Article Text

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

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

OpenUrlCrossRefPubMedWeb 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 …

View Full Text


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

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