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- Title
Computerised reminders and feedback in medication management: a systematic review of randomised controlled trials.
- Authors
Bennett, John W; Glasziou, Paul P
- Abstract
Objective: To systematically review randomised controlled trials (RCTs) of computer‐generated medication reminders or feedback directed to healthcare providers or patients. Data sources: Extensive computerised and manual literature searches identified 76 English‐language reports of RCTs reported before 1 January 2002. Searches were conducted between June 1998 and April 2002. Study selection: 26 papers making 29 comparisons (two papers reported on multiple interventions) of computer‐supported medication management to a control group. Data extraction: The quality of the RCTs was systematically assessed and scored independently by two reviewers. Rates of compliance with (potential) reminders for the control and intervention groups were extracted. Data synthesis: Heterogeneity of studies prevented a meta‐analysis. Where possible, rates were calculated using the intention‐to‐treat principle. The comparisons were grouped into five areas. Reminders to providers in outpatient settings: six of 12 comparisons demonstrated positive effects (relative rates [RRs: intervention rates/control rates], 1.0 to 42.0). Provider feedback in outpatient settings: five of seven comparisons showed improved clinician behaviour (RRs, 1.0 to 2.5). Combined reminders and feedback in outpatient settings: the single comparison found no improvement. Reminders to providers in inpatient settings: three of five comparisons showed improvements (RRs, 1.0 to 2.1). Patient‐directed reminders: two of four comparisons showed improvements in patient compliance. Conclusion: Reminders are more effective than feedback in modifying physician behaviour related to medication management. Patient‐directed reminders can improve medication adherence.
- Publication
Medical Journal of Australia, 2003, Vol 178, Issue 5, p217
- ISSN
0025-729X
- Publication type
Article
- DOI
10.5694/j.1326-5377.2003.tb05166.x