Electronic medical record reminder improves osteoporosis management after a fracture: A randomized, controlled trial
Electronic medical record reminder improves osteoporosis management after a fracture: A randomized, controlled trial
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DOI：
10.1111/j.1532-5415.2005.00618.x
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发表时间：
2006-03-01
影响因子：
6.3
通讯作者：
Swain, MC
中科院分区：
文献类型：
--
作者：
Feldstein, A;Elmer, PJ;Swain, MC
目的：骨折后骨质疏松的治疗率较低。这项研究评估了增加指南推荐的骨折后骨质疏松护理的方法。设计：参与者被随机分配到常规护理或两种干预措施中的一种。使用电子数据和线性回归对主要结果进行分析。设置：太平洋西北地区的一家非营利性健康维护组织。对象：1999年发生骨折的50至89岁的女性患者(n=311)和她们的初级保健提供者(n=159)，她们没有接受骨密度(BMD)测量或治疗骨质疏松的药物。干预：通过电子病历(EMR)消息或电子提醒向初级保健提供者提供针对患者的临床指南建议，并邮寄给患者教育信函。测量：BMD测量和骨质疏松药物。结果：在6个月时，提供者提醒导致51.5%的患者接受BMD测量或骨质疏松药物治疗。提供者提醒加患者教育占43.1%，常规护理占5.9%(P
OBJECTIVES: Osteoporosis treatment rates after a fracture are low. This study evaluated methods to increase guideline-recommended osteoporosis care postfracture.DESIGN: Participants were randomly assigned to usual care or one of two interventions. Analysis of primary outcomes used electronic data and linear regression.SETTING: A Pacific Northwest nonprofit health maintenance organization.PARTICIPANTS: Female patients aged 50 to 89 who suffered a fracture in 1999 and had not received bone mineral density (BMD) measurement or medication for osteoporosis (n=311) and their primary care providers (n=159).INTERVENTION: Patient-specific clinical guideline advice to the primary care provider delivered by electronic medical record (EMR) message or electronic reminder to the provider plus an educational letter mailed to the patient.MEASUREMENTS: BMD measurement and osteoporosis medication.RESULTS: At 6 months, provider reminder resulted in 51.5% of patients receiving BMD measurement or osteoporosis medication, provider reminder plus patient education resulted in 43.1%, and usual care resulted in 5.9% (P