Effectiveness and Cost-Effectiveness of Linking the Special Supplemental Program for Women, Infants, and Children (WIC) and Immunization Activities

Hutchins, Sonja S.; Rosenthal, Jorge; Eason, Pamela; Swint, Emmett; Guerrero, Herminia; Hadler, Stephen C.

doi:10.2307/3343128

Cited by 34 publications

(37 citation statements)

References 1 publication

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“…[168][169][170] In addition, only seven studies reported one or more centre-specific characteristics such as the volume of cases they treat. 166,[173][174][175][176]196,197 These results are perhaps as expected, and it can be argued that authors would not normally be expected to provide such information. However, any reasonable assessment of the extent to which results found in a combination of locations apply to a particular location (within or outside the trial) requires information on what types of centres were included in a study and how trial patients compare with non-trial patients.…”

Section: Study Reportingsupporting

confidence: 61%

“…The most frequently reported were age (65%), gender (56%), disease severity (38%) and co-morbidities (24%). However, only two studies 166,167 assessed the representativeness of the study sample to the study population in the trial centres.…”

Section: Inclusion/exclusion Criteriamentioning

confidence: 99%

“…For example, only three reports [168][169][170] described the characteristics of the healthcare system(s) where the analysis was conducted. In addition, in just 7% of the sample were one or more centre-specific characteristics reported: professionals' experience, 171 teaching hospital, [172][173][174] size of the centre 166,171,175 and volume of cases. 171,176 …”

Section: Study Settingmentioning

confidence: 99%

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Generalisability in economic evaluation studies in healthcare: a review and case studies

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Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. NHS libraries can subscribe free of charge. Public libraries can subscribe at a very reduced cost of £100 for each volume (normally comprising 30-40 titles). The commercial subscription rate is £300 per volume. Please see our website for details. Subscriptions can only be purchased for the current or forthcoming volume. Contact details are as follows: Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email. Paying by official purchase orderYou can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK.We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA Programme and lists the membership of the various committees. HTA NHS R&D HTA ProgrammeT he research findings from the NHS R&D Health Technology Assessment (HTA) Programme directly influence key decision-making bodies such as the National Institute for Clinical Excellence (NICE) and the National Screening Committee (NSC) who rely on HTA outputs to help raise standards of care. HTA findings also help to improve the quality of the service in the NHS indirectly in that they form a key component of the 'National Knowledge Service' that is being developed to improve the evidence of clinical practice throughout the NHS.The HTA Programme was set up in 1993. Its role is to ensure that high-quality research information on the costs, effectiveness and broader impact of health technologies is produced in the most efficient way for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined to include all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care, rather than settings of care.The HTA programme commissions research only on topics where it has identified key gaps in the evidence needed by the NHS. Suggestions for topics are actively sought from people working in the NHS, the public,...

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Section: Study Reportingsupporting

confidence: 61%

Section: Inclusion/exclusion Criteriamentioning

confidence: 99%

Section: Study Settingmentioning

confidence: 99%

See 1 more Smart Citation

Generalisability in economic evaluation studies in healthcare: a review and case studies

Sculpher

Fs²,

Manca³

et al. 2004

Health Technol Assess

318

297

View full text Add to dashboard Cite

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“…15 Only 2 studies included in the current review 23,24 overlapped with studies in the NICE review. Other studies identified in the NICE review as "incentives" did not meet our definition because they either involved changing the frequency of attendance for welfare benefits but not the level of benefit itself [33][34][35] or did not involve incentives with real material value. 36 Similar to the current review, the NICE review concluded that incentives could be effective but that the strength and quality of the evidence varied, and costeffectiveness data were insufficient.…”

