Electronic clinical reminder and quality of primary diabetes care |
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Authors: | Shannon S Wu Kitty S Chan Jaeyong Bae Eric W Ford |
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Institution: | 1. Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States;2. Medstar-Georgetown Surgical Outcomes Research Center, Medstar Health Research Institute, Washington, D.C., United States;3. Korea Institute for Health and Social Affairs, Sejong City, Republic of Korea;4. School of Public Health, University of Alabama Birmingham, Birmingham, AL, United States |
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Abstract: | AimsTo study the association of EMR’s clinical reminder use on a comprehensive set of diabetes quality metrics in U.S. office-based physicians and within solo- versus multi-physician practices. We conducted a retrospective cohort study on visits made by adults with diabetes identified from the National Ambulatory Medical Care Survey (2012–2014).MethodsMultiple logistic regression is used to test for associations between clinical reminder use and recommended services by the American Diabetes Association.ResultsOf 5508 visits, nationally representing 112,978,791 visits, 31% received HbA1c tests, 13% received urinalysis test, and <10% received retinal or foot exams. Main effects of practice size and clinical reminder use were found for HbA1c, urinalysis, and foot exams. We find no statistically significant relationship to suggest that clinical reminder use improve diabetes process guidelines for solo practices.ConclusionsResource efforts, beyond clinical reminders, are needed to reduce gaps in primary diabetes care between solo and non-solo practices. |
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Keywords: | Diabetes Quality of care Electronic medical records Primary care |
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