메뉴 건너뛰기




Volumn 106, Issue 1, 2007, Pages 58-68

Applying a multiple screening program aided by a guideline-driven computerized decision support system - A pilot experience in Yun-Lin, Taiwan

Author keywords

Cost benefit analysis; Decision support techniques; Evidence based medicine; Mass screening; Preventive health services

Indexed keywords

ACETYLSALICYLIC ACID;

EID: 33846884425     PISSN: 09296646     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0929-6646(09)60217-5     Document Type: Article
Times cited : (5)

References (54)
  • 1
    • 0033965385 scopus 로고    scopus 로고
    • Clinical preventive medicine in primary care: Background and practice: 1. Rationale and current preventive practices
    • Hensrud DD. Clinical preventive medicine in primary care: background and practice: 1. Rationale and current preventive practices. Mayo Clin Proc 2000;75:165-72.
    • (2000) Mayo Clin Proc , vol.75 , pp. 165-172
    • Hensrud, D.D.1
  • 2
    • 0034088856 scopus 로고    scopus 로고
    • Clinical preventive medicine in primary care: Background and practice: 2. Delivering primary preventive services
    • Hensrud DD. Clinical preventive medicine in primary care: background and practice: 2. Delivering primary preventive services. Mayo Clin Proc 2000;75:255-64.
    • (2000) Mayo Clin Proc , vol.75 , pp. 255-264
    • Hensrud, D.D.1
  • 3
    • 85030514010 scopus 로고    scopus 로고
    • US Preventive Services Task Force (USPSTF). Available at:
    • US Preventive Services Task Force (USPSTF). Available at: http://www.ahrq.gov/clinic/uspstfix.htm
  • 4
    • 33645516748 scopus 로고    scopus 로고
    • Strength of Recommendations and Quality of Evidence
    • US Preventive Services Task Force Ratings. Rockville, MD: Agency for Healthcare Research and Quality. Available at: Third Edition: Periodic Updates
    • US Preventive Services Task Force Ratings. Strength of Recommendations and Quality of Evidence. Guide to Clinical Preventive Services, Third Edition: Periodic Updates, 2000-2003. Rockville, MD: Agency for Healthcare Research and Quality. Available at: http://www.ahrq.gov/ clinic/3rduspstf/ratings.htm
    • (2000) Guide to Clinical Preventive Services
  • 5
    • 0032556178 scopus 로고    scopus 로고
    • Effect of computer-based clinical decision support systems on physician performance and patient outcomes: A systematic review
    • Hunt DL, Haynes RB, Hanna SE, et al. Effect of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review. J Am Med 1998;280:1339-46.
    • (1998) J Am Med , vol.280 , pp. 1339-1346
    • Hunt, D.L.1    Haynes, R.B.2    Hanna, S.E.3
  • 6
    • 0022761128 scopus 로고
    • Delayed feedback of physician performance versus immediate reminders to perform preventive care. Effects on physician compliance
    • Tierney WM, Hui SL, McDonald CJ. Delayed feedback of physician performance versus immediate reminders to perform preventive care. Effects on physician compliance. Med Care 1986;24:659-66.
    • (1986) Med Care , vol.24 , pp. 659-666
    • Tierney, W.M.1    Hui, S.L.2    McDonald, C.J.3
  • 7
    • 0024804528 scopus 로고
    • Improving preventive care at a medical clinic: How can the patient help?
    • Becker DM, Gomez EB, Kaiser DL, et al. Improving preventive care at a medical clinic: how can the patient help? Am J Prev Med 1989;5:353-9.
    • (1989) Am J Prev Med , vol.5 , pp. 353-359
    • Becker, D.M.1    Gomez, E.B.2    Kaiser, D.L.3
  • 8
    • 0024370494 scopus 로고
    • Promoting cancer screening. A randomized controlled trial of three interventions
    • McPhee SJ, Bird JA, Jenkins CN, et al. Promoting cancer screening. A randomized controlled trial of three interventions. Arch Intern Med 1989;149:1866-72.
