Barriers to the use of reminder/recall interventions for immunizations: a systematic review
Open accessAbstract
BACKGROUND: Although many studies have demonstrated the benefits of reminder/recall (RR) measures to address patient under-immunization and improve immunization coverage, they are not widely implemented by healthcare providers. We identified providers' perceived barriers to their use from existing literature. METHODS: We conducted a systematic review of relevant articles published in English between January 1990 and July 2011 that examined the perceptions of healthcare providers regarding barriers to tracking patient immunization history and implementing RR interventions. We searched MEDLINE, PubMed, EMBASE, Cumulative Index to Nursing and Allied Health Literature, Academic Search Premier, and PsychINFO. Additional strategies included hand-searching the references of pertinent articles and related reviews, and searching keywords in Google Scholar and Google. RESULTS: Ten articles were included; all described populations in the United States, and examined perceptions of family physicians, pediatricians, and other immunization staff. All articles were of moderate-high methodological quality; the majority (n=7) employed survey methodology. The most frequently described barriers involved the perceived human and financial resources associated with implementing an RR intervention, as well as low confidence in the accuracy of patient immunization records, given the lack of data sharing between multiple immunization providers. Changes to staff workflow, lack of appropriate electronic patient-tracking functionalities, and uncertainty regarding the success of RR interventions were also viewed as barriers to their adoption. CONCLUSIONS: Although transitioning to electronic immunization records and registries should facilitate the implementation of RR interventions, numerous perceived barriers must still be overcome before the full benefits of these methods can be realized.
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Barriers to implementation included lack of time and resources to perform additional data entry or deal with paperwork.
“support to perform additional data entry or deal with paperwork [31, 67, 71, 72] were reported as barriers.”
From Achieving change in primary care—causes of the evidence to practice gap: systematic reviews of reviews (2015) · cites this paper as [72]
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- Authors
- the Public Health Agency of Canada/Canadian Institutes of Health Research Influenza Research Network (PCIRN) Vaccine Coverage Theme Group, Pereira, J. A., Quach, S., Heidebrecht, C. L., Quan, S. D., Kolbe, F., Finkelstein, M., & Kwong, J. C.
- Affiliations
- Public Health Ontario (CA)
- University Health Network (CA)
- Toronto Public Health (CA)
- University of Toronto (CA)
- Corresponding author
- Pereira, Jennifer A
- Venue
- BMC Medical Informatics and Decision Making
- Published
- 2012-12
- Volume
- 12
- Issue
- 1
- Pages
- 145-145
- ISSN
- 1472-6947 (ISSN-L)
- PMC
- PMC3541955
- OpenAlex
- W2004630435
- Cited by
- 50
- References
- 35
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 2 · 2022: 2 · 2021: 3 · 2020: 9 · 2019: 4 · 2018: 12 · 2017: 3 · 2016: 2 · 2015: 4 · 2014: 3 · 2013: 1
- FWCI
- 0.49
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Medical Informatics and Decision Making (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- TSpace (University of Toronto) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Public Health Agency of Canada
- Public Health Agency
- University of Toronto
- Canadian Institutes of Health Research
- Department of Family and Community Medicine, University of Toronto
- Topics
- Social Sciences › Health › Vaccine Coverage and Hesitancy
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Health Professions › Emergency Medical Services › Healthcare Operations and Scheduling Optimization
- Keywords
- childhood immunization, vaccination coverage, underimmunization, healthcare provider perceptions, implementation barriers, immunization records, immunization registry, general practitioners, pediatricians
- MeSH terms
- Health Personnel, Humans, Immunization Schedule, United States, Reminder Systems
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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