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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
PubMed
Summary
This summary is machine-generated.

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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.

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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.