Document Detail


A randomized trial of computerized reminders for blood pressure screening in primary care.
MedLine Citation:
PMID:  2494397     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In a randomized, controlled trial (N = 8,298) the authors compared three ways of encouraging patients in a large family practice to obtain a blood pressure check. Working from computerized medical records at a teaching family-medicine center, the study included patients aged 18 years and over who had not had a blood pressure measurement during the previous year. In a normal-care control group, 21.1% of those due for a blood pressure reading obtained one during the trial year. In one intervention group, a computer-generated message reminded the doctor to check the blood pressure of patients who happened to visit the center for an appointment; 30.7% of patients allocated to this group were checked. In the second group, the nurse contacted patients by telephone and encouraged 24.1% of those who were due for a check to obtain one. Sending a letter to patients in the third group yielded a 35.7% compliance rate. Considering the costs of the three interventions, the physician reminder was the most cost effective, followed by the letter reminder. Although statistically significant, the impact of the reminders was modest. A better approach might involve a combination of routine reminders to the physician, followed by letters to noncompliant patients.
Authors:
I McDowell; C Newell; W Rosser
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Medical care     Volume:  27     ISSN:  0025-7079     ISO Abbreviation:  Med Care     Publication Date:  1989 Mar 
Date Detail:
Created Date:  1989-04-24     Completed Date:  1989-04-24     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0230027     Medline TA:  Med Care     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  297-305     Citation Subset:  IM    
Affiliation:
Health Care Research Unit, University of Ottawa, Ontario, Canada.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Ambulatory Care Information Systems*
Blood Pressure Determination*
Clinical Trials as Topic
Cost-Benefit Analysis
Female
Humans
Hypertension / prevention & control*
Information Systems*
Male
Medical Records
Middle Aged
Ontario
Outcome and Process Assessment (Health Care)
Patient Compliance*
Physicians
Postal Service
Primary Health Care*
Random Allocation
Telephone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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