| Title |
Using Active Choice Within the Electronic Health Record to Increase Influenza Vaccination Rates
|
|---|---|
| Published in |
Journal of General Internal Medicine, March 2017
|
| DOI | 10.1007/s11606-017-4046-6 |
| Pubmed ID | |
| Authors |
Mitesh S. Patel, Kevin G. Volpp, Dylan S. Small, Craig Wynne, Jingsan Zhu, Lin Yang, Steven Honeywell, Susan C. Day |
| Abstract |
Despite the benefits of influenza vaccination, each year more than half of adults in the United States do not receive it. To evaluate the association between an active choice intervention in the electronic health record (EHR) and changes in influenza vaccination rates. Observational study. Adults eligible for influenza vaccination with a clinic visit at one of three internal medicine practices at the University of Pennsylvania Health System between September 2010 and March 2013. The EHR confirmed patient eligibility during the clinic visit and, upon accessing the patient chart, prompted the physician and their medical assistant to actively choose to "accept" or "cancel" an order for the influenza vaccine. Change in influenza vaccination order rates at the intervention practice compared to two control practices for the 2012-2013 flu season, comparing trends during the prior two flu seasons adjusting for time trends and patient and clinic visit characteristics. The sample (n = 45,926 patients) was 62.9% female, 35.9% white, and 54.4% black, with a mean age of 50.2 years. Trends were similar between practices during the 2 years in the pre-intervention period. Vaccination rates increased in both groups in the post-intervention year, but the intervention practice using active choice had a significantly greater increase than the control (adjusted difference-in-difference: 6.6 percentage points; 95% CI, 5.1-8.1; P < 0.001), representing a 37.3% relative increase compared to the pre-intervention period. More than 99.9% (9938/9941) of orders placed during the study period resulted in vaccination. Active choice through the EHR was associated with a significant increase in influenza vaccination rates. |
X Demographics
The data shown below were collected from the profiles of 18 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 8 | 44% |
| France | 1 | 6% |
| Spain | 1 | 6% |
| Netherlands | 1 | 6% |
| Unknown | 7 | 39% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 12 | 67% |
| Scientists | 5 | 28% |
| Science communicators (journalists, bloggers, editors) | 1 | 6% |
Mendeley readers
The data shown below were compiled from readership statistics for 129 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Romania | 1 | <1% |
| Unknown | 128 | 99% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 20 | 16% |
| Student > Ph. D. Student | 13 | 10% |
| Student > Doctoral Student | 10 | 8% |
| Student > Bachelor | 10 | 8% |
| Researcher | 9 | 7% |
| Other | 32 | 25% |
| Unknown | 35 | 27% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 19 | 15% |
| Psychology | 12 | 9% |
| Nursing and Health Professions | 10 | 8% |
| Social Sciences | 10 | 8% |
| Economics, Econometrics and Finance | 7 | 5% |
| Other | 29 | 22% |
| Unknown | 42 | 33% |
Attention Score in Context
This research output has an Altmetric Attention Score of 157. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 09 January 2023.
All research outputs
#256,319
of 25,081,505 outputs
Outputs from Journal of General Internal Medicine
#220
of 8,098 outputs
Outputs of similar age
#5,416
of 314,640 outputs
Outputs of similar age from Journal of General Internal Medicine
#6
of 89 outputs
Altmetric has tracked 25,081,505 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 98th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 8,098 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 22.1. This one has done particularly well, scoring higher than 97% of its peers.
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We're also able to compare this research output to 89 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 94% of its contemporaries.