coverage in public clinics, 1988-1994

Article Abstract:

A statewide program of auditing vaccination records in public clinics and publishing the results appears to have raised vaccination rates in Georgia. The program was begun in 1986 and involves award ceremonies and annual meetings. An analysis of vaccination records from 136,004 public clinics in Georgia reveals that the percentage of 2-year-old children who completed a vaccination series rose from 53% in 1988 to 89% in 1994. In 1993, only 60% of 2-year-old children in a nationwide survey had completed their vaccination series.

Innovations, Services, Ambulatory care facilities, Public health, Clinics

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