Clinical and economic results from a randomized trial of clinical decision support in a rural health network.
BACKGROUND: Replication studies evaluate technologies in usual use settings. METHODS: We conducted a clinical trial to determine whether reductions in clinical and economic results observed in a previous study could be replicated in a larger setting. Subjects were randomized to receive intervention (email notifications for sentinel health events sent to their care managers) or control. MAIN OUTCOME MEASURES: The primary outcome was the rate of emergency department visits for low severity conditions. Secondary outcomes included: medical costs and other clinical event rates. RESULTS: We randomized 13,454 individuals (intervention, 6740; control, 6714). Subjects in both groups had similar rates of clinical events and medical costs. CONCLUSION: The use of email notifications to care managers was associated with no reductions in clinical events or medical costs.
Duke Scholars
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Related Subject Headings
- Sentinel Surveillance
- Rural Health Services
- Outcome Assessment, Health Care
- North Carolina
- Medical Informatics
- Male
- Humans
- Female
- Decision Support Systems, Clinical
- Costs and Cost Analysis
Citation
Published In
ISSN
Publication Date
Volume
Start / End Page
Location
Related Subject Headings
- Sentinel Surveillance
- Rural Health Services
- Outcome Assessment, Health Care
- North Carolina
- Medical Informatics
- Male
- Humans
- Female
- Decision Support Systems, Clinical
- Costs and Cost Analysis