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Population-based clinical decision support: a clinical and economic evaluation.

Publication ,  Journal Article
Eisenstein, EL; Anstrom, KJ; Edwards, R; Willis, JM; Simo, J; Lobach, DF
Published in: Stud Health Technol Inform
2012

Governments are investing in health information technologies (HIT) to improve care quality and reduce medical costs. However, evidence of these benefits is limited. We conducted a randomized trial of three clinical decision support (CDS) interventions in 20,180 patients: email to care managers (n=3329), reports to primary care administrators (n=3368), letters to patients (n=3401), and controls (10,082). At 7-month follow-up, the letters to patients group had greater use of outpatient services and higher outpatient and total medical costs; whereas, the other groups had no change in clinical events or medical costs. As our CDS interventions were associated with no change or an increase in medical costs, it appears that investments in HIT without consideration for organizational context may not be sufficient to achieve improvements in clinical and economic outcomes.

Duke Scholars

Published In

Stud Health Technol Inform

ISSN

0926-9630

Publication Date

2012

Volume

180

Start / End Page

343 / 347

Location

Netherlands

Related Subject Headings

  • United States
  • Medical Informatics
  • Medical Informatics
  • Managed Care Programs
  • Health Care Costs
  • Decision Support Systems, Clinical
  • Cost-Benefit Analysis
  • Cost Control
  • 4601 Applied computing
  • 4203 Health services and systems
 

Citation

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ICMJE
MLA
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Eisenstein, E. L., Anstrom, K. J., Edwards, R., Willis, J. M., Simo, J., & Lobach, D. F. (2012). Population-based clinical decision support: a clinical and economic evaluation. Stud Health Technol Inform, 180, 343–347.
Eisenstein, Eric L., Kevin J. Anstrom, Rex Edwards, Janese M. Willis, Jessica Simo, and David F. Lobach. “Population-based clinical decision support: a clinical and economic evaluation.Stud Health Technol Inform 180 (2012): 343–47.
Eisenstein EL, Anstrom KJ, Edwards R, Willis JM, Simo J, Lobach DF. Population-based clinical decision support: a clinical and economic evaluation. Stud Health Technol Inform. 2012;180:343–7.
Eisenstein, Eric L., et al. “Population-based clinical decision support: a clinical and economic evaluation.Stud Health Technol Inform, vol. 180, 2012, pp. 343–47.
Eisenstein EL, Anstrom KJ, Edwards R, Willis JM, Simo J, Lobach DF. Population-based clinical decision support: a clinical and economic evaluation. Stud Health Technol Inform. 2012;180:343–347.

Published In

Stud Health Technol Inform

ISSN

0926-9630

Publication Date

2012

Volume

180

Start / End Page

343 / 347

Location

Netherlands

Related Subject Headings

  • United States
  • Medical Informatics
  • Medical Informatics
  • Managed Care Programs
  • Health Care Costs
  • Decision Support Systems, Clinical
  • Cost-Benefit Analysis
  • Cost Control
  • 4601 Applied computing
  • 4203 Health services and systems