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The Article in Brief
Interactive Preventive Health Record to Enhance Delivery of Recommended Care: A Randomized Trial
Alex H. Krist , and colleagues
Background Americans receive only one-half of recommended preventive services, in part because of poor access to reliable information. This study develops and tests an interactive preventive health record (IPHR), a health information system that provides patients with direct access to their electronic medical record.
What This Study Found An interactive preventive health record that explains information in lay language and provides individualized recommendations, resources, and reminders is associated with a greater rate of being up-to-date on recommended preventive services. In a study of 4,500 patients in 8 primary care practices, patients received either usual care or a mailed invitation to use an interactive preventive health record. Despite fairly low rates of use, the proportion of patients up-to-date with all preventive services increased by 3.8 percent among intervention patients and by 1.5 percent among control patients. Greater increases were observed among patients who used the IPHR. At 16 months, 25 percent of users were up-to-date with all services, double the rate among nonusers. Moreover, at 4 months, delivery of colorectal, breast and cervical cancer screening increased by 19 percent, 15 percent, and 13 percent, respectively, among users.
Implications
- Information systems that feature patient-centered functionality, such as the IPHR, have potential to increase preventive service delivery.
Supplemental Appendix
Supplemental Appendix. Screenshots Describing Interactive Preventive Health Record (IPHR) Content
Files in this Data Supplement:
- Supplemental data: Appendix - PDF file, 5 pages, 291 KB