Physicians’ reasons for failing to comply with computerized preventive care guidelines |
| |
Authors: | Debra K Litzelman MD MA Dr William M Tierney MD |
| |
Institution: | (1) Fifth Floor, Regenstrief Health Center, 1001 W. Tenth St., 46202 Indianapolis, IN |
| |
Abstract: | The objective of this study was to assess reasons for physicians’ noncompliance with computer-generated preventive care reminders.
In an academic general internal medicine practice, a survey of physicians’ reasons for noncompliance found that 55% of reminders
were not complied with. Reasons included “not applicable” in 22.6% (test done elsewhere, patient too ill, no uterus), “next
visit” in 22.5% (physician too busy, patient too ill), and “patient refuses” in 9.9% (test not necessary or too costly, patient
too busy or fears result). We conclude that although noncompliance with reminders is sometimes appropriate, making time for
prevention and patient education may augment preventive care.
Received from the Department of Medicine, Wishard Memorial Hospital, and the Indiana University School of Medicine, the Regenstrief
Institute for Health Care, and the Health Services Research and Development Service, Richard L. Roudebush VA Medical Center,
Indianapolis, Ind.
Supported in part by grants HS07632, HS07763, and HS07719 from the Agency for Health Care Policy and Research (AHCPR). Dr.
Litzelman was supported in part by a Robert Wood Johnson Generalist Physician Faculty Scholar Award (022318).
The opinions expressed herein are solely those of the authors and do not necessarily represent the authors’ institutions,
AHCPR, or the Robert Wood Johnson Foundation. |
| |
Keywords: | preventive care computer reminders physician compliance |
本文献已被 SpringerLink 等数据库收录! |
|