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Implementation and evaluation of a computer-based preventive services system

Authors
Ornstein SM, Garr DR, Jenkins RG, Musham C, Hamadeh G, Lancaster C
Journal
Fam Med
Publication Date
1995 Apr
Volume
27
Issue
4
Pages
260-6
  • HIT Description: Computerized preventative care reminders within a computerized patient record. More info...
  • Purpose of Study: Evaluate a comprehensive computer-based preventative service reminder and education system.
  • Years of study: 1992-1993
  • Study Design: Pre-Post
  • Outcomes: Adherence to twenty-nine based USPSTF recommendations, patients perceptions of preventative services received, and physician acceptance of system.
Summary:
  • Settings: Family practice ambulatory setting affiliated with university medical school
  • Intervention: Computerized preventative services reminder system and patient education materials integrated in ambulatory electronic medical record, combined with educational seminars for practitioners
  • Evaluation Method: Patient exit surveys regarding preventative services received during physician visits, interviews with physicians, audits of patient adherence to recommended patient services.
  • Description: Electronic medical records system, implemented in 1991.
  • Quality of Care and Patient Safety Outcome: Improved adherence with 7/7 counseling services, and 10 of 15 screening services and one of five immunization services.
  • Benefits: No improvement in perceived preventative services by patients.
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