Evidence-Based Medicine Electronic Decision Support Study

Study Overview
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Brief Summary
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The purpose of this study is to analyze the effect of the Evidence-Based Medicine electronic Decision Support (EBMeDS) automatic reminders in primary health care. Hypothesis (1)is that in the intervention group the total number of EBMeDS reminders will decrease compared to the control group. Hypothesis (2) is that in the intervention group the quality measures will increase faster compared to the control group at follow-up time.

Official Title
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Patient Specific Automatic Reminders in Primary Care - the EBMeDS Randomised Trial

Conditions
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Decision Support Systems, Clinical

Intervention / Treatment
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* Behavioral: The EBMeDS reminders


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All residents of Sipoo who have patient ID number in the Mediatri electronic patient record system in Sipoo Health Centre Exclusion Criteria: Those residents who's occupational health care is produced by Sipoo Health Centre
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Double


Arms and Interventions

| Intervention/Treatment |
| --- |
|Behavioral: The EBMeDS reminders|Phase I: EBMeDS reminders specific to the visiting or caring patient and his/her clinical problem are generated when the practitioner uses the electronic patient record. During visits of intervention group patients the EBMeDS reminders will be shown on screen to the practitioner. Phase II: As phase I and in addition, results of the Virtual Health Check (VHC) of all the intervention group patients will be shown to the practitioners.Phase II will be fulfilled in Autumn 2010 and follow-up time will be about 3 months.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The number of reminders triggered (in relation to the number of eligible patients, Ri/Ni) during repeated Virtual Health Checks (VHCs) | VHC will be performed once a week for the whole study population, beginning at baseline and before randomisation. The main outcome measure is Ri/Ni at follow-up time after commencement of the study where Ri is the total number of reminders triggered by the patient record data in intervention and in control group at the time of analysis, and Ni is the total number of patients. | Follow-up time max one and half year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Specific clinical measures compared to an intervention and a control group | Clinical measures as mean values of laboratory parameters, for example a mean level of HbA1c, a mean level of total cholesterol. |  | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Clinical Decision Support System, Automatic reminder, Primary care, Evidence-Based Medicine