Effectiveness of health maintenance reminders provided directly to patients.
Provider-centric Electronic Health Records (EHRs) with clinical decision support have had a modest impact on improving quality care. However, they do not directly engage patients in promoting guideline adherence. Tethered Personal Health Records (PHRs) in contrast, can deliver decision support to both patients and providers. We conducted a randomized controlled trial to determine the effectiveness of providing seven screening reminders directly to patients via a PHR. Patients receiving the intervention were significantly more likely to receive Pap smears. No difference was seen for the other reminders.
Wright
Adam
A
Partners HealthCare System, Brigham and Women's Hospital, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Poon
Eric G
EG
Wald
Jonathan
J
Schnipper
Jeffrey L
JL
Grant
Richard
R
Gandhi
Tejal K
TK
Volk
Lynn A
LA
Bloom
Amy
A
Williams
Deborah H
DH
Gardner
Kate
K
Epstein
Marianna
M
Nelson
Lisa
L
Businger
Alex
A
Li
Qi
Q
Bates
David W
DW
Bates
David Westfall
DW
Middleton
Blackford
B
D005260:Female; D055991:Health Records, Personal; D006801:Humans; D008404:Massachusetts; D065006:Papanicolaou Test; D017010:Reminder Systems / Q000706:statistics & numerical data*; D014594:Uterine Neoplasms / Q000175:diagnosis* / Q000517:prevention & control*; D014626:Vaginal Smears / Q000706:statistics & numerical data*