Do electronic reminders alter recorded diagnoses in primary care office-hours practices of health centers : A register-based study in a Finnish city

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dc.contributor.author Lehto, Mika T
dc.contributor.author Pitkälä, Kaisu
dc.contributor.author Rahkonen, Ossi
dc.contributor.author Laine, Merja
dc.contributor.author Raina, Marko
dc.contributor.author Kauppila, Timo Ilmari
dc.date.accessioned 2021-09-30T14:39:01Z
dc.date.available 2021-09-30T14:39:01Z
dc.date.issued 2021-07-09
dc.identifier.citation Lehto , M T , Pitkälä , K , Rahkonen , O , Laine , M , Raina , M & Kauppila , T I 2021 , ' Do electronic reminders alter recorded diagnoses in primary care office-hours practices of health centers : A register-based study in a Finnish city ' , SAGE Open Medicine , vol. 9 , 20503121211036117 . https://doi.org/10.1177/20503121211036117
dc.identifier.other PURE: 167311949
dc.identifier.other PURE UUID: 9584f8ca-5cb8-4716-ab1c-beaf9a18c72e
dc.identifier.other WOS: 000688077000001
dc.identifier.other ORCID: 0000-0001-7315-2118
dc.identifier.other ORCID: 0000-0002-6155-0300
dc.identifier.other ORCID: /0000-0001-9659-6985/work/100823782
dc.identifier.other ORCID: /0000-0002-7202-3274/work/100824496
dc.identifier.other ORCID: /0000-0002-1848-1514/work/100827106
dc.identifier.uri http://hdl.handle.net/10138/334789
dc.description.abstract Objectives: One purpose of electronic reminders is improvement of the quality of documentation in office-hours primary care. The aim of this study was to evaluate how implementation of electronic reminders alters the rate and/or content of diagnostic data recorded by primary care physicians in office-hours practices in primary care health centers. Methods: The present work is a register-based longitudinal follow-up study with a before-and-after design. An electronic reminder was installed in the electronic health record system of the primary health care of a Finnish city to remind physicians to include the diagnosis code of the visit in the health record. The report generator of the electronic health record system provided monthly figures for the number of various recorded diagnoses by using the International Classification of Diseases, 10th edition, and the total number of visits to primary care physicians, thus allowing the calculation of the recording rate of diagnoses on a monthly basis. The distribution of diagnoses before and after implementing ERs was also compared. Results: After the introduction of the electronic reminder, the rate of diagnosis recording by primary care physicians increased clearly from 39.7% to 87.2% (p < 0.001). The intervention enhanced the recording rate of symptomatic diagnoses (group R) and some chronic diseases such as hypertension, type 2 diabetes and other soft tissue disorders. Recording rate of diagnoses related to diseases of the respiratory system (group J), injuries, poisoning and certain other consequences of external causes (group S), and diseases of single body region of the musculoskeletal system and connective tissue (group M) decreased after the implementation of electronic reminders. Conclusion: Electronic reminders may alter the contents and extent of recorded diagnosis data in office-hours practices of the primary care health centers. They were found to have an influence on the recording rates of diagnoses related to chronic diseases. Electronic reminders may be a useful tool in primary health care when attempting to change the behavior of primary care physicians. en
dc.format.extent 9
dc.language.iso eng
dc.relation.ispartof SAGE Open Medicine
dc.rights cc_by
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject ASTHMA
dc.subject Diagnose
dc.subject IMPROVE
dc.subject MANAGEMENT
dc.subject RANDOMIZED CONTROLLED-TRIAL
dc.subject SUGGESTIONS
dc.subject electronic medical record
dc.subject electronic reminder
dc.subject primary care
dc.subject recording
dc.subject 3141 Health care science
dc.subject 3142 Public health care science, environmental and occupational health
dc.title Do electronic reminders alter recorded diagnoses in primary care office-hours practices of health centers : A register-based study in a Finnish city en
dc.type Article
dc.contributor.organization Department of General Practice and Primary Health Care
dc.contributor.organization Teachers' Academy
dc.contributor.organization Clinicum
dc.contributor.organization Department of Public Health
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1177/20503121211036117
dc.relation.issn 2050-3121
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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