    • (1989) Arch Intern Med , vol.149 , pp. 1866-1872
    • McPhee, S.J.1    Bird, J.A.2    Jenkins, C.N.3
  • 9
    • 0025093165 scopus 로고
    • The Cancer Prevention Reminder System
    • Fordham D, McPhee SJ, Bird JA, et al. The Cancer Prevention Reminder System. MD Comput 1990;7:289-95.
    • (1990) MD Comput , vol.7 , pp. 289-295
    • Fordham, D.1    McPhee, S.J.2    Bird, J.A.3
  • 10
    • 17144362818 scopus 로고    scopus 로고
    • Improving clinical practice using clinical decision support systems: A systematic review of trials to identify features critical to success
    • Kawamoto K, Houlihan CA, Balas EA, et al. Improving clinical practice using clinical decision support systems: a systematic review of trials to identify features critical to success. BMJ 2005;330:765.
    • (2005) BMJ , vol.330 , pp. 765
    • Kawamoto, K.1    Houlihan, C.A.2    Balas, E.A.3
  • 11
    • 85030517872 scopus 로고    scopus 로고
    • National Taiwan University Hospital Yun-Lin Branch. Online introduction. Available at: [In Chinese]
    • National Taiwan University Hospital Yun-Lin Branch. Online introduction. Available at: http://www.ylh.ntuh.mc.ntu.edu.tw/ylh/002/4.pdf [In Chinese]
  • 12
    • 13244279969 scopus 로고    scopus 로고
    • US Preventive Services Task Force. Rockville, MD: Agency for Healthcare Research and Quality, January Available at:
    • US Preventive Services Task Force. Aspirin for the Primary Prevention o f Cardiovascular Events: Recommendations and Rationale. Rockville, MD: Agency for Healthcare Research and Quality, January 2002. Available at: http://www.ahrq.gov/clinic/3rduspstf/aspirin/asprr.htm
    • (2002) Aspirin for the Primary Prevention of Cardiovascular Events: Recommendations and Rationale
  • 13
    • 0037418125 scopus 로고    scopus 로고
    • Screening adults for type 2 diabetes: A review of the evidence for the US Preventive Services Task Force
    • Harris R, Donahue K, Rathore S, et al. Screening adults for type 2 diabetes: a review of the evidence for the US Preventive Services Task Force. Ann Intern Med 2003; 138:215-90.
    • (2003) Ann Intern Med , vol.138 , pp. 215-290
    • Harris, R.1    Donahue, K.2    Rathore, S.3
  • 14
    • 0013334739 scopus 로고    scopus 로고
    • (Prepared by Research Triangle Institute-University of North Carolina Evidence-based Practice Center under Contract No. 290-97-0017). Rockville, MD: Agency for Healthcare Research and Quality, May Available at:
    • Harris R, Lux L, Bunton A, et al. Screening for Type 2 Diabetes Mellitus. Systematic Evidence Review No. 19. (Prepared by Research Triangle Institute-University of North Carolina Evidence-based Practice Center under Contract No. 290-97-0017). Rockville, MD: Agency for Healthcare Research and Quality, May 2002. Available at: www.ahrq.gov/ clinic/serfiles.htm
    • (2002) Screening for Type 2 Diabetes Mellitus. Systematic Evidence Review No. 19
    • Harris, R.1    Lux, L.2    Bunton, A.3
  • 15
    • 0035315904 scopus 로고    scopus 로고
    • Screening and treating adults for lipid disorders
    • Pignone MP, Phillips CJ, Atkins D, et al. Screening and treating adults for lipid disorders. Am J Prev Med 2001; 20:77-89.
    • (2001) Am J Prev Med , vol.20 , pp. 77-89
    • Pignone, M.P.1    Phillips, C.J.2    Atkins, D.3
  • 16
    • 0043244911 scopus 로고    scopus 로고
    • Screening for high blood pressure: A review of the evidence for the US Preventive Services Task Force
    • Sheridan S, Pignone M, Donahue K. Screening for high blood pressure: a review of the evidence for the US Preventive Services Task Force. Am J Prev Med 2003; 25:151-8.
