Optimizing Human Papillomavirus Immunization: The Role of Centralized Reminder and Recall Systems.

Abstract

* Abbreviation: HPV — : human papillomavirus Achieving adequate human papillomavirus (HPV) vaccine coverage has been challenging worldwide. In 2018 in the United States, 51.1% of adolescents completed the full vaccine series, and 68.1% had received ≥1 doses.1 Optimizing uptake among adolescents has been a focus of public health departments, federal advisory groups, health service researchers, and clinicians. Although the trend is toward continued improvement, much work is needed to achieve optimal immunization rates. Reminder and recall has been an important strategy for improving immunization rates and is included as a key quality improvement strategy in the Centers for Disease Control and Prevention’s Immunization Quality Improvement Program, yet some practices may not have adequate resources to perform reminder and recall activities. Leveraging immunization information systems to identify adolescents who are missing recommended vaccines for centralized reminder and recall provides an opportunity to broadly implement this approach. However, in the study by Szilagyi et al,2 published in this issue, centralized autodialer reminder and recall from state immunization information systems did not improve HPV vaccination initiation or completion in New York and had only a slight effect in Colorado … Address correspondence to Kristen Feemster, MD, MPH, MSPHR, Vaccine Education Center, Children’s Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104. E-mail: feemster{at}email.chop.edu