Evidence-Based Medicine Electronic Decision Support Study

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

Status

Completed

Phases

Phase 1Phase 2

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT00915304

Acronym

EBMeDS

Enrollment

12101

Registered

2009-06-08

Start date

2009-06-30

Completion date

2011-02-28

Last updated

2012-12-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Decision Support Systems, Clinical

Keywords

Clinical Decision Support System, Automatic reminder, Primary care, Evidence-Based Medicine

Brief 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.

Interventions

BEHAVIORALThe 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.

Study design

Allocation

RANDOMIZED

Intervention model

SINGLE_GROUP

Primary purpose

HEALTH_SERVICES_RESEARCH

Masking

DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender

ALL

Healthy volunteers

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

Design outcomes

Primary

Measure	Time frame	Description
The number of reminders triggered (in relation to the number of eligible patients, Ri/Ni) during repeated Virtual Health Checks (VHCs)	Follow-up time max one and half year	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.

Secondary

Measure	Time frame	Description
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.

Countries

Finland

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 21, 2026