    • (2003) Am J Prev Med , vol.25 , pp. 151-158
    • Sheridan, S.1    Pignone, M.2    Donahue, K.3
  • 17
    • 0037422846 scopus 로고    scopus 로고
    • Obesity in adulthood and its consequences for life expectancy: A life-table analysis
    • Peeters A, Barendregt JJ, Willekens F, et al. Obesity in adulthood and its consequences for life expectancy: a life-table analysis. Ann Intern Med 2003;138:24-32.
    • (2003) Ann Intern Med , vol.138 , pp. 24-32
    • Peeters, A.1    Barendregt, J.J.2    Willekens, F.3
  • 18
    • 33746801877 scopus 로고    scopus 로고
    • US Preventive Services Task Force. Rockville, MD: Agency for Healthcare Research and Quality, November Available at:
    • US Preventive Services Task Force. Counseling to Prevent Tobacco Use and Tobacco-Related Diseases: Recommendation Statement. Rockville, MD: Agency for Healthcare Research and Quality, November 2003. Available at: http://www.ahrq.gov/clinic/3rduspstf/tobacccoun/tobcounrs.htm
    • (2003) Counseling to Prevent Tobacco Use and Tobacco-Related Diseases: Recommendation Statement
  • 19
    • 0003500652 scopus 로고    scopus 로고
    • US Preventive Services Task Force. Rockville, MD: Agency for Healthcare Research and Quality, May Available at:
    • US Preventive Services Task Force. Screening for Depression: Recommendations and Rationale. Rockville, MD: Agency for Healthcare Research and Quality, May 2002. Available at: http://www.ahrq.gov/clinic/ 3rduspstf/depressrr.htm
    • (2002) Screening for Depression: Recommendations and Rationale
  • 20
    • 0010723705 scopus 로고    scopus 로고
    • US Preventive Services Task Force. Rockville, MD: Agency for Healthcare Research and Quality, July Available at:
    • US Preventive Services Task Force. Screening for colorectal Cancer: Recommendations and Rationale. Rockville, MD: Agency for Healthcare Research and Quality, July 2002. Available at: http://www.ahrq.gov/ clinic/3rduspstf/colorectal/colorr.htm
    • (2002) Screening for Colorectal Cancer: Recommendations and Rationale
  • 21
    • 0037015185 scopus 로고    scopus 로고
    • Breast cancer screening: A summary of the evidence for the US Preventive Services Task Force
    • Humphrey LL, Helfand M, Chan BKS. Breast cancer screening: a summary of the evidence for the US Preventive Services Task Force. Ann Intern Med 2002;137: 347-60.
    • (2002) Ann Intern Med , vol.137 , pp. 347-360
    • Humphrey, L.L.1    Helfand, M.2    Chan, B.K.S.3
  • 23
    • 0037125875 scopus 로고    scopus 로고
    • Screening for postmenopausal osteoporosis: A review of the evidence for the US Preventive Services Task Force
    • Nelson HD, Helfand M, Woolf SH, et al. Screening for postmenopausal osteoporosis: a review of the evidence for the US Preventive Services Task Force. Ann Intern Med 2002;137:529-41.
    • (2002) Ann Intern Med , vol.137 , pp. 529-541
    • Nelson, H.D.1    Helfand, M.2    Woolf, S.H.3
  • 24
    • 0011889679 scopus 로고    scopus 로고
    • (Prepared by the Oregon Health & Science University Evidence-based Practice Center under Contract No. 290-97-0018.) Rockville, MD: Agency for Healthcare Research and Quality, Available at:
    • Nelson HD, Helfand M. Screening for Postmenopausal Osteoporosis. Systematic Evidence Review No. 17 (Prepared by the Oregon Health & Science University Evidence-based Practice Center under Contract No. 290-97-0018.) Rockville, MD: Agency for Healthcare Research and Quality, 2002. Available at: http://www.ahrq.gov/clinic/serfiles.htm
    • (2002) Screening for Postmenopausal Osteoporosis. Systematic Evidence Review No. 17
