Electronic clinical reminder and quality of primary diabetes care

Autor: Eric W. Ford, Jaeyong Bae, Kitty S. Chan, Shannon Wu
Rok vydání: 2019
Předmět:
Male
Office Visits
Endocrinology
Diabetes and Metabolism
Private Practice
Logistic regression
0302 clinical medicine
Electronic Health Records
030212 general & internal medicine
Practice Patterns
Physicians'
media_common
Nutrition and Dietetics
medicine.diagnostic_test
Middle Aged
Quality Improvement
Diabetic Foot
Test (assessment)
Practice Guidelines as Topic
Ambulatory
Group Practice
Female
Guideline Adherence
Family Practice
Adult
medicine.medical_specialty
Adolescent
Urinalysis
Reminder Systems
media_common.quotation_subject
030209 endocrinology & metabolism
Young Adult
03 medical and health sciences
Diabetes mellitus
Diabetes Mellitus
Internal Medicine
medicine
Humans
Quality (business)
Aged
Quality Indicators
Health Care
Retrospective Studies
Glycated Hemoglobin
American diabetes association
Primary Health Care
business.industry
Retrospective cohort study
medicine.disease
United States
Family medicine
business
Biomarkers
Zdroj: Primary Care Diabetes. 13:150-157
ISSN: 1751-9918
DOI: 10.1016/j.pcd.2018.08.007
Popis: To study the association of EMR's clinical reminder use on a comprehensive set of diabetes quality metrics in U.S. office-based physicians and within solo- versus multi-physician practices. We conducted a retrospective cohort study on visits made by adults with diabetes identified from the National Ambulatory Medical Care Survey (2012-2014).Multiple logistic regression is used to test for associations between clinical reminder use and recommended services by the American Diabetes Association.Of 5508 visits, nationally representing 112,978,791 visits, 31% received HbA1c tests, 13% received urinalysis test, and10% received retinal or foot exams. Main effects of practice size and clinical reminder use were found for HbA1c, urinalysis, and foot exams. We find no statistically significant relationship to suggest that clinical reminder use improve diabetes process guidelines for solo practices.Resource efforts, beyond clinical reminders, are needed to reduce gaps in primary diabetes care between solo and non-solo practices.
Databáze: OpenAIRE
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