tailieunhanh - báo cáo khoa học: "The efficacy of computer reminders on external quality assessment for point-of-care testing in Danish general practice: rationale and methodology for two randomized trials"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: The efficacy of computer reminders on external quality assessment for point-of-care testing in Danish general practice: rationale and methodology for two randomized trials | Waldorff et al. Implementation Science 2011 6 79 http content 6 1 79 Implementation Science IMPLEMENTATION SCIENCE STUDY PROTOCOL Open Access The efficacy of computer reminders on external quality assessment for point-of-care testing in Danish general practice rationale and methodology for two randomized trials 1 12 1 4 Frans B Waldorff Volkert Siersma Ruth Ertmann Marius Brostrom Kousgaard Anette Sonne Nielsen Peter Felding3 Niels Mosbsk3 Else Hjortso4 and Susanne Reventlow1 Abstract Background Point-of-care testing POCT is increasingly being used in general practice to assist general practitioners GPs in their management of patients with diseases. However low adherence to quality guidelines in terms of split test procedures has been observed among GPs in parts of the Capital Region in Denmark. Computer reminders embedded in GPs electronic medical records ComRem may facilitate improved quality control behaviour but more research is needed to identify what types of reminders work and when. The overall aim of this study is to evaluate the efficacy of ComRem to improve GPs adherence to quality guidelines. This article describes the rationale and methods of the study that constitute this research project. Methods design The study is conducted as two randomised controlled trials RCTs among general practices in two districts of the Capital Region in Denmark. These districts contain a total of 739 GPs in 567 practices with a total of million patients allocated to practice lists. In the first RCT RCT A ComRem is compared to postal reminder letters. In the second RCT RCT B ComRem is compared to usual activities no reminders with a crossover approach. In both of these studies outcomes are measured by the number of split tests received by the laboratory. Conclusions This study will contribute to knowledge on the efficacy of ComRem in primary care. Because the study does not explore GPs perceptions and experiences with regard to ComRem we .