The American journal of managed care
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Comparative Study
Impact of MMRV combination vaccine on childhood vaccination compliance.
To assess the impact of using the combined measles, mumps, rubella, and varicella vaccine (MMRV) instead of the measles, mumps, and rubella vaccine and the varicella vaccine separately (MMR+V) on uptake of vaccines recommended by the Advisory Committee for Immunization Practices (ACIP) in young children. ⋯ Concomitant and on-time administration of most ACIP-recommended vaccines was greater with MMRV than with MMR+V despite the addition of HAV to the recommended schedule after introduction of MMRV. However, the modest compliance increases suggest that focusing on other barriers to compliance may be important to increasing adherence to future vaccination recommendations.
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To evaluate the association between social support and medication adherence. ⋯ This qualitative analysis found that practical social support was most consistently associated with greater medication adherence. Interventions that use existing contacts (friends or family) to engage patients in the mundane and practical aspects of medication purchasing and administration may be an effective approach to promoting better medication adherence.
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Randomized Controlled Trial
Impact of education program on influenza vaccination rates in Spain.
To assess the impact of a simple education program on adherence to influenza vaccination. ⋯ A mailed reminder program was effective to improve influenza vaccination rate, but only to a limited extent. Vaccination the previous year was the main predictor of adherence to vaccination. More programs are needed to improve vaccination rates in the study community.
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To demonstrate a threat to validity in using claims-based risk tools with chronically ill, underinsured populations. ⋯ When high cost-sharing constrains access to care, risk tools that rely on medical claims may not provide an accurate measure of disease burden.
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To assess the impact of the MDVIP model of personalized preventive care on hospital utilization rates over a 5-year period. ⋯ The MDVIP model of personalized preventive care allows the physician to take a more proactive, rather than reactive, approach; we believe this increased physician interaction is the reason for the lower hospital utilization and ultimately lower healthcare costs seen here.