    • Nelson, H.D.1    Helfand, M.2
  • 25
    • 85030519339 scopus 로고    scopus 로고
    • Department of Health, Taiwan. Available at: [In Chinese]
    • Department of Health, Taiwan. Taiwanese Depression Score. Available at: http://www.jtf.org.tw/suicide_prevention/index.htm [In Chinese]
    • Taiwanese Depression Score
  • 28
    • 0034595345 scopus 로고    scopus 로고
    • Development and validation of the Osteoporosis Risk Assessment Instrument to facilitate selection of women for bone densitometry
    • Cadarette SM, Jaglal SB, Kreiger N, et al. Development and validation of the Osteoporosis Risk Assessment Instrument to facilitate selection of women for bone densitometry. CMAJ 2000;162:1289-94.
    • (2000) CMAJ , vol.162 , pp. 1289-1294
    • Cadarette, S.M.1    Jaglal, S.B.2    Kreiger, N.3
  • 29
    • 85030508428 scopus 로고    scopus 로고
    • Department of Health, Taiwan. Available at: [In Chinese]
    • Department of Health, Taiwan. Two-step Breast Cancer Screening. Available at: http://health99.doh.gov.tw/p_health/detail.asp?no=25 [In Chinese]
    • Two-step Breast Cancer Screening
  • 32
    • 16644391658 scopus 로고    scopus 로고
    • Does screening for diabetes in at-risk patients improve long-term outcomes?
    • Nordone DS, Westerberg D, Wolf D. Does screening for diabetes in at-risk patients improve long-term outcomes? J Fam Prac 2004;53:401-19.
    • (2004) J Fam Prac , vol.53 , pp. 401-419
    • Nordone, D.S.1    Westerberg, D.2    Wolf, D.3
  • 33
    • 0032146983 scopus 로고    scopus 로고
    • Number needed to screen: Development of a statistic for disease screening
    • Rembold CM. Number needed to screen: development of a statistic for disease screening. BMJ 1998;317:307-12.
    • (1998) BMJ , vol.317 , pp. 307-312
    • Rembold, C.M.1
  • 34
    • 3343022528 scopus 로고    scopus 로고
    • Polling data for number needed to treat: No problems for apples
    • epub
    • Morre RA, Gavaghan DJ, Edwards JE, et al. Polling data for number needed to treat: no problems for apples. BMC Med Res Methodol 2002;epub2:2.
    • (2002) BMC Med Res Methodol , vol.2 , pp. 2
    • Morre, R.A.1    Gavaghan, D.J.2    Edwards, J.E.3
  • 35
    • 0035130575 scopus 로고    scopus 로고
    • Cost-effectiveness of systematic depression treatment for high utilizers of general medical care
    • Simon GE, Manning WG, Katzelnick DJ, et al. Cost-effectiveness of systematic depression treatment for high utilizers of general medical care. Arch Gen Psychiatry 2001; 58:181-7.
    • (2001) Arch Gen Psychiatry , vol.58 , pp. 181-187
    • Simon, G.E.1    Manning, W.G.2    Katzelnick, D.J.3
  • 37
    • 0035251652 scopus 로고    scopus 로고
    • Screening for cancer: Evaluating the evidence
    • Gate TJ. Screening for cancer: evaluating the evidence. Am Fam Physician 2001;63:513-22.
    • (2001) Am Fam Physician , vol.63 , pp. 513-522
    • Gate, T.J.1
  • 38
    • 0034598094 scopus 로고    scopus 로고
    • Number needed to screen: A tool for assessment of prevention programs
    • Boomsma LJ, van Lidth De Jeude CP. Number needed to screen: a tool for assessment of prevention programs. Ned Tijdschr Geneeskd 2000;49:2345-8.
    • (2000) Ned Tijdschr Geneeskd , vol.49 , pp. 2345-2348
    • Boomsma, L.J.1    Van Lidth De Jeude, C.P.2
  • 40
    • 0035043082 scopus 로고    scopus 로고
    • Medical-economical aspects of high sensitivity C-reactive protein assay for the prediction of coronary heart disease. An analysis in Germany and Italy
    • Ess SM, Szucs TD. Medical-economical aspects of high sensitivity C-reactive protein assay for the prediction of coronary heart disease. An analysis in Germany and Italy. Ital Heart J 2001;2:181-8.
