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Clinical and economic results from a randomized trial of clinical decision support in a rural health network.

Author information

1
Division of Clinical Informatics, Department of Community and Family Medicine, Duke University Medical Center, Durham, NC, USA.

Abstract

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.

PMID:
21335691
[Indexed for MEDLINE]

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