Murphy D J, Gross R, Buchanan J
UMDNJ-New Jersey Medical School, Newark, NJ, USA.
Proc AMIA Symp. 2000:600-4.
Compliance with preventive screening tests is inadequate in the United States. We describe a computer based system for generating reminder letters to patients who may have missed their indicated screening tests because they do not visit a provider regularly or missed their tests despite the fact that they do visit a provider. We started with national recommendations and generated a local consensus for test indications. We then used this set of indications and our electronic record to determine test deficiencies in our pilot pool of 3073 patients. The computer generated customized reminder letters targeting several tests. Physicians chose any patients who should not receive letters. The response rate for fecal occult blood (FOB) testing was 33% compared with an 18% historical compliance rate within the same community. FOB reminders generated improved test compliance. Test execution must be considered when commencing a program of screening test reminders.
在美国，预防性筛查检测的依从性不足。我们描述了一种基于计算机的系统，该系统用于为那些可能因未定期就诊或虽就诊但仍错过指定筛查检测的患者生成提醒信。我们从国家建议入手，就检测指征达成了当地共识。然后，我们利用这套指征和我们的电子记录，确定了我们3073名患者的试点样本中的检测缺陷。计算机生成了针对多项检测的定制提醒信。医生挑选出任何不应收到信件的患者。与同一社区内18%的历史依从率相比，粪便潜血（FOB）检测的回复率为33%。FOB提醒提高了检测依从性。在启动筛查检测提醒计划时，必须考虑检测的执行情况。
