title: Design and acceptability of patient-oriented computerized diabetes care reminders for use at the point of care.
abstract: Despite the widespread availability of guidelines for caring for patients with diabetes and decades of research on computerized reminder systems, large gaps in quality remain in diabetes care remain and computerized reminder systems are rarely used for patients with diabetes. We set out to develop and test the feasibility of a system that would overcome many of the barriers preventing the widespread use of point-of-care computerized reminders to improve diabetes care. Five primary care physicians and 32 patients with type 2 diabetes pilot tested the system. We set out to design and measure the preliminary acceptability of patient-oriented point of care computerized diabetes care reminders. The main findings of our study were that (1) the reports were well accepted by both patients and providers and (2) survey and audiotape data suggest that they may be helpful at improving the quality of outpatient care for patients with diabetes.
authors.affiliation: Department of Community Health, Brown Medical School, Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Coro Building, Suite 500, One Hoppin Street, Providence, RI 02903, USA. csciamanna@lifespan.org
authors.forename: C N
authors.initials: CN
authors.lastname: Sciamanna
authors.forename: D R
authors.initials: DR
authors.lastname: Gifford
authors.forename: R J
authors.initials: RJ
authors.lastname: Smith
mesh_terms: D000553:Ambulatory Care / Q000523:psychology / Q000592:standards; D001291:Attitude of Health Personnel; D001292:Attitude to Computers; D003197:Computer Literacy; D003661:Decision Support Techniques; D003924:Diabetes Mellitus, Type 2 / Q000517:prevention & control / Q000523:psychology*; D005240:Feasibility Studies; D005260:Female; D017144:Focus Groups; D019983:Guideline Adherence; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology* / Q000706:statistics & numerical data; D010821:Physicians, Family / Q000193:education / Q000523:psychology*; D010865:Pilot Projects; D019095:Point-of-Care Systems / Q000592:standards*; D017410:Practice Guidelines as Topic; D017010:Reminder Systems / Q000592:standards*; D012237:Rhode Island; D011795:Surveys and Questionnaires; D013637:Tape Recording; D017749:Total Quality Management / Q000592:standards