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Int J Psychiatry Med. 1999;29(3):267-86.

The electronic medical record: its role in disseminating depression guidelines in primary care practice.

Author information

1
University of Pittsburgh School of Medicine, Pennsylvania, USA.

Abstract

OBJECTIVE:

Using the Agency for Health Care Policy and Research Depression Guideline Panel's recommendations as its focus, this article describes a step-by-step approach for disseminating a paper-based depression guideline to primary care physicians via a commercially available electronic medical record (EMR) system.

METHOD:

Description of the author's approach to disseminate an evidence-based depression treatment guideline to a group of primary care physicians using a commercially available EMR system and to evaluate the results.

RESULTS:

We review clinical considerations and practical barriers faced in this process with the expectation that our experiences can guide others attempting to disseminate psychiatric treatment guideline via EMR systems.

CONCLUSIONS:

The EMR offers critical efficiencies in disseminating state-of-the-art clinical practice guidelines and in directing the primary care physicians' use of them. Still, well-designed, randomized controlled trials are necessary to demonstrate their effectiveness at enhancing patient outcomes for major depression in primary care settings.

PMID:
10642902
DOI:
10.2190/7CCY-D8JB-53XK-PPTK
[Indexed for MEDLINE]
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