    • (2001) Ital Heart J , vol.2 , pp. 181-188
    • Ess, S.M.1    Szucs, T.D.2
  • 42
    • 0030049396 scopus 로고    scopus 로고
    • Cholesterol screening in asymptomatic adults, revisited
    • Garber AM, Browner WS, Hulley SB. Cholesterol screening in asymptomatic adults, revisited. Ann Intern Med 1996; 124:518-31.
    • (1996) Ann Intern Med , vol.124 , pp. 518-531
    • Garber, A.M.1    Browner, W.S.2    Hulley, S.B.3
  • 43
    • 0026090020 scopus 로고
    • Cost-effectiveness of HMG-CoA reductase inhibition for primary and secondary prevention of coronary heart disease
    • Goldman L, Weinstein MC, Goldman P, et al. Cost-effectiveness of HMG-CoA reductase inhibition for primary and secondary prevention of coronary heart disease. J Am Med 1991;265:1145-51.
    • (1991) J Am Med , vol.265 , pp. 1145-1151
    • Goldman, L.1    Weinstein, M.C.2    Goldman, P.3
  • 45
    • 0029002022 scopus 로고
    • A practice guideline revisited; screening for hypertension
    • Littenberg B. A practice guideline revisited; screening for hypertension. Arch Intern Med 1995;122:937-9.
    • (1995) Arch Intern Med , vol.122 , pp. 937-939
    • Littenberg, B.1
  • 46
    • 0034982965 scopus 로고    scopus 로고
    • Cost effectiveness cardiovascular disease prevention strategies: A perspective on EU food based dietary guidelines
    • Brunner E, Cohen D, Toon L, Cost effectiveness cardiovascular disease prevention strategies: a perspective on EU food based dietary guidelines. Public Health Nutr 2001;4: 711-5.
    • (2001) Public Health Nutr , vol.4 , pp. 711-715
    • Brunner, E.1    Cohen, D.2    Toon, L.3
  • 47
    • 0035814974 scopus 로고    scopus 로고
    • The cost-utility of screening for depression in primary care
    • Valenstein M, Vijan S, Zeber JE, et al. The cost-utility of screening for depression in primary care. Ann Intern Med 2001;134:345-60.
    • (2001) Ann Intern Med , vol.134 , pp. 345-360
    • Valenstein, M.1    Vijan, S.2    Zeber, J.E.3
  • 49
    • 0030686414 scopus 로고    scopus 로고
    • Cost-effectiveness of extending screening mammography guidelines to include women 40 to 49 years of age
    • Salzmann P, Kerlikowske K, Phillips K. Cost-effectiveness of extending screening mammography guidelines to include women 40 to 49 years of age. Ann Intern Med 1997; 127:955-65.
    • (1997) Ann Intern Med , vol.127 , pp. 955-965
    • Salzmann, P.1    Kerlikowske, K.2    Phillips, K.3
  • 51
    • 0030814151 scopus 로고    scopus 로고
    • The costs and effects of cervical and breast cancer screening in a public hospital emergency room. The Cancer Control Center of Harlem
    • Mandelblatt J, Freeman H, Winczewski D, et al. The costs and effects of cervical and breast cancer screening in a public hospital emergency room. The Cancer Control Center of Harlem. Am J Public Health 1997;87:1182-9.
    • (1997) Am J Public Health , vol.87 , pp. 1182-1189
    • Mandelblatt, J.1    Freeman, H.2    Winczewski, D.3
  • 53
    • 0036526450 scopus 로고    scopus 로고
    • Epidemiology of diabetes mellitus in Taiwan
    • Chou P, Tung TH, Li CL, et al. Epidemiology of diabetes mellitus in Taiwan. Taiwan J Public Health 2002;21:83-96.
    • (2002) Taiwan J Public Health , vol.21 , pp. 83-96
    • Chou, P.1    Tung, T.H.2    Li, C.L.3
  • 54
    • 84868274381 scopus 로고    scopus 로고
    • Bureau of Health Promotion, Department of Health, Taiwan. Available at: [In Chinese]
    • Bureau of Health Promotion, Department of Health, Taiwan. Hypertension. Available at: http://health91.bhp.doh.gov.tw [In Chinese]
    • Hypertension


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.