Evidence-Based Medicine Electronic Decision Support Study

Decision Support Systems, Clinical Clinical Trial

— EBMeDS  

Official title:

Patient Specific Automatic Reminders in Primary Care - the EBMeDS Randomised Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00915304
• Other study ID #: EBMeDS-40344-06
• Status: Completed
• Phase: Phase 1/Phase 2
• First received: June 5, 2009
• Last updated: December 17, 2012
• Start date: June 2009
• Est. completion date: February 2011

Study information

• Verified date: December 2012
• Source: University of Tampere
• Contact: n/a
• Is FDA regulated: No
• Health authority: Finland: Ethics Committee
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to analyze the effect of the Evidence-Based Medicine electronic Decision Support (EBMeDS) automatic reminders in primary health care.

Hypothesis (1)is that in the intervention group the total number of EBMeDS reminders will decrease compared to the control group.

Hypothesis (2) is that in the intervention group the quality measures will increase faster compared to the control group at follow-up time.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 12101
• Est. completion date: February 2011
• Est. primary completion date: February 2011
• Accepts healthy volunteers: No
• Gender: Both
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• All residents of Sipoo who have patient ID number in the Mediatri electronic patient record system in Sipoo Health Centre

Exclusion Criteria:

• Those residents who's occupational health care is produced by Sipoo Health Centre

Study Design

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Health Services Research

Related Conditions & MeSH terms

• Decision Support Systems, Clinical

Intervention

Behavioral:
• The EBMeDS reminders
Phase I: EBMeDS reminders specific to the visiting or caring patient and his/her clinical problem are generated when the practitioner uses the electronic patient record. During visits of intervention group patients the EBMeDS reminders will be shown on screen to the practitioner. Phase II: As phase I and in addition, results of the Virtual Health Check (VHC) of all the intervention group patients will be shown to the practitioners.Phase II will be fulfilled in Autumn 2010 and follow-up time will be about 3 months.

Locations

Country	Name	City	State
Finland	University of Tampere; School of Health Sciences	Tampere

Sponsors (6)

Lead Sponsor	Collaborator
University of Tampere	Duodecim Medical Publications Ltd., National Institute for Health and Welfare, Finland, ProWellness Ltd., The Finnish Funding Agency for Technology and Innovation (TEKES), The Finnish Medical Society Duodecim

Country where clinical trial is conducted

Finland, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	The number of reminders triggered (in relation to the number of eligible patients, Ri/Ni) during repeated Virtual Health Checks (VHCs)	VHC will be performed once a week for the whole study population, beginning at baseline and before randomisation. The main outcome measure is Ri/Ni at follow-up time after commencement of the study where Ri is the total number of reminders triggered by the patient record data in intervention and in control group at the time of analysis, and Ni is the total number of patients.	Follow-up time max one and half year	Yes
Secondary	Specific clinical measures compared to an intervention and a control group	Clinical measures as mean values of laboratory parameters, for example a mean level of HbA1c, a mean level of total cholesterol.		Yes

External Links

•   Click here for more information about this study and EDMeDS