Section: Comparison Of Results With Previous Reviewsmentioning

confidence: 99%

Parental Financial Incentives for Increasing Preschool Vaccination Uptake: Systematic Review

et al. 2014

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BACKGROUND AND OBJECTIVE: Financial incentives have been used to promote vaccination uptake but are not always viewed as acceptable. Quasimandatory policies, such as requiring vaccinations for school enrollment, are widely implemented in some countries. A systematic review was conducted to determine the effectiveness, acceptability, and economic costs and consequences of parental financial incentives and quasimandatory schemes for increasing the uptake of preschool vaccinations in high-income countries. METHODS: Electronic databases and gray literature were searched for randomized controlled trials, controlled before-and-after studies, and time series analyses examining the effectiveness of parental financial incentives and quasimandatory schemes, as well as any empirical studies exploring acceptability. All included studies were screened for information on economic costs and consequences. Two reviewers independently assessed studies for inclusion, extracted data, and assessed the quality of selected articles by using established instruments. Studies were synthesized in narrative reviews. RESULTS: Four studies on the effectiveness and 6 on the acceptability of parental financial incentives and quasimandatory interventions met the inclusion criteria. Only 1 study reported on costs and consequences. Studies of effectiveness had low risk of bias but displayed substantial heterogeneity in terms of interventions and methods. CONCLUSIONS: There was insufficient evidence to conclude whether these interventions were effective. Studies of acceptability suggested a preference, in settings where this already occurs, for incentives linking vaccinations to access to education. There was insufficient evidence to draw conclusions on economic costs and consequences.

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“…These strategies are recommended by the Task Force for Community Preventive Services 31 and have been documented in numerous studies to produce improvements in vaccination coverage among children participating in WIC. [32][33][34][35] Improving the enrollment of pregnant women into WIC-based interventions can have an especially important impact on infant immunization status at 3 months. Furthermore, participation in WIC provides important nutritional benefits to the mother and infant.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Underimmunization at 3 Months of Age in Four Medically Underserved Areas

et al. 2004

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Objective. Risk factors for underimmunization at 3 months of age are not well described. This study examines coverage rates and factors associated with underimmunization at 3 months of age in four medically underserved areas.Methods. During 1997-1998, cross-sectional household surveys using a two-stage cluster sample design were conducted in four federally designated Health Professional Shortage Areas. Respondents were parents or caregivers of children ages 12-35 months: 847 from northern Manhattan, 843 from Detroit, 771 from San Diego, and 1,091 from rural Colorado. A child was considered up-to-date (UTD) with vaccinations at 3 months of age if documentation of receipt of diphtheria-tetanuspertussis, polio, haemophilus influenzae type B, and hepatitis B vaccines was obtained from a provider or a hand-held vaccination card, or both.Results. Household response rates ranged from 79% to 88% across sites. Vaccination coverage levels at 3 months of age varied across sites: 82.4% in northern Manhattan, 70.5% in Detroit, 82.3% in San Diego, and 75.8% in rural Colorado. Among children who were not UTD, the majority (65.7% to 71.5% per site) had missed vaccines due to missed opportunities. Factors associated with not being UTD varied by site and included having public or no insurance, Ն2 children living in the household, and the adult respondent being unmarried. At all sites, vaccination coverage among WIC enrollees was higher than coverage among children eligible for but not enrolled in WIC, but the association between UTD status and WIC enrollment was statistically significant for only one site and marginally significant for two other sites.Conclusions. Missed opportunities were a significant barrier to vaccinations, even at this early age. Practice-based strategies to reduce missed opportunities and prenatal WIC enrollment should be focused especially toward those at highest risk of underimmunization.

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Effectiveness and Cost-Effectiveness of Linking the Special Supplemental Program for Women, Infants, and Children (WIC) and Immunization Activities

Cited by 34 publications

References 1 publication

Generalisability in economic evaluation studies in healthcare: a review and case studies

Generalisability in economic evaluation studies in healthcare: a review and case studies

Parental Financial Incentives for Increasing Preschool Vaccination Uptake: Systematic Review

Factors Associated with Underimmunization at 3 Months of Age in Four Medically Underserved Areas

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