Population-oriented ICT-supported preventive care: Coping with local circumstances

Conditions: Prevention, Primary care, computerized decision support, Electronic health record

Registration Number: NL-OMON22726

Lead Sponsor: Dr Jacobus T van WykProf Johan van der LeiDr Marc AM van WijkMees Mosseveld

Brief Summary: 1. Hunt DL, Haynes RB, Hanna SE, Smith K. Effects of computer-based decision support systems on physician performance and patient outcomes: A systematic review. Journal of the American Medical Association 1998;280(15):1339-1346. 2. Soumarai SB, McLaughlin TJ, Avorn J. Improving drug prescribing in primary care: A critical analysis of the experimental literature. The Millbank Quaterly 1989;67:268-317. 3. Grol RPTM. Successes and failures in the implementation of evidence-based guidelines for clinical practice. Medical Care 2001;39:1146-54. 4. Knottnerus JA. The role of electronic patient records in the development of generla practice in the Netherlands. Methods of Information in Medicine 1999;38:350-355. 5. Institute of Medicine. Crossing the quality chasm: A new health system for the 21st century. Washington DC: National Academy Press; 2001. 6. Bates D, Gawanda A. Improving safety with information technology. New England Journal of Medicine 2003;348:2526-2534. 7. Van Wijk MAM, Bohnen AM, Van der Lei J. Analysis of the practice guidelines of the Dutch College of General Practitioners with respect to the use of blood tests. Journal of the American Medical Informatics Association 1999;6:322-331. 8. Van Wijk MAM, Mosseveld BMT, Van der Lei J. The design of a decision-support system for test ordering in general practice: Choices and decisions to make. Methods of Information in Medicine 1999;38:355-361. 9. Van Wijk MAM, Van der Lei J, Mosseveld BMT, Bohnen AM, Van Bemmel JH. Assessment of decision support for blood test ordering in primary care: A randomized trial. Annals of Internal Medicine 2001;134:274-81. 10. Van Wijk MAM, Van der Lei J, Mosseveld BMT, Bohnen AM, van Bemel JH. Compliance of general practitioners with a guideline-based decision support system for ordering blood tests. Clinical Chemistry 2002;48(1):55-60. 11. Kuilboer MM, van Wijk MA, Mosseveld M, van der Does E, Ponsioen BP, de Jongste JC, et al. Feasibility of AsthmaCritic, a decision-support system for asthma and COPD which generates patient-specific feedback on routinely recorded data in general practice. Family Practice 2002;19(5):442-7. 12. Kuilboer MM, van Wijk MA, Mosseveld M, van der Lei J. AsthmaCritic: issues in designing a noninquisitive critiquing system for daily practice. Journal of the American Medical Informatics Association 2003;10(5):419-24. 13. Van Bemmel JH, Musen MA, editors. Handbook of Medical Informatics. Heidelberg, Germany: Springer Verlag; 1997. 14. Kuilboer MM. AsthmaCritic: a critiquing system and Asthma and COPD. PhD Thesis. Rotterdam: Erasmus University; 2003. 15. Vlug AE, Van der Lei J, Mosseveld BMT, Van Wijk MAM, Van der Linden PD, Sturkenboom MCJM, et al. Postmarketing surveillance based on electronic patient records: The IPCI project. Methods of Information in Medicine 1999;38:339-344. 16. Eland IA, Sturkenboom MC, van der Lei J, Wilson JH, Stricker BH. Incidence of acute pancreatitis. Scandinavian Journal of Gastroenterology 2002;37(1):124. 17. GW TJ, Eland IA, Sturkenboom MC, van den Anker JN, Stricker BH. Unlicensed and off label prescription of drugs to children: population based cohort study. British Medical Journal 2002;324(7349):1313-4. 18. Verboom P, Hakkaart-Van L, Sturkenboom M, De Zeeuw R, Menke H, Rutten F. The cost of atopic dermatitis in the Netherlands: an international comparison. British Journal of Dermatology 2002;147(4):716-24. 19. Verhamme KM, Dieleman JP, Bleumink GS, Bosch JL, Stricker BH, Sturkenboom MC. Treatment strategies, patterns of drug use and treatment discontinuation in men with LUTS suggestive of benign prostatic hyperplasia: the Triumph project. European Journal of Urology 2003;44(5):539-45. 20. Voordouw BC, van der Linden PD, Simonian S, van der Lei J, Sturkenboom MC, Stricker BH. Influenza vaccination in community-dwelling elderly: impact on mortality and influenza-associated morbidity. Archives of Internal Medicine 2003;163(9):1089-94. 21. Van der Lei J, Duisterhout JS, Westerhof HP, Van der Does E, Cromme PVM, Boon WM, et al. The introduction of computer-based patient records in the Netherlands. Annals of Internal Medicine 1993;119:1036-1041. 22. Van der Lei J, Musen MA, Van der Does E, Man in 't Veld AJ, Van Bemmel JH. Comparison of computer-aided and human review of general practitioners' management of hypertension. The Lancet 1991;338:1505-1508.

Detailed Description: Not available

Recruitment & Eligibility

Status: Pending

Sex: Not specified

Target Recruitment: 50

Inclusion Criteria

1. Primary care practices in the Netherlands that use the HetHIS (Microbias) EHR to record patient encounters

Exclusion Criteria

1. Practices that have been working with the HetHIS EHR for less than a year preceding enrollment

2. Practices that use paper to record patient interactions

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The change in preventive activities performed by general practitioners in the participating practices during the study compared to the year preceding the study. That is the number of preventive activities that should be performed against the number of preventive activities that were performed as determined by the SUNRISE system. This is logged in the EHR during the study.

Secondary Outcome Measures

Name	Time	Method
The change in DISEASE SPECIFIC preventive by general practitioners in the participating practices during the study compared to the year preceding the study. That is the number of preventive activities that should be performed against the number of preventive activities that were performed as determined by the SUNRISE system. This is logged in the EHR during the study.