Results were inconsistent for changes in CVD risk factors such as systolic and diastolic blood pressure , total and low-density lipoprotein cholesterol , and hemoglobin A1C levels .
CONCLUSIONS CDSSs are effective in improving clinician practice s related to screening and other preventive care services , clinical tests , and treatments .
CONTEXT Clinical decision support systems ( CDSSs ) can help clinicians assess cardiovascular disease ( CVD ) risk and manage CVD risk factors by providing tailored assessment s and treatment recommendations based on individual patient data .
The goal of this systematic review was to examine the effectiveness of CDSSs in improving screening for CVD risk factors , practice s for CVD-related preventive care services such as clinical tests and prescribed treatments , and management of CVD risk factors .
Use of reminders for preventive procedures in family medicine.
OBJECTIVE To compare the effectiveness of three computerized reminder systems in the delivery of five preventive procedures in family practice . DESIGN Prospect i ve , r and omized , controlled study . SETTING Ottawa Civic Hospital Family Medicine Centre . PARTICIPANTS Of 8502 patients 15 years of age or more who were not in a hospital or institution 5883 were r and omly assigned , by family , to a control group , a physician reminder group ( passive ) or a telephone or letter reminder group ( active ) . The remaining 2619 patients were not included in the r and omized portion of the study but were monitored . INTERVENTION During 1 year the patients in the active reminder groups received a telephone call or letter reminding them of any overdue preventive procedures ; for those in the passive reminder group the physician was reminded at an office visit to provide any overdue service . OUTCOME MEASURE Rates of completion of the preventive procedures required . MAIN RESULTS All three reminder systems significantly improved the delivery of preventive services ( p less than 0.001 ) . The procedure completion rates were 42.0 % in the letter reminder group , 42.0 % in the telephone reminder group , 33.7 % in the physician reminder group and 14.1 % in the r and omized control group . The use of a letter was more cost-effective than the telephone system , but the physician reminder system was the most cost-effective . CONCLUSION Computerized reminder systems do improve the delivery of preventive services in family practice
Results were inconsistent for changes in CVD risk factors such as systolic and diastolic blood pressure , total and low-density lipoprotein cholesterol , and hemoglobin A1C levels .
CONCLUSIONS CDSSs are effective in improving clinician practice s related to screening and other preventive care services , clinical tests , and treatments .
CONTEXT Clinical decision support systems ( CDSSs ) can help clinicians assess cardiovascular disease ( CVD ) risk and manage CVD risk factors by providing tailored assessment s and treatment recommendations based on individual patient data .
The goal of this systematic review was to examine the effectiveness of CDSSs in improving screening for CVD risk factors , practice s for CVD-related preventive care services such as clinical tests and prescribed treatments , and management of CVD risk factors .