The effect of electronic reminders on the recording of diagnoses in primary care : A quasi-experimental before and after study

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http://hdl.handle.net/10138/316198

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Lehtovuori , T , Heikkinen , A M , Raina , M & Kauppila , T 2020 , ' The effect of electronic reminders on the recording of diagnoses in primary care : A quasi-experimental before and after study ' , SAGE Open Medicine , vol. 8 , 2050312120918267 . https://doi.org/10.1177/2050312120918267

Title: The effect of electronic reminders on the recording of diagnoses in primary care : A quasi-experimental before and after study
Author: Lehtovuori, Tuomo; Heikkinen, Anna M.; Raina, Marko; Kauppila, Timo
Contributor organization: Department of Oral and Maxillofacial Diseases
Staff Services
HUS Head and Neck Center
Department of General Practice and Primary Health Care
University of Helsinki
Date: 2020-04
Language: eng
Number of pages: 5
Belongs to series: SAGE Open Medicine
ISSN: 2050-3121
DOI: https://doi.org/10.1177/2050312120918267
URI: http://hdl.handle.net/10138/316198
Abstract: Objectives: This study examined whether using electronic reminders leads to an increase in the rate of diagnosis recordings in the electronic health record system following visits to a general practitioner. The impact of electronic reminders was studied in the primary health care of a Finnish city. Methods: This observational quasi-experimental study based on a before-and-after design was carried out by installing an electronic reminder to improve the recording of diagnoses in the computerized electronic health record system. The quantity of the recorded diagnoses was observed before and after the intervention. The effect of this intervention on the distribution of different diagnoses was also studied. Results: Before intervention, 33%-46% of visits (to general practitioners/month) had recorded diagnose in the primary health care units. After 4 years, the recording rate had risen to 87%-95% (p <0.001). The rate of change in the recording of diagnoses was highest during the first year of intervention and plateaued about 3.5 years after application reminders. In the present study, most of the visits concerned mild respiratory infections, elevated blood pressure, low back pain and type 2 diabetes. Conclusion: An electronic reminder is likely to improve the recording of diagnoses during the visits to general practitioners. The distribution of diagnoses was in line with former reports concerning diagnoses in Finnish primary care.
Subject: Community health centers
medical informatics
primary health care
practice management
quality improvement
diagnosis
QUALITY-OF-CARE
3141 Health care science
Peer reviewed: Yes
Rights: cc_by_nc
Usage restriction: openAccess
Self-archived version: publishedVersion


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