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Implementation and evaluation of a computer-based preventive services system
S M Ornstein1, D R Garr, R G Jenkins
1Department of Family Medicine, Medical University of South Carolina, Charleston, USA.
Family Medicine
|April 1, 1995
Summary
A computer-based patient record system improved preventive services delivery in family medicine. Physician adoption and adherence to screening and counseling services increased significantly over time.
Area of Science:
- Family Medicine
- Health Informatics
- Preventive Healthcare
Background:
- Modern information systems are underutilized in family medicine for preventive services education and delivery.
- The US Preventive Services Task Force (USPSTF) provides recommendations for preventive care.
Purpose of the Study:
- To develop, implement, and evaluate a comprehensive computer-based system for delivering and educating about preventive services.
- To improve the integration of USPSTF recommendations into family medicine practice.
Main Methods:
- Implemented a computer-based patient record (CPR) system with tracking, reminders, and educational features.
- Incorporated 29 USPSTF recommendations and an extensive physician education series.
- Utilized patient surveys, physician interviews, and practice audits for evaluation.
Main Results:
- Physician acceptance of the CPR system grew, with 88% using reminders frequently by 1993.
- Practice audits showed increased adherence to counseling and screening services.
- Patient perceptions of service frequency did not initially change, but concordance between patient desires and physician actions improved.
Conclusions:
- A CPR-based system, combined with adaptable physician education, is an effective solution for enhancing preventive services delivery.
- Integrating information systems can improve both the education and practice of preventive medicine in family medicine settings.