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Interactive voice response reminder effects on preventive service utilization.

Albert G Crawford1, Vanja Sikirica, Neil Goldfarb

  • 1Department of Health Policy, Jefferson Medical College, 1015 Walnut Street, Suite 115, Philadelphia, PA 19107, USA. albert.crawford@jefferson.edu

American Journal of Medical Quality : the Official Journal of the American College of Medical Quality
|November 11, 2005
PubMed
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Interactive voice response (IVR) system reminders significantly increased mammograms, Papanicolaou (Pap) tests, and influenza immunizations among managed care organization (MCO) members. These findings support using IVR technology to boost preventive healthcare utilization.

Area of Science:

  • Health Services Research
  • Preventive Medicine
  • Health Informatics

Background:

  • Managed care organizations (MCOs) aim to improve member health outcomes through preventive services.
  • Low utilization rates for screenings like mammograms and Papanicolaou (Pap) tests, and immunizations present a challenge.
  • Interactive voice response (IVR) systems offer a potential tool for patient outreach and engagement.

Purpose of the Study:

  • To evaluate the effectiveness of IVR system reminders in increasing the uptake of mammograms, Pap tests, and influenza immunizations.
  • To assess the impact of IVR reminders on preventive service utilization among MCO members who had not previously used these services.

Main Methods:

  • The study involved three member cohorts within an MCO who received IVR reminders for specific preventive services.

Related Experiment Videos

  • Claims data were analyzed to examine the association between IVR reminders and service utilization 5 to 9 months post-intervention.
  • Multivariate logistic regression models were used, controlling for demographic factors and risk strata.

    • Main Results:

    • IVR reminders were significantly associated with increased rates of mammograms (OR = 1.263, 95% CI = 1.104–1.444).
    • Pap test utilization also increased with IVR reminders (OR = 1.241, 95% CI = 1.107–1.391).
    • Influenza immunization rates showed a substantial increase following IVR reminders (OR = 2.072, 95% CI = 1.665–2.580).

    Conclusions:

    • IVR system reminders are an effective strategy for enhancing the uptake of key preventive health services.
    • The study provides evidence supporting the broader implementation of IVR interventions in MCOs to improve population health.
    • Further research is warranted to explore generalizability and optimize IVR strategies for preventive care delivery.