title: A randomized clinical trial of clinical decision support in a rural community health network serving lower income individuals: study design and baseline characteristics.
abstract: Lower income individuals in the US frequently experience difficulties in obtaining access to needed health care services. We describe a randomized clinical trial that seeks to improve the quality of, and access to healthcare services for medically underserved populations in five rural counties of North Carolina. We propose to achieve these improvements by implementing system-to-system integration via a telehealth network with an asynchronous clinical decision support system for health care providers.
authors.affiliation: Duke Clinical Research Institute, Durham, NC, USA.
authors.forename: Eric L
authors.initials: EL
authors.lastname: Eisenstein
authors.forename: David F
authors.initials: DF
authors.lastname: Lobach
authors.forename: Kensaku
authors.initials: K
authors.lastname: Kawamoto
authors.forename: Rex
authors.initials: R
authors.lastname: Edwards
authors.forename: Janese M
authors.initials: JM
authors.lastname: Willis
authors.forename: Garry M
authors.initials: GM
authors.lastname: Silvey
authors.forename: Kevin J
authors.initials: KJ
authors.lastname: Anstrom
mesh_terms: D000293:Adolescent; D000328:Adult; D002675:Child, Preschool; D019058:Community Networks; D020000:Decision Support Systems, Clinical; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009657:North Carolina; D017063:Outcome Assessment, Health Care; D011203:Poverty; D012424:Rural Population; D055815:Young Adult