Clinical effect of computer generated physician reminders in health screening in primary health care—a controlled clinical trial of preventive services among the elderly

Toth-Pal, Eva; Nilsson, Gunnar; Furhoff, Anna‐Karin

doi:10.1016/j.ijmedinf.2004.05.007

Cited by 41 publications

(31 citation statements)

References 6 publications

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“…Prior research has shown that health care providers can impact their patients' decisions to undergo cancer screening by raising the issue during appointments. 20,21 Electronic reminder systems have been used with success in improving cancer screening and preventive services in ambulatory care clinics, [22][23][24][25] particularly in academic settings. 26 We plan to develop and implement an educational program and an electronic reminder system to improve HBV risk assessment and screening in our academic general medicine clinic.…”

Section: Discussionmentioning

confidence: 99%

Provider knowledge and practice regarding hepatitis B screening in Chinese-speaking patients

et al. 2007

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Section: Discussionmentioning

confidence: 99%

Provider knowledge and practice regarding hepatitis B screening in Chinese-speaking patients

et al. 2007

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“…Surveys of medical records have demonstrated suboptimal level of hypertension control despite adequate access to health care providers (15,16,56). Acceptance of suboptimal blood pressure control by providers appears to contribute to low hypertension control rates (46,76,95,133,175). Many providers are not familiar with national guidelines (78).…”

Section: Barriers To Hypertension Controlmentioning

confidence: 99%

HYPERTENSION: Trends in Prevalence, Incidence, and Control

Hajjar

Kotchen

2006

Annu. Rev. Public Health

291

177

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■ Abstract Hypertension is the leading cause of cardiovascular disease worldwide.Prior to 1990, population data suggest that hypertension prevalence was decreasing; however, recent data suggest that it is again on the rise. In -2002.6% of the U.S. population had hypertension. Hypertension prevalence has also been increasing in other countries, and an estimated 972 million people in the world are suffering from this problem. Incidence rates of hypertension range between 3% and 18%, depending on the age, gender, ethnicity, and body size of the population studied. Despite advances in hypertension treatment, control rates continue to be suboptimal. Only about one third of all hypertensives are controlled in the United States. Programs that improve hypertension control rates and prevent hypertension are urgently needed. DEFINING HYPERTENSIONThe definition of hypertension has changed over time in response to better understanding of the pathophysiology, actuarial considerations of the life insurance industry, studies of blood pressure in diverse populations, consideration of the interaction of blood pressure levels and comorbid conditions, landmark studies of blood pressure-related health outcomes, and the development and evaluation of effective antihypertensive therapies. Definitions for the upper level of normal ranges of blood pressure for adults have been based on epidemiological findings relating blood pressure levels to risks for adverse outcomes in populations and evidence from clinical trials demonstrating reduced risk of adverse outcomes with antihypertensive therapies.Epidemiological data support a continuous, incremental risk of cardiovascular disease, stroke, and renal disease across levels of both systolic and diastolic blood pressure (89,151,184). The life insurance industry was the first to relate mortality

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“…more recently, researchers in North America (Gill et al 2006;Ornstein et al 2007) have begun to use these data for research. Worldwide, specific research uses of EmR data include helping to improve primary healthcare for patients with chronic conditions such as diabetes (Gill et al 2006;Ornstein et al 2007;Kupersmith et al 2007) and hypertension (mitchell et al 2005), as well as to enhance preventive care (Toth-Pal et al 2004;vogt et al 2007), to examine relationships between symptoms and ensuing disease in patients ( Jones et al 2007) and to support family concordance studies (Hippisley-Cox et al 2002). However, significant challenges remain in using EmR data for research (Lobach and detmer 2007).…”

Section: Introductionmentioning

confidence: 99%

“…Evidence from the literature suggests that EmRs can improve practice by providing point-of-care information to assist clinical decision-making (Bates et al 1999;Garg et al 2005) and by giving feedback on standards of care leading to improved patient management (mitchell et al 2005;Toth-Pal et al 2004;vogt et al 2007). EmRs can help policy making by providing evidence about primary care workload community needs, which are expressed as health services utilization (Okkes et al 2002).…”

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confidence: 99%

Implementing and Maintaining a Researchable Database from Electronic Medical Records: A Perspective from an Academic Family Medicine Department

Stewart

Thind²,

Terry³

et al. 2009

hcpol

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Electronic medical records (EmRs) are posited as a tool for improving practice, policy and research in primary healthcare. This paper describes the deliver Primary Healthcare Information (dELPHI) Project at the department of family medicine at the university of Western Ontario, focusing on its development, current status and research potential in order to share experiences with researchers in similar contexts. The project progressed through four stages: (a) participant recruitment, (b) EmR software modification and implementation, (c) database creation and (d) data quality assessment. Currently, the dELPHI database holds more than two years of highquality, de-identified data from 10 practices, with 30,000 patients and nearly a quarter of a million encounters. RésuméLes dossiers médicaux informatisés (DMI) se veulent un outil pour améliorer la pratique, les politiques et la recherche en matière de soins de santé primaires. Cet article décrit le projet DELPHI (Deliver Primary Healthcare Information) du service de médecine familiale à l'Université Western Ontario, en mettant l' accent sur sa mise en place, son statut actuel et son potentiel de recherche, et ce, afin de partager l' expérience avec les chercheurs qui travaillent dans un contexte semblable. Le projet s' est déroulé en quatre étapes : (a) le recrutement des participants, (b) la modifica-

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Clinical effect of computer generated physician reminders in health screening in primary health care—a controlled clinical trial of preventive services among the elderly

Cited by 41 publications

References 6 publications

Provider knowledge and practice regarding hepatitis B screening in Chinese-speaking patients

Provider knowledge and practice regarding hepatitis B screening in Chinese-speaking patients

HYPERTENSION: Trends in Prevalence, Incidence, and Control

Implementing and Maintaining a Researchable Database from Electronic Medical Records: A Perspective from an Academic Family Medicine Department

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