title: Effectiveness of health maintenance reminders provided directly to patients.
abstract: 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.
authors.affiliation: Partners HealthCare System, Brigham and Women's Hospital, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
authors.forename: Adam
authors.initials: A
authors.lastname: Wright
authors.forename: Eric G
authors.initials: EG
authors.lastname: Poon
authors.forename: Jonathan
authors.initials: J
authors.lastname: Wald
authors.forename: Jeffrey L
authors.initials: JL
authors.lastname: Schnipper
authors.forename: Richard
authors.initials: R
authors.lastname: Grant
authors.forename: Tejal K
authors.initials: TK
authors.lastname: Gandhi
authors.forename: Lynn A
authors.initials: LA
authors.lastname: Volk
authors.forename: Amy
authors.initials: A
authors.lastname: Bloom
authors.forename: Deborah H
authors.initials: DH
authors.lastname: Williams
authors.forename: Kate
authors.initials: K
authors.lastname: Gardner
authors.forename: Marianna
authors.initials: M
authors.lastname: Epstein
authors.forename: Lisa
authors.initials: L
authors.lastname: Nelson
authors.forename: Alex
authors.initials: A
authors.lastname: Businger
authors.forename: Qi
authors.initials: Q
authors.lastname: Li
authors.forename: David W
authors.initials: DW
authors.lastname: Bates
authors.forename: David Westfall
authors.initials: DW
authors.lastname: Bates
authors.forename: Blackford
authors.initials: B
authors.lastname: Middleton
mesh_terms: 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*