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J Am Med Inform Assoc 12:431-437 doi:10.1197/jamia.M1788
  • The Practice of Informatics

A Randomized Trial of Electronic Clinical Reminders to Improve Quality of Care for Diabetes and Coronary Artery Disease

Table 3

Primary Care Physician Attitudes Regarding Guideline Adherence and Electronic Clinical Decision Support

No. of Physicians Agreeing (%)
Barriers to guideline adherence*
 Lack of time during patient visit 81 (51)
 Patient noncompliance or refusal of treatment 66 (42)
 Lack of knowledge of specific guideline recommendation 64 (40)
 Lack of awareness of guideline existence 61 (38)
 Disagree with guideline recommendation 54 (34)
 Agree with guideline, but forgot to apply during office visit 42 (26)
 Lack of reimbursement for services 8 (5)
Electronic clinical decision support†
 Notice electronic reminders during a patient encounter 60 (38)
 Electronic reminders prompt physician to take specific action 55 (35)
 Electronic reminders useful for diabetes disease management‡ 53 (68)
 Electronic reminders useful for coronary artery disease management‡ 41 (53)
 Electronic reminders improve quality of patient care 121 (76)
  • * Defined as either moderately (3) or extremely (4) significant on a 4-point Likert scale.

  • Defined as at least 5 on a 7-point Likert scale.

  • Among physician respondents in the intervention group (n=78).

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