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Can computerized reminder systems have an impact on preventive services in practice?

P S Frame1

  • 1Tri-County Family Medicine Program, University of Rochester School of Medicine and Dentistry, NY.

Journal of General Internal Medicine
|September 1, 1990
PubMed
Summary

Computerized reminder systems for health maintenance are often designed for large practices. An ideal system for smaller groups should offer patient reminders, even for those without appointments, and integrate with billing data.

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Area of Science:

  • Health Informatics
  • Clinical Practice Management
  • Health Maintenance

Background:

  • Computerized reminder systems are crucial for tracking patient health maintenance in clinical settings.
  • Current systems primarily cater to large group practices, generating reports at patient visits.
  • A gap exists for systems designed for smaller practices that can proactively remind both providers and patients.

Purpose of the Study:

  • To review existing computerized reminder systems for health maintenance tracking.
  • To discuss the essential features of a useful and cost-effective system for clinical practice.
  • To identify the limitations of current systems and outline the requirements for an ideal system.

Main Methods:

  • Literature review of available computerized reminder systems.

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  • Analysis of system features, focusing on applicability to different practice sizes.
  • Identification of necessary functionalities for an "ideal" health maintenance tracking system.

    • Main Results:

    • Existing systems are largely designed for large group practices, with a focus on provider reports during visits.
    • There is a lack of systems suitable for smaller groups that can generate reminders at appropriate intervals for both providers and patients.
    • Key features for an ideal system include seamless demographic data integration, efficient data entry, flexible reminder generation (regardless of appointments), provider control over reminders, chart status reports, and modifiable procedure parameters.

    Conclusions:

    • Current computerized reminder systems do not adequately serve the needs of smaller clinical practices.
    • An ideal system should offer proactive, flexible patient and provider reminders, efficient data management, and customizable features.
    • Development of such systems could significantly improve health maintenance tracking and patient engagement in diverse clinical settings.