TABLE 1

Quality of Evidence Available to Support Potential Strategies for Increasing Immunization Coverage24

Evidence Sufficient to Strongly Recommend or to RecommendInsufficient Evidence to Evaluate or to Recommend
Client reminder/recall systemsCommunity education
Requirements for child care, school, and college enrollmentPatient incentives
Multicomponent patient educationPatient-held medical records
Reducing out-of-pocket costsUsing schools and child care centers as vaccination sites
Increasing vaccination settings closer to patients' homesProvider education
Expanding clinic hoursUsing standing orders
Using emergency departments and subspecialty clinics
Using WIC sites
Offering drop-in vaccination services
Home-visiting services
Use of electronic records
Office-based quality-improvement activities