UMMS Affiliation
Department of Obstetrics and Gynecology
Publication Date
12-2016
Document Type
Article Preprint
Disciplines
Community Health and Preventive Medicine | Female Urogenital Diseases and Pregnancy Complications | Health Services Administration | Obstetrics and Gynecology | Public Health Education and Promotion | Women's Health
Abstract
Introduction: Our objective is to assess HPV vaccine series completion rates, whether on-screen Point of Service reminders (POS) make a difference, and missed opportunities for reminders to have an effect.
Methods: Retrospective, claims-based study of females aged 9-26 receiving an initial dose of HPV vaccine during 2 periods: before (period 1) and after (period 2) implementation of a POS reminder system in 1(“Change Group”) of 2 physician groups using EHRs for both periods. Completion rates, and missed opportunities during eligible periods were calculated for those with continuous enrollment in the health plan investigated.
Results: Completion rates within 1 year of the 1st dose were Period 1: 47% Change Group vs. 46% Control Group (p=0.847). Period 2: 50% Change group vs. 57% Control Group (p=0.158). No significant improvement occurred between the 2 periods in either group. Differences in 1 year completion rates by specialty of initiating provider or age group (≥18) were not significant.
During period 2, among those with continuous insurance plan enrollment in the Change Group, 43 patients received 1 dose and 46 received 2 doses. Of those receiving 1 dose, 30 (70%) had a visit to the same group within an eligible time period (median # visits: 2, range 1-20); of those completing 2 doses, 4 (9%) had a visit to the same group within an eligible period (median # visits: 1, range: 1-3). Among those receiving 1 dose, 25 (58%) had a visit to the same group and same specialty as the initial dose (median # visits: 1, range 1-8); for those having received 2 doses, 3 (6%) had a subsequent visit to same group and specialty (median # visits: 1, range 1-3).
Conclusion: POS reminder systems was not associated with improved completion rates. POS reminders are limited by infrequent visits among non-completers in an eligible period.
Keywords
Human Papillomavirus, HPV, vaccine, point of service, POS, completion rates, reminders, Gardasil, Cervarix
Rights and Permissions
Copyright The Authors.
Journal/Book/Conference Title
Obstetrics and Gynecology Publications and Presentations
Repository Citation
Magee, B. Dale; Leung, Katherine G.; and Moore Simas, Tiffany A., "HPV Vaccine Reminders at the Point of Service: Efficacy and Missed Opportunities. A Claims Based Study within One Health Plan" (2016). Obstetrics and Gynecology Publications and Presentations. 124.
https://escholarship.umassmed.edu/obgyn_pp/124
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
Included in
Community Health and Preventive Medicine Commons, Female Urogenital Diseases and Pregnancy Complications Commons, Health Services Administration Commons, Obstetrics and Gynecology Commons, Public Health Education and Promotion Commons, Women's Health Commons
Comments
This is an unpublished manuscript reporting on a study about point of service reminders for the HPV vaccine.