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Review: organisational change and patient directed strategies may increase adult immunisation and cancer screening

https://doi.org/10.1136/ebn.6.1.19

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    Stone EG, Morton SC, Hulscher ME, et al.Interventions that increase use of adult immunization and cancer screening services: a meta-analysis.Ann Intern Med2002 ;136:641–51OpenUrlCrossRefPubMedWeb of Science

    QUESTION: What is the effectiveness of interventions to increase adherence to guideline based adult immunisation and cancer screening?

    Data sources

    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.

    Study selection

    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 extraction

    Data were extracted on interventions (classified as reminder, provider …

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    Footnotes

    • For correspondence: Dr P G Shekelle, RAND, Santa Monica, CA, USA. shekelle{at}rand.org

    • Source of funding: Centers for Medicare and Medicaid Services.