Effect of physician reminders on preventive care: meta-analysis of randomized clinical trials

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Publication Type pre-print
School or College School of Medicine
Department Biomedical Informatics
Creator Mitchell, Joyce A.
Other Author Austin, Suzanne M.; Balas, E. Andrew; Ewigman, Bernard G.
Title Effect of physician reminders on preventive care: meta-analysis of randomized clinical trials
Date 1994-01-01
Description The objective of this study was to assess the clinical value of the physician reminder, an information intervention, in increasing compliance for selected preventive health care measures. Meta-analysis was used to combine the quantitative evidence from randomized controlled clinical trials meeting the eligibility criteria. The trials included in this meta-analysis were conducted in a family or internal medicine clinic. Physician reminders were used in the trials to influence utilization and compliance of preventive health care activities. The use of physician reminders for preventive health care activities resulted in a homogeneous effect for the subcategories of cervical cancer screening (test for heterogeneity X22 = 4.122, non significant) and tetanus immunization (test for heterogeneity X22 = 3.139, non-significant). Similarly, the odds ratio from the combination of evidence from the three cervical cancer screening trials was significant (1.180, 95 percent CI: 1.020 to 1.339). The resulting odds ratio from the combination of evidence from the three tetanus immunization trials was significant (2.819, 95 percent CI: 2.664 to 2.975). The results of the meta-analyses for cervical cancer screening and tetanus immunizations indicate that physician reminders are an effective information intervention and can improve compliance for these two preventive health care procedures. Based on the results of this meta-analysis, further trials testing the effect of physician reminders on tetanus immunization would be unnecessary and probably unethical.
Type Text
Publisher Institute of Electrical and Electronics Engineers (IEEE)
First Page 121
Last Page 124
Dissertation Institution University of Utah
Language eng
Bibliographic Citation Austin, S. M., Balas, E. A., Mitchell, J. A., & Ewigman, B. G. (1994). Effect of physician reminders on preventive care: met-aanalysis of randomized clinical trials. Proc Annu Symp Comput Appl Med Care, 121-4.
Rights Management (c) 1994 IEEE. Personal use of this material is permitted. However, permission to reprint/republish this material for advertising or promotional purposes or for creating new collective works for resale or redistribution to servers or lists, or to reuse any copyrighted component of this work in other works must be obtained from the IEEE.
Format Medium application/pdf
Format Extent 551,783 bytes
Identifier uspace,17802
ARK ark:/87278/s6nz8scj
Setname ir_uspace
Date Created 2012-09-20
Date Modified 2012-09-20
ID 708115
Reference URL https://collections.lib.utah.edu/ark:/87278/s6nz8scj
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