A randomized clinical trial of clinical decision support in a rural community health network serving lower income individuals: Study design and baseline characteristics

Studies in Health Technology and Informatics

Volumn 143, Issue , 2009, Pages 220-226

  Eisenstein, Eric L ^a,b   Lobach, David F ^b   Kawamoto, Kensaku ^b   Edwards, Rex ^a   Willis, Janese M ^b   Silvey, Garry M ^b   Anstrom, Kevin J ^a  

^a DUKE CLINICAL RESEARCH INSTITUTE   (United States)

^b DUKE UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

Clinical trial; Community network; Computers; Medicaid; Rural health

Indexed keywords

ARTIFICIAL INTELLIGENCE; COMPUTERS; HEALTH CARE; HEALTH INSURANCE; MEDICAL COMPUTING;

CLINICAL DECISION SUPPORT; CLINICAL DECISION SUPPORT SYSTEMS; CLINICAL TRIAL; COMMUNITY NETWORKS; HEALTH CARE PROVIDERS; MEDICAID; RANDOMIZED CLINICAL TRIALS; RURAL HEALTH;

DECISION SUPPORT SYSTEMS;

ADOLESCENT; ADULT; ARTICLE; CLINICAL TRIAL; COMMUNITY CARE; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DECISION SUPPORT SYSTEM; FEMALE; HUMAN; INFANT; MALE; OUTCOME ASSESSMENT; POVERTY; PRESCHOOL CHILD; RANDOMIZED CONTROLLED TRIAL; RURAL POPULATION; UNITED STATES;

ADOLESCENT; ADULT; CHILD, PRESCHOOL; COMMUNITY NETWORKS; DECISION SUPPORT SYSTEMS, CLINICAL; FEMALE; HUMANS; INFANT; MALE; NORTH CAROLINA; OUTCOME ASSESSMENT (HEALTH CARE); POVERTY; RURAL POPULATION; YOUNG ADULT;

EID: 67449092540     PISSN: 09269630     EISSN: 18798365     Source Type: Book Series    
DOI: 10.3233/978-1-58603-979-0-220     Document Type: Conference Paper

References (15)

1. Hurley RE, Freund DA, Taylor DE. Emergency room use and primary care case management: evidence from four Medicaid demonstration programs. Am. J. Public Health. 1989;79(7):843-846.
2. Davidson SM. Understanding the growth of emergency department utilization. Med. Care. 1978;16(2):122-132.
3. Fleming NS, Jones HC. The impact of outpatient department and emergency room use on costs in the Texas Medicaid Program. Med. Care. 1983;21(9):892-910.
4. Lavenhar M, Ratner R, Weinerman E. Social class and medical care: Indices of nonurgency on use of hospital emergency services. Med Care. 1968;6:368-380.
5. Garrett B, Davidoff AJ, Yemane A. Effects of Medicaid managed care programs on health services access and use. Health Serv Res. 2003;38(2):575-594.
6. Garrett B, Zuckerman S. National estimates of the effects of mandatory Medicaid managed care programs on health care access and use, 1997-1999. Med. Care. 2005;43(7):649-657.
7. Schoenman JA, Evans WN, Schur CL. Primary care case management for Medicaid recipients: evaluation of the Maryland Access to Care program. Inquiry. 1997;34(2):155-170.
8. Silberman P, Poley S, James K, Slifkin R. Tracking Medicaid managed care in rural communities: a fifty-state follow-up. Health