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Using the 4 pillars™ practice transformation program to increase adult influenza vaccination and reduce missed opportunities in a randomized cluster trial.


ABSTRACT: An evidence-based, step-by-step guide, the 4 Pillars™ Practice Transformation Program, was the foundation of an intervention to increase adult immunizations in primary care and was tested in a randomized controlled cluster trial. The purpose of this study is to report changes in influenza immunization rates and on factors related to receipt of influenza vaccine.Twenty five primary care practices were recruited in 2013, stratified by city (Houston, Pittsburgh), location (rural, urban, suburban) and type (family medicine, internal medicine), and randomized to the intervention (n?=?13) or control (n?=?12) in Year 1 (2013-14). A follow-up intervention occurred in Year 2 (2014-15). Demographic and vaccination data were derived from de-identified electronic medical record extractions.A cohort of 70,549 adults seen in their respective practices (n?=?24 with 1 drop out) at least once each year was followed. Baseline mean age was 55.1 years, 35 % were men, 21 % were non-white and 35 % were Hispanic. After one year, both intervention and control arms significantly (P?

SUBMITTER: Lin CJ 

PROVIDER: S-EPMC5094034 | biostudies-literature | 2016 Nov

REPOSITORIES: biostudies-literature

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Using the 4 pillars™ practice transformation program to increase adult influenza vaccination and reduce missed opportunities in a randomized cluster trial.

Lin Chyongchiou J CJ   Nowalk Mary Patricia MP   Pavlik Valory N VN   Brown Anthony E AE   Zhang Song S   Raviotta Jonathan M JM   Moehling Krissy K KK   Hawk Mary M   Ricci Edmund M EM   Middleton Donald B DB   Patel Suchita S   South-Paul Jeannette E JE   Zimmerman Richard K RK  

BMC infectious diseases 20161103 1


<h4>Background</h4>An evidence-based, step-by-step guide, the 4 Pillars™ Practice Transformation Program, was the foundation of an intervention to increase adult immunizations in primary care and was tested in a randomized controlled cluster trial. The purpose of this study is to report changes in influenza immunization rates and on factors related to receipt of influenza vaccine.<h4>Methods</h4>Twenty five primary care practices were recruited in 2013, stratified by city (Houston, Pittsburgh),  ...[more]

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