Banks N J, Palmer R H
Harvard School of Public Health, Boston, MA.
HMO Pract. 1990 Jul-Aug;4(4):131-6.
Computerized reminders are a tool to improve patient care, increase compliance, and reduce medical liability in ambulatory health care. Continuity of care is often hard to achieve given large patient loads, cost containment pressures, and regulatory requirements. Recall reminders prompt patients to make or keep appointments for health maintenance or screening exams. Physician reminders are issued to clinicians at or between visits when their patients have specific screening or diagnostic needs. Reminder systems based on clinical protocols have the added advantage of providing explicit instructions for workup or treatment of abnormal conditions. These reminder systems are especially useful to standardize care in offices with many providers. Implementation of reminder systems is aided by careful staff preparation and resource allocation. Ultimately, reminder systems enhance quality of care, increase patient satisfaction, and reduce costs through improved continuity of care and early detection of serious illness.
计算机化提醒是一种用于改善门诊医疗中患者护理、提高依从性并降低医疗责任的工具。鉴于患者数量众多、成本控制压力以及监管要求，医疗连续性往往难以实现。召回提醒促使患者预约或按时进行健康维护或筛查检查。当患者有特定的筛查或诊断需求时，会在就诊时或就诊期间向临床医生发出医生提醒。基于临床协议的提醒系统还有额外的优势，即能为异常情况的检查或治疗提供明确的指导。这些提醒系统对于在有许多医疗服务提供者的诊所中实现标准化护理尤为有用。精心的人员准备和资源分配有助于提醒系统的实施。最终，提醒系统通过改善医疗连续性和早期发现严重疾病来提高医疗质量、增加患者满意度并降低成本。
