Does the use of personal electronic health records increase vaccine uptake? A systematic review

Balzarini, Federica; Frascella, Beatrice; Oradini‐Alacreu, Aurea; Gaetti, Giovanni; Lopalco, Pier Luigi; Edelstein, Michael; Azzopardi-Muscat, Natasha; Signorelli, Carlo; Odone, Anna

doi:10.1016/j.vaccine.2020.05.083

Cited by 27 publications

(31 citation statements)

References 43 publications

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“…However, challenges such as misinformation ( 23 , 93 , 96 ), data reliability ( 94 , 99 ), difficulty in data extraction and user privacy protection ( 97 – 99 ), cost of access ( 94 , 98 – 100 ), as well as international collaboration ( 97 ) remain unsolved and require further rigorous research. It is worth mentioning that the use of EHRs to increase vaccination uptake has also been studied and may have promise, even though the secure data sharing infrastructure is the main concern raised in that paper ( 101 ).…”

Section: Resultsmentioning

confidence: 99%

Digital Data Sources and Their Impact on People's Health: A Systematic Review of Systematic Reviews

Novillo-Ortiz

Azzopardi-Muscat

et al. 2021

Front. Public Health

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Background: Digital data sources have become ubiquitous in modern culture in the era of digital technology but often tend to be under-researched because of restricted access to data sources due to fragmentation, privacy issues, or industry ownership, and the methodological complexity of demonstrating their measurable impact on human health. Even though new big data sources have shown unprecedented potential for disease diagnosis and outbreak detection, we need to investigate results in the existing literature to gain a comprehensive understanding of their impact on and benefits to human health.Objective: A systematic review of systematic reviews on identifying digital data sources and their impact area on people's health, including challenges, opportunities, and good practices.Methods: A multidatabase search was performed. Peer-reviewed papers published between January 2010 and November 2020 relevant to digital data sources on health were extracted, assessed, and reviewed.Results: The 64 reviews are covered by three domains, that is, universal health coverage (UHC), public health emergencies, and healthier populations, defined in WHO's General Programme of Work, 2019–2023, and the European Programme of Work, 2020–2025. In all three categories, social media platforms are the most popular digital data source, accounting for 47% (N = 8), 84% (N = 11), and 76% (N = 26) of studies, respectively. The second most utilized data source are electronic health records (EHRs) (N = 13), followed by websites (N = 7) and mass media (N = 5). In all three categories, the most studied impact of digital data sources is on prevention, management, and intervention of diseases (N = 40), and as a tool, there are also many studies (N = 10) on early warning systems for infectious diseases. However, they could also pose health hazards (N = 13), for instance, by exacerbating mental health issues and promoting smoking and drinking behavior among young people.Conclusions: The digital data sources presented are essential for collecting and mining information about human health. The key impact of social media, electronic health records, and websites is in the area of infectious diseases and early warning systems, and in the area of personal health, that is, on mental health and smoking and drinking prevention. However, further research is required to address privacy, trust, transparency, and interoperability to leverage the potential of data held in multiple datastores and systems. This study also identified the apparent gap in systematic reviews investigating the novel big data streams, Internet of Things (IoT) data streams, and sensor, mobile, and GPS data researched using artificial intelligence, complex network, and other computer science methods, as in this domain systematic reviews are not common.

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Section: Resultsmentioning

confidence: 99%

Digital Data Sources and Their Impact on People's Health: A Systematic Review of Systematic Reviews

Novillo-Ortiz

Azzopardi-Muscat

et al. 2021

Front. Public Health

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“…However, we believe the automation of reminder recalls can be a further cornerstone of vaccination interventions in Europe in the future, given the advantages of reduced cost and easier reach of immunisation target populations [ 28 ]. Concerning the involvement of target populations in immunisation programs, Atkinson et al, through a systematic review, evaluated the effectiveness of digital push interventions compared to non-digital interventions for specific target populations and high-risk groups.…”

Section: Discussionmentioning

confidence: 99%

“…The most beneficial effect emerged when digital innovations were tailored to specific characteristics and needs of the target populations. Having identified gaps of knowledge in the field, we conducted a more in-depth analysis of specific digital technologies, with particular reference to email-based immunisation reminders [ 27 ] and personal electronic health records (EHR) [ 28 ].…”

