A controlled trial to improve delivery of preventive care - Physician or patient reminders?

Barbara J. Turner, Susan C. Day, Bette Borenstein

Research output: Contribution to journalArticlepeer-review

85 Scopus citations

Abstract

Objective:To improve the delivery of preventive care in a medical clinic, a controlled trial was conducted of two interventions that were expected to influence delivery of preventive services differently, depending on level of initiative required of the physician or patient to complete a service. Design:A prospective, controlled trial of five-months' duration. Setting:A university hospital-based, general medical clinic. Participants:Thirty-nine junior and senior medical residents who saw patients in stable clinic teams throughout the study. Intervention:A computerized reminder system for physicians and a patient questionnaire and educational handout on preventive care. Measurements and main results:Delivery of five of six audited preventive services improved significantly after the interventions were introduced. The computerized reminder alone increased completion rates of services that relied primarily on physician initiative; the questionnaire alone increased completion rate of the service that depended more on patient compliance as well as on some physician-dependent services. Both interventions used together were slightly less effective in improving performance of physician-dependent services than the computerized reminder used alone. Conclusions:These interventions can improve the delivery of preventive care but they differ in their impacts on physician and patient behaviors. Overall, the computer reminder was the more effective intervention.

Original languageEnglish (US)
Pages (from-to)403-409
Number of pages7
JournalJournal of General Internal Medicine
Volume4
Issue number5
DOIs
StatePublished - Sep 1 1989

Keywords

  • Preventive care
  • computer reminder
  • medical clinic
  • patient questionnaire

ASJC Scopus subject areas

  • Internal Medicine

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