Well child care visit completion rates were 24.1% in the standard message group (aRR, 1.92 95% CI, 1.38-2.60) and 19.4% in the tailored message group (aRR, 1.52 95% CI, 1.06-2.13) compared with the control group (12.7%). Scheduling rates were 18.4% in the standard message group (adjusted risk ratio, 1.97 95% CI, 1.32-2.84) and 14.9% in the tailored message group (aRR, 1.57 95% CI, 1.02-2.34) compared with the control group (9.5%). Results Nine hundred forty-five patients participated (mean age, 9.9 years, 493 girls, 590 non-Hispanic Black, 807 publicly insured). Main Outcomes and Measures Outcomes included WCC visit scheduled within 2 weeks of the first intervention message, WCC visit completed within 8 weeks (primary outcome), and receipt of COVID-19 vaccine within 8 weeks. Two messages were delivered to those in the message groups. Interventions Participants were randomized to the standard message, tailored message, or no message (control) group. The population included predominantly non-Hispanic Black, low-income children (age, 6-17 years) whose parent had an active portal account. Objective To determine the effectiveness of patient portal outreach messages, with and without the date of the last WCC, on the scheduling and completion of WCC visits and completion of vaccinations.ĭesign, Setting, and Participants An intention-to-treat, multigroup, randomized clinical trial was conducted at 3 academic primary care practices from July 30 to October 4, 2021. Use of electronic health record patient portals is increasingly common but their effectiveness is uncertain. Importance Outreach messages to patients overdue for well child care (WCC) can be delivered different ways (ie, telephone calls and text messages). Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine. Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.
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