Section: Introductionmentioning

confidence: 99%

The Use of Digital Technologies to Support Vaccination Programmes in Europe: State of the Art and Best Practices from Experts’ Interviews

et al. 2021

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Digitalisation offers great potential to improve vaccine uptake, supporting the need for effective life-course immunisation services. We conducted semi-structured in-depth interviews with public health experts from 10 Western European countries (Germany, Greece, Italy, Luxembourg, Malta, the Netherlands, Norway, Poland, Portugal, and the United Kingdom) to assess the current level of digitalisation in immunisation programmes and retrieve data on interventions and best practices. Interviews were performed using an ad hoc questionnaire, piloted on a sample of national experts. We report a mixed level of digital technologies deployment within vaccination services across Europe: Some countries are currently developing eHealth strategies, while others have already put in place robust programmes. Institutional websites, educational videos, and electronic immunisation records are the most frequently adopted digital tools. Webinars and dashboards represent valuable resources to train and support healthcare professionals in immunisation services organisation. Text messages, email-based communication, and smartphone apps use is scattered across Europe. The main reported barrier to the implementation of digital-based programmes is the lack of resources and shared standards. Our study offers a comprehensive picture of the European context and shows the need for robust collaboration between states and international institutions to share best practices and inform the planning of digital intervention models with the aim of countering vaccine hesitancy and increasing vaccine uptake.

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“…A similar positive effect of PEHR on influenza vaccination uptake was observed in one of the other RCT, although improvements were not statistically significant (intervention vs control: 24% vs 19%; p = .50). 10 Moreover, two RCTs included in the review have demonstrated patients with access to PEHR in combination with messages promoting influenza vaccines (adjusted OR = 1.20, 95% CI: 1.06-1.35) or active vaccine reminders via electronic messages (intervention vs control: 22.0% vs 14.0%; p = .018) were effective in improving influenza vaccination uptake. 10 A review 11 of four RCTs that evaluated the use of multiple mail-order reminders suggested that more than one reminder sent by mail improves adherence to influenza vaccination in older adults.…”

Section: (Iii) Pregnant Womenmentioning

confidence: 99%

“…10 Moreover, two RCTs included in the review have demonstrated patients with access to PEHR in combination with messages promoting influenza vaccines (adjusted OR = 1.20, 95% CI: 1.06-1.35) or active vaccine reminders via electronic messages (intervention vs control: 22.0% vs 14.0%; p = .018) were effective in improving influenza vaccination uptake. 10 A review 11 of four RCTs that evaluated the use of multiple mail-order reminders suggested that more than one reminder sent by mail improves adherence to influenza vaccination in older adults. In contrast to these findings, multiple mail-order reminders to parents make little or no difference in adherence to influenza vaccination in children under 6 years of age.…”

Section: (Iii) Pregnant Womenmentioning

confidence: 99%

A rapid global review of strategies to improve influenza vaccination uptake in Australia

Mohammed

McMillan

Elliott

et al. 2021

Human Vaccines & Immunotherapeutics

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This study aimed to identify effective strategies for improving the uptake of influenza vaccination and to inform recommendations for influenza vaccination programs in Australia. A rapid systematic review was conducted to assimilate and synthesize peer-reviewed articles identified in PubMed. The National Health and Medical Research Council (NHMRC) Hierarchy of Evidence was used to appraise the quality of evidence. A systematic search identified 4373 articles and 52 that met the inclusion criteria were included. The evidence suggests influenza vaccination uptake may be improved by interventions that (1) increase community/patient demand and access to influenza vaccine and overcome practice-related barriers; (2) reinforce the critical role healthcare providers play in driving influenza vaccination uptake. Strategies such as standing orders, reminder and recall efforts were successful in improving influenza vaccination rates. Community pharmacies, particularly in regional/remote areas, are well positioned to improve influenza vaccine coverage. The findings of this rapid review can be utilized to improve the performance of influenza immunization programs in Australia and other countries with comparable programs; and recommend priorities for future evaluation of interventions to improve influenza vaccination uptake.

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Does the use of personal electronic health records increase vaccine uptake? A systematic review

Cited by 27 publications

References 43 publications

Digital Data Sources and Their Impact on People's Health: A Systematic Review of Systematic Reviews

Digital Data Sources and Their Impact on People's Health: A Systematic Review of Systematic Reviews

The Use of Digital Technologies to Support Vaccination Programmes in Europe: State of the Art and Best Practices from Experts’ Interviews

A rapid global review of strategies to improve influenza vaccination uptake in Australia

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