John M. Fontanesi, Partnership of Immunization Providers, Community Pediatrics, UC San Diego, 9500 Gilman Drive, MC 0927, La Jolla, CA, USA, Linda Hill, Family and Preventive Medicine, UCSD, 9500 Gilman Dr, MS 0811, La Jolla, CA, USA, Mark L. Messonnier, National Immunization Program, Centers for Disease Control and Prevention, 1600 Clifton Rd, NE, MS E-52, Atlanta, GA, USA, and Abby Shefer, NIP/ISD/HSREB, CDC, 1600 Clifton Road, NE, MS-E52, Atlanta, GA, USA.
Learning Objectives for this Presentation:
By the end of the presentation participants will be able to identify the relative costs and effectiveness of reminder-recall, audit and feedback, and WIC-linked immunization strategies able to
Background:
audit and feedback, reminder-recall and WIC-linked immunization services are known to be efficacious. What is not well understood are teh underlying cost structures nor the individual and combined effectiveness of the three strategies
Objectives:
To perfome a parametric cost analysis of these three strategies
Methods:
detailed workflow analysis
Results:
All three strategies appear to have a postive cost-effectiness with WIC-linked services the msot effective. However, organizational competency strongly affects the effectiveness of all three stratgies. Combined strategies dmonstrate a synergistic effect.
Conclusions:
These strategies are effective means for imrpving community rates. There are some organizational barriers which need to be addressed to maximize the benefits
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