Use of a clinical decision support system to increase osteoporosis screening

被引:26
作者
DeJesus, Ramona S. [1 ]
Angstman, Kurt B. [2 ]
Kesman, Rebecca [1 ]
Stroebel, Robert J. [1 ]
Bernard, Matthew E. [2 ]
Scheitel, Sidna M. [1 ]
Hunt, Vicki L. [1 ]
Rahman, Ahmed S. [3 ]
Chaudhry, Rajeev [1 ]
机构
[1] Mayo Clin, Div Primary Care Internal Med, Rochester, MN 55905 USA
[2] Mayo Clin, Dept Family Med, Rochester, MN 55905 USA
[3] Mayo Clin, Ctr Innovat, Rochester, MN 55905 USA
关键词
clinical decision support system; delivery of health care; mass screening; osteoporosis; technology; HEALTH INFORMATION-TECHNOLOGY; PRIMARY-CARE; UNITED-STATES; WOMEN; RECOMMENDATIONS; PREVENTION; PHYSICIAN; FRACTURE; TIME;
D O I
10.1111/j.1365-2753.2010.01528.x
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background In 2002, the US Preventive Services Task Force recommended routine osteoporosis screening for women aged 65 years or older. However, studies have indicated that osteoporosis remains underdiagnosed, and various methods such as the use of health information technology have been tried to increase screening rates. We investigated whether we could boost the low rates of bone mineral density testing with implementation of a point-of-care clinical decision support system in our primary care practice.
引用
收藏
页码:89 / 92
页数:4
相关论文
共 22 条
[1]  
[Anonymous], AHRQ PUBLICATION
[2]  
[Anonymous], 2004, Bone Health and Osteoporosis: A report of the Surgeon General
[3]   Screening for osteoporosis in postmenopausal women: Recommendations and rationale [J].
Berg, AO ;
Allan, JD ;
Frame, PS ;
Homer, CJ ;
Johnson, MS ;
Klein, JD ;
Lieu, TA ;
Mulrow, CD ;
Orleans, CT ;
Peipert, JF ;
Pender, NJ ;
Siu, AL ;
Teutsch, SM ;
Westhoff, C ;
Woolf, SH .
ANNALS OF INTERNAL MEDICINE, 2002, 137 (06) :526-528
[4]  
Burge R, 2007, J BONE MINER RES, V22, P465, DOI [10.1359/jbmr.061113, 10.1359/JBMR.061113]
[5]   Added value of bone mineral density in hip fracture risk scores [J].
Burger, H ;
De Laet, CEDH ;
Weel, AEAM ;
Hofman, A ;
Pols, HAP .
BONE, 1999, 25 (03) :369-374
[6]   Web-based proactive system to improve breast cancer screening - A randomized controlled trial [J].
Chaudhry, Rajeev ;
Scheitel, Sidna M. ;
McMurtry, Erin K. ;
Leutink, Dorinda J. ;
Cabanela, Rosa L. ;
Naessens, James M. ;
Rahman, Ahmed S. ;
Davis, Lynn A. ;
Stroebel, Robert J. .
ARCHIVES OF INTERNAL MEDICINE, 2007, 167 (06) :606-611
[7]   Osteoporosis: Evaluation of Screening Patterns in a Primary-Care Group Practice [J].
Cohen, Kenneth ;
Maier, Diana .
JOURNAL OF CLINICAL DENSITOMETRY, 2008, 11 (04) :498-502
[8]   Health information technology and physician perceptions of quality of care and satisfaction [J].
Davis, Karen ;
Doty, Michelle McEvoy ;
Shea, Katherine ;
Stremikis, Kristof .
HEALTH POLICY, 2009, 90 (2-3) :239-246
[9]   Missed opportunities for prevention of osteoporotic fracture [J].
Gallagher, TC ;
Geling, O ;
Comite, F .
ARCHIVES OF INTERNAL MEDICINE, 2002, 162 (04) :450-456
[10]   Clinical Decision Support Tools for Osteoporosis Disease Management: A Systematic Review of Randomized Controlled Trials [J].
Kastner, Monika ;
Straus, Sharon E. .
JOURNAL OF GENERAL INTERNAL MEDICINE, 2008, 23 (12) :2095-2105