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

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....

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Autores principales: Lehtovuori, Tuomo, Heikkinen, Anna M, Raina, Marko, Kauppila, Timo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222644/
https://www.ncbi.nlm.nih.gov/pubmed/32435481
http://dx.doi.org/10.1177/2050312120918267
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author Lehtovuori, Tuomo
Heikkinen, Anna M
Raina, Marko
Kauppila, Timo
author_facet Lehtovuori, Tuomo
Heikkinen, Anna M
Raina, Marko
Kauppila, Timo
author_sort Lehtovuori, Tuomo
collection PubMed
description 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.
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spelling pubmed-72226442020-05-20 The effect of electronic reminders on the recording of diagnoses in primary care: A quasi-experimental before and after study Lehtovuori, Tuomo Heikkinen, Anna M Raina, Marko Kauppila, Timo SAGE Open Med Original Article 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. SAGE Publications 2020-04-28 /pmc/articles/PMC7222644/ /pubmed/32435481 http://dx.doi.org/10.1177/2050312120918267 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Article
Lehtovuori, Tuomo
Heikkinen, Anna M
Raina, Marko
Kauppila, Timo
The effect of electronic reminders on the recording of diagnoses in primary care: A quasi-experimental before and after study
title The effect of electronic reminders on the recording of diagnoses in primary care: A quasi-experimental before and after study
title_full The effect of electronic reminders on the recording of diagnoses in primary care: A quasi-experimental before and after study
title_fullStr The effect of electronic reminders on the recording of diagnoses in primary care: A quasi-experimental before and after study
title_full_unstemmed The effect of electronic reminders on the recording of diagnoses in primary care: A quasi-experimental before and after study
title_short The effect of electronic reminders on the recording of diagnoses in primary care: A quasi-experimental before and after study
title_sort effect of electronic reminders on the recording of diagnoses in primary care: a quasi-experimental before and after study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222644/
https://www.ncbi.nlm.nih.gov/pubmed/32435481
http://dx.doi.org/10.1177/2050312120918267
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