Reminders to physicians from an introspective computer medical record. A two-year randomized trial

C. J. McDonald, S. L. Hui, D. M. Smith, W. M. Tierney, S. J. Cohen, M. Weinberger, G. P. McCabe

Research output: Contribution to journalArticle

458 Citations (Scopus)

Abstract

We developed a computer-stored medical record system containing a limited set of the total clinical data base - primarily diagnostic studies and treatments. This system responds to its own content according to physician- authored reminder rules. To determine the effect of the reminder messages generated by 1,490 rules on physician behavior, we randomly assigned practitioners in a general medicine clinic to study or control groups. The computer found indications for six different actions per patient in 12,467 patients during a 2-year study: 61 study group residents who received computer reminders responded to 49% of these indications; 54 control group residents, to only 29% (p < 0.0001). Preventive care (occult blood testing, mammographic screening, weight reduction diets, influenza and pneumococcal vaccines) was affected. The intentions of the study group to use a given action for an indication predicted their response to the indications (p < 0.03, r2 = 0.33). The intentions of the control residents did not.

Original languageEnglish
Pages (from-to)130-138
Number of pages9
JournalAnnals of Internal Medicine
Volume100
Issue number1
StatePublished - 1984

Fingerprint

Medical Records
Physicians
Reducing Diet
Occult Blood
Pneumococcal Vaccines
Control Groups
Preventive Medicine
Influenza Vaccines
Medicine
Databases
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

McDonald, C. J., Hui, S. L., Smith, D. M., Tierney, W. M., Cohen, S. J., Weinberger, M., & McCabe, G. P. (1984). Reminders to physicians from an introspective computer medical record. A two-year randomized trial. Annals of Internal Medicine, 100(1), 130-138.

Reminders to physicians from an introspective computer medical record. A two-year randomized trial. / McDonald, C. J.; Hui, S. L.; Smith, D. M.; Tierney, W. M.; Cohen, S. J.; Weinberger, M.; McCabe, G. P.

In: Annals of Internal Medicine, Vol. 100, No. 1, 1984, p. 130-138.

Research output: Contribution to journalArticle

McDonald, CJ, Hui, SL, Smith, DM, Tierney, WM, Cohen, SJ, Weinberger, M & McCabe, GP 1984, 'Reminders to physicians from an introspective computer medical record. A two-year randomized trial', Annals of Internal Medicine, vol. 100, no. 1, pp. 130-138.
McDonald CJ, Hui SL, Smith DM, Tierney WM, Cohen SJ, Weinberger M et al. Reminders to physicians from an introspective computer medical record. A two-year randomized trial. Annals of Internal Medicine. 1984;100(1):130-138.
McDonald, C. J. ; Hui, S. L. ; Smith, D. M. ; Tierney, W. M. ; Cohen, S. J. ; Weinberger, M. ; McCabe, G. P. / Reminders to physicians from an introspective computer medical record. A two-year randomized trial. In: Annals of Internal Medicine. 1984 ; Vol. 100, No. 1. pp. 130-138.
@article{7851954a7a4749909f10cda5466e254f,
title = "Reminders to physicians from an introspective computer medical record. A two-year randomized trial",
abstract = "We developed a computer-stored medical record system containing a limited set of the total clinical data base - primarily diagnostic studies and treatments. This system responds to its own content according to physician- authored reminder rules. To determine the effect of the reminder messages generated by 1,490 rules on physician behavior, we randomly assigned practitioners in a general medicine clinic to study or control groups. The computer found indications for six different actions per patient in 12,467 patients during a 2-year study: 61 study group residents who received computer reminders responded to 49{\%} of these indications; 54 control group residents, to only 29{\%} (p < 0.0001). Preventive care (occult blood testing, mammographic screening, weight reduction diets, influenza and pneumococcal vaccines) was affected. The intentions of the study group to use a given action for an indication predicted their response to the indications (p < 0.03, r2 = 0.33). The intentions of the control residents did not.",
author = "McDonald, {C. J.} and Hui, {S. L.} and Smith, {D. M.} and Tierney, {W. M.} and Cohen, {S. J.} and M. Weinberger and McCabe, {G. P.}",
year = "1984",
language = "English",
volume = "100",
pages = "130--138",
journal = "Annals of Internal Medicine",
issn = "0003-4819",
publisher = "American College of Physicians",
number = "1",

}

TY - JOUR

T1 - Reminders to physicians from an introspective computer medical record. A two-year randomized trial

AU - McDonald, C. J.

AU - Hui, S. L.

AU - Smith, D. M.

AU - Tierney, W. M.

AU - Cohen, S. J.

AU - Weinberger, M.

AU - McCabe, G. P.

PY - 1984

Y1 - 1984

N2 - We developed a computer-stored medical record system containing a limited set of the total clinical data base - primarily diagnostic studies and treatments. This system responds to its own content according to physician- authored reminder rules. To determine the effect of the reminder messages generated by 1,490 rules on physician behavior, we randomly assigned practitioners in a general medicine clinic to study or control groups. The computer found indications for six different actions per patient in 12,467 patients during a 2-year study: 61 study group residents who received computer reminders responded to 49% of these indications; 54 control group residents, to only 29% (p < 0.0001). Preventive care (occult blood testing, mammographic screening, weight reduction diets, influenza and pneumococcal vaccines) was affected. The intentions of the study group to use a given action for an indication predicted their response to the indications (p < 0.03, r2 = 0.33). The intentions of the control residents did not.

AB - We developed a computer-stored medical record system containing a limited set of the total clinical data base - primarily diagnostic studies and treatments. This system responds to its own content according to physician- authored reminder rules. To determine the effect of the reminder messages generated by 1,490 rules on physician behavior, we randomly assigned practitioners in a general medicine clinic to study or control groups. The computer found indications for six different actions per patient in 12,467 patients during a 2-year study: 61 study group residents who received computer reminders responded to 49% of these indications; 54 control group residents, to only 29% (p < 0.0001). Preventive care (occult blood testing, mammographic screening, weight reduction diets, influenza and pneumococcal vaccines) was affected. The intentions of the study group to use a given action for an indication predicted their response to the indications (p < 0.03, r2 = 0.33). The intentions of the control residents did not.

UR - http://www.scopus.com/inward/record.url?scp=0021353467&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0021353467&partnerID=8YFLogxK

M3 - Article

C2 - 6691639

AN - SCOPUS:0021353467

VL - 100

SP - 130

EP - 138

JO - Annals of Internal Medicine

JF - Annals of Internal Medicine

SN - 0003-4819

IS - 1

ER -