Abstract |
This study evaluated the effects of interactive voice response (IVR) system reminders to managed care organization ( MCO) members to obtain mammograms, Papanicolaou (Pap) tests, and influenza immunizations. The MCO identified 3 member cohorts and sent IVR reminders to get preventive services. Analyses employed claims data to examine relationships between IVR reminders and preventive service use 5 to 9 months post-intervention among members without prior utilization. Multivariate logistic regressions controlling for age, gender (for influenza immunizations), and risk stratum confirmed hypothesized relationships between intervention and preventive services: mammograms, odds ratio (OR) = 1.263 (95% confidence interval [CI] = 1.104, 1.444); Pap tests, OR = 1.241 (1.107, 1.391); influenza immunizations, OR = 2.072 (1.665, 2.580). IVR reminders are associated with higher rates of mammograms, Pap tests, and influenza immunizations. Study limitations include unknown generalizability of results and possible self-selection. There is justification for more IVR interventions and research to enhance MCO members' preventive service utilization.
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Authors | Albert G Crawford, Vanja Sikirica, Neil Goldfarb, Richard G Popiel, Minalkumar Patel, Cheng Wang, Jeffrey B Chu, David B Nash |
Journal | American journal of medical quality : the official journal of the American College of Medical Quality
(Am J Med Qual)
2005 Nov-Dec
Vol. 20
Issue 6
Pg. 329-36
ISSN: 1062-8606 [Print] Netherlands |
PMID | 16280396
(Publication Type: Clinical Trial, Journal Article)
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Female
- Humans
- Immunization
(statistics & numerical data)
- Influenza, Human
(prevention & control)
- Logistic Models
- Male
- Mammography
(statistics & numerical data)
- Managed Care Programs
(organization & administration)
- Middle Aged
- Multivariate Analysis
- Papanicolaou Test
- Philadelphia
- Preventive Health Services
(statistics & numerical data)
- Reminder Systems
- Speech Recognition Software
- User-Computer Interface
- Vaginal Smears
(statistics & numerical data)
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