Electronic clinical reminder and quality of primary diabetes care
제목
Electronic clinical reminder and quality of primary diabetes care
저자
Shannon S. Wu
; Kitty S. Chan
; Jaeyong Bae
; Eric W. Ford
키워드
Diabetes
; Quality of care
; Electronic medical records
; Primary care
발행연도
2019-04-01
발행기관
Elsevier
인용정보
Primary Care Diabetes, vol. 13, no. 2, pp. 150 - 157
초록
Aim: To study the association of EMR'sclinical 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). Methods: Multiple logistic regression is used to test for associations between clinical reminder use and recommended services by the American Diabetes Association. Results: Of 5508 visits, nationally representing 112,978,971 visits, 31% received HbA1c tests, 13% received urinalysis test, and<10% received retinal or foot exams. Main effects of practice size and clinical reminder use were found for HbA1c,urinalysis, and foot exams We found no statistically significant relationship suggest that clinical reminder use improve diabetes process guidelines for solo practices. Conclusions: Resource efforts , beyond clinical reminders are needed to reduce gaps in primary diabetes care between solo and non-solo practices
