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Electronic clinical reminder and quality of primary diabetes care.

by Chan, Kitty.
Citation: Primary care diabetes. 2018 Sep 12.Journal: Primary care diabetes.Published: ; 2018ISSN: 1878-0210.Full author list: Wu SS; Chan KS; Bae J; Ford EW.UI/PMID: 30219551.Subject(s): IN PROCESS -- NOT YET INDEXEDInstitution(s): MedStar Health Research InstituteActivity type: Journal Article.Medline article type(s): Journal ArticleOnline resources: Click here to access online Digital Object Identifier: https://dx.doi.org/10.1016/j.pcd.2018.08.007 (Click here) Abbreviated citation: Prim Care Diabetes. 2018 Sep 12.Abstract: AIMS: To 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).Abstract: METHODS: Multiple logistic regression is used to test for associations between clinical reminder use and recommended services by the American Diabetes Association.Abstract: RESULTS: Of 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.Abstract: CONCLUSIONS: Resource efforts, beyond clinical reminders, are needed to reduce gaps in primary diabetes care between solo and non-solo practices.Abstract: Copyright (c) 2018 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.

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