Positive deviance approaches to improving vaccination coverage rates within healthcare systems: a systematic review
Publication: Journal of Comparative Effectiveness Research
Abstract
Aim: Our objective was to systematically review the use of the positive deviance approach to identify strategies to improve vaccination coverage rates. Materials & methods: We searched English language articles in Medline, Embase, Cochrane Library, CINAHL and PsycINFO without any date restrictions on 4 October 2017. We compiled a list of all strategies and evaluated the quality of these studies using the QATSDD tool. Results: After a review of 241 citations, we included eight studies. These studies focused on a wide variety of vaccines and settings. Core strategies that support vaccine uptake include the importance of tailoring and targeting in both messaging and delivery of vaccines and tracking delivery of vaccines. Patient and provider education, reminders, feedback loops, community collaborations, immunization registries and use of a medical home were also identified as other strategies. Conclusion: Our findings highlight several useful core strategies, which can be used to promote vaccination coverage. PROSPERO: CRD42017078221.
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References
Papers of special note have been highlighted as: • of interest; •• of considerable interest
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Published In
Pages: 1055 - 1065
PubMed: 31580161
Copyright
© 2019 Future Medicine Ltd.
History
Received: 9 May 2019
Accepted: 5 August 2019
Published online: 3 October 2019
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Positive deviance approaches to improving vaccination coverage rates within healthcare systems: a systematic review. (2019) Journal of Comparative Effectiveness Research. DOI: 10.2217/cer-2019-0056
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- Roisin O’Malley, Paul O’Connor, Caoimhe Madden, Sinéad Lydon, A systematic review of the use of positive deviance approaches in primary care, Family Practice, 10.1093/fampra/cmab152, 39, 3, (493-503), (2021).