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Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: OBJECTIVE, METHODS, RESULTS. Meshes: Adolescent, Adult, African Americans, Aged, Child, Child, Preschool, Diabetes Mellitus, European Continental Ancestry Group, Family Practice, Female, Health Policy, Humans, Immunization, Infant, Influenza Vaccines, Insurance, Health, Male, Medicaid, Middle Aged, Poverty, Primary Health Care, United States, Urban Health Services, Young Adult.
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Does an opt-out influenza vaccination policy improve immunization rates in primary care? Context: During the 2007-08 influenza season 36% of outpatients seen at our urban family medicine center received an influenza immunization. We explored the expected increase in vaccinations from an opt-out policy using standing orders in a lower-income population. A comparison of vaccination rates during the periods 10/1/2007 to 3/31/2008 (P1) versus 10/1/2008 to 3/31/2009 (P2) with adjustments for cohort non-independence. The overall P2 vaccination rate increased to 49% [p<.000001]. P2 rates were significantly higher for those with diabetes, both genders, African American and European American patients from 3 to 64 years old, and in all insurance groups. The vaccination rates for patients with Medicaid insurance (37% and 54%) were higher than the rates for patients with commercial insurance (31% and 43%).
assistant
The opt-out policy is associated with a moderate (1.4 fold) increase in the vaccination rate. Primary care resource constraints may limit further improvement. Final Decision: yes