Access

You are not currently logged in.

Access your personal account or get JSTOR access through your library or other institution:

login

Log in to your personal account or through your institution.

If You Use a Screen Reader

This content is available through Read Online (Free) program, which relies on page scans. Since scans are not currently available to screen readers, please contact JSTOR User Support for access. We'll provide a PDF copy for your screen reader.

Effect Of Computerised Evidence Based Guidelines On Management Of Asthma And Angina In Adults In Primary Care: Cluster Randomised Controlled Trial

Martin Eccles, Elaine McColl, Nick Steen, Nikki Rousseau, Jeremy Grimshaw, David Parkin and Ian Purves
BMJ: British Medical Journal
Vol. 325, No. 7370 (Oct. 26, 2002), pp. 941-944
Published by: BMJ
Stable URL: http://www.jstor.org/stable/25452695
Page Count: 4
  • Read Online (Free)
  • Subscribe ($19.50)
  • Cite this Item
Since scans are not currently available to screen readers, please contact JSTOR User Support for access. We'll provide a PDF copy for your screen reader.
Effect Of Computerised Evidence Based Guidelines On Management Of Asthma And Angina In Adults In Primary Care: Cluster Randomised Controlled Trial
Preview not available

Abstract

Objective To evaluate the use of a computerised support system for decision making for implementing evidence based clinical guidelines for the management of asthma and angina in adults in primary care. Design A before and after pragmatic cluster randomised controlled trial utilising a two by two incomplete block design. Setting 60 general practices in north east England. Participants General practitioners and practice nurses in the study practices and their patients aged 18 or over with angina or asthma. Main outcome measures Adherence to the guidelines, based on review of case notes and patient reported generic and condition specific outcome measures. Results The computerised decision support system had no significant effect on consultation rates, process of care measures (including prescribing), or any patient reported outcomes for either condition. Levels of use of the software were low. Conclusions No effect was found of computerised evidence based guidelines on the management of asthma or angina in adults in primary care. This was probably due to low levels of use of the software, despite the system being optimised as far as was technically possible. Even if the technical problems of producing a system that fully supports the management of chronic disease were solved, there remains the challenge of integrating the systems into clinical encounters where busy practitioners manage patients with complex, multiple conditions.

Page Thumbnails

  • Thumbnail: Page 
941
    941
  • Thumbnail: Page 
942
    942
  • Thumbnail: Page 
943
    943
  • Thumbnail: Page 
944
    944