Review: organisational change and patient directed strategies may increase adult immunisation and cancer screening
QUESTION: What is the effectiveness of interventions to increase adherence to guideline based adult immunisation and cancer screening?
Studies were identified by searching (through February 1999) the Cochrane Effective Practice and Organization of Care Special Register (which includes searches of Medline [from 1966], EMBASE/Excerpta Medica [from 1980], HealthSTAR [from 1975], and the Cochrane Controlled Trials Register [from 1996]), previous systematic reviews, and the Health Care Quality Improvement Projects database.
Studies were selected if they were controlled clinical trials that assessed interventions to increase the use of immunisations for influenza and pneumococcal pneumonia, and use of screening for colon, breast, and cervical cancer in adults.
Data were extracted on interventions (classified as reminder, provider feedback, education, financial incentive, legislative action, organisational change, or mass media campaign), study characteristics, and outcomes.
108 studies on immunisation (29 studies), mammography (33 studies), cervical …