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BMC Primary Care
Published in: BMC Primary Care 1/2017

Open Access 01-12-2017 | Research article

Missed opportunities for improving practice performance in adult immunizations: a meta-narrative review of the literature

Published in: BMC Primary Care | Issue 1/2017

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Abstract

Background

We sought to characterize how the term “missed opportunities” is reported in the literature in the context of immunization rates and to assess how missed opportunities can be operationalized.

Methods

Peer-reviewed literature searches were conducted in April – May, 2015, to answer: “What methods research studies used to operationalize missed opportunities to vaccinate?” A meta-narrative review methodology was used.

Results

Seven studies met inclusion criteria. The methodologies for quantifying missed opportunities fell into two general categories based on: 1. the number of healthcare encounters per patient without appropriate vaccination services, defined as a number of visits per patient with no vaccination related services (Missed opportunities per patient); 2. vaccination status as “non-vaccinated” among a group of patients who had a healthcare encounter where the vaccination should/could have had happened (Missed opportunities per population).

Conclusions

Our study provided an initial overview of the methods reported in the literature, and concluded that the quantifiable missed opportunity holds promise as a measurable outcome (variable) for research and quality improvement projects aimed to increase adult immunization recommendation and uptake in primary care.
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Metadata
Title
Missed opportunities for improving practice performance in adult immunizations: a meta-narrative review of the literature
Publication date
01-12-2017
Published in
BMC Primary Care / Issue 1/2017
Electronic ISSN: 2731-4553
DOI
https://doi.org/10.1186/s12875-017-0694-1

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