Cited by 613Health Promotion and Cardiovascular PreventionGlobal Cancer Incidence and ScreeningVaccine Coverage and Hesitancy

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Interventions That Increase Use of Adult Immunization and Cancer Screening Services: A Meta-Analysis

Stone, Erin G., Morton, Sally C., Hulscher, Marlies E., Maglione, Margaret A., Roth, Elizabeth A., Grimshaw, Jeremy M., Mittman, Brian S., Rubenstein, Lisa V., Rubenstein, Laurence Z., Shekelle, Paul G.·2002·Annals of Internal Medicine

DOI 10.7326/0003-4819-136-9-200205070-00006

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Abstract

Purpose The relative effectiveness of the diverse approaches used to promote preventive care activities, such as cancer screening and adult immunization, is unknown. Despite many high-quality published studies, practices and policymakers attempting to improve preventive care have little definitive information on which to base decisions. Thus, we quantitatively assessed the relative effectiveness of previously studied approaches for improving adherence to adult immunization and cancer screening guidelines. Data sources MEDLINE, the Cochrane Effective Practice and Organization of Care Review Group register, previous systematic reviews, and the Medicare Health Care Quality Improvement Project database. Study selection Controlled clinical trials that assessed interventions to increase use of immunizations for influenza and pneumococcal pneumonia and screening for colon, breast, and cervical cancer in adults. Data extraction Two reviewers independently extracted data on characteristics and outcomes from unmasked articles. Intervention components to increase use of services were classified as reminder, feedback, education, financial incentive, legislative action, organizational change, or mass media campaign. Data synthesis Of 552 abstracts and articles, 108 met the inclusion criteria. To assess the effect of intervention components, meta-regression models were developed for immunizations and each cancer screening service by using 81 studies with a usual care or control group. The…

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Authors: Stone, E. G., Morton, S. C., Hulscher, M. E., Maglione, M. A., Roth, E. A., Grimshaw, J. M., Mittman, B. S., Rubenstein, L. V., Rubenstein, L. Z., & Shekelle, P. G.
Affiliations: Cedars-Sinai Medical Center (US)
From the Southern California Evidence-Based Practice Center (which includes the RAND Health Division), Santa Monica, Cedars–Sinai Medical Center and the Greater Los Angeles Veterans Administration Health Care System, Los Angeles, and Center for the Study of Health Care Provider Behavior, Sepulveda, California; the University of Nijmegen, Centre for Quality of Care Research, Nijmegen, the Netherlands; and the University of Aberdeen, Health Services Research Unit, Aberdeen, Scotland, United Kingdom.
ORCID: Hulscher, Marlies E.
Maglione, Margaret A.
Grimshaw, Jeremy M.
Mittman, Brian S.
Rubenstein, Lisa V.
Rubenstein, Laurence Z.
Shekelle, Paul G.
Venue: Annals of Internal Medicine
Publisher: American College of Physicians
Published: 2002-05-07
Volume: 136
Issue: 9
Pages: 641-651
ISSN: 0003-4819 (ISSN-L)
1539-3704
DOI: 10.7326/0003-4819-136-9-200205070-00006
OpenAlex: W1550604682
Cited by: 613
References: 88
Citations by year: 2026: 5 · 2025: 7 · 2024: 4 · 2023: 11 · 2022: 12 · 2021: 13 · 2020: 8 · 2019: 19 · 2018: 11 · 2017: 18 · 2016: 27 · 2015: 23 · 2014: 22 · 2013: 31 · 2012: 43
FWCI: 6.86
Type: journal article
Language: en
Open access: closed
Licence: www.acpjournals.org/journal/aim/text-and-data-mining (tdm)
Locations: Annals of Internal Medicine (publishedVersion)
PubMed (publishedVersion)
Radboud Repository (Radboud University) (publishedVersion)
Radboud Repository (Radboud University) (submittedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
Social Sciences › Health › Vaccine Coverage and Hesitancy
Keywords: adult vaccination, cancer screening, preventive medicine, intervention effectiveness, organizational change, financial incentives, patient reminders, patient education, feedback, influenza vaccination, pneumococcal vaccination, colon cancer screening, breast cancer screening, cervical cancer screening, health care organization
MeSH terms: Adult, Feedback, Humans, Mass Media, Mass Screening, Neoplasms, Organizational Objectives, Patient Education as Topic, Preventive Health Services, Regression Analysis, Reimbursement, Incentive, Vaccination, Reminder Systems

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Interventions That Increase Use of Adult Immunization and Cancer Screening Services: A Meta-Analysis

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