Research Article

A handout about tetanus immunisation: influence on immunisation rate in general practice.

BMJ 1990; 300 doi: (Published 24 March 1990) Cite this as: BMJ 1990;300:789
  1. C J Cates
  1. Bushey Health Centre, Hertfordshire.


    OBJECTIVE--To assess the influence of giving patients a handout about tetanus immunisation on the rate of immunisation against tetanus among adults in a general practice. DESIGN--Monthly tetanus immunisation rates were audited before and after the handout was introduced. SETTING--A practice with six doctors and a list of 11,000 patients in an urban area of Hertfordshire. INTERVENTIONS--In the first month reception staff were instructed to give a handout about tetanus immunisation to all adults presenting at the reception desk. In the next seven months the doctors used the handouts opportunistically during consultations. RESULTS--No significant change in immunisation rate was detected in the first month in which the handouts were used. During the next seven months the median monthly rate rose threefold. CONCLUSION--Handouts given to patients can increase the uptake of preventive services in general practice.