Impact of a generalizable reminder system on colorectal cancer screening in diverse primary care practices: a report from the prompting and reminding at encounters for prevention project.

Medical Care
Donald E NeaseJennifer M Underwood

Abstract

Computerized reminder systems (CRS) show promise for increasing preventive services such as colorectal cancer (CRC) screening. However, prior research has not evaluated a generalizable CRS across diverse, community primary care practices. We evaluated whether a generalizable CRS, ClinfoTracker, could improve screening rates for CRC in diverse primary care practices. The study was a prospective trial to evaluate ClinfoTracker using historical control data in 12 Great Lakes Research In Practice Network community-based, primary care practices distributed from Southeast to Upper Peninsula Michigan. Our outcome measures were pre- and post-study practice-level CRC screening rates among patients seen during the 9-month study period. Ability to maintain the CRS was measured by days of reminder printing. Field notes were used to examine each practice's cohesion and technology capabilities. All but one practice increased their CRC screening rates, ranging from 3.3% to 16.8% improvement. t tests adjusted for within practice correlation showed improvement in screening rates across all 12 practices, from 41.7% to 50.9%, P = 0.002. Technology capabilities impacted printing days (74% for high technology vs. 45% for low technology practices, P...Continue Reading

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Citations

May 5, 2011·Journal of General Internal Medicine·Ghalib JibaraKatherine N DuHamel
Jul 16, 2013·BMJ Quality & Safety·Robert El-KarehGordon D Schiff
Oct 1, 2011·Implementation Science : IS·Melissa C BrouwersNadine Wathen
Sep 9, 2008·Medical Care·Carrie N KlabundeMartin L Brown
Jul 17, 2015·Journal of the American Medical Informatics Association : JAMIA·Will L Tarver, Nir Menachemi
Jan 21, 2014·International Journal of Medical Informatics·Andrew E PetrollKathlyn E Fletcher
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Jun 9, 2016·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Carolina GuiriguetAntoni Castells
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Nov 5, 2019·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Usha MenonLinda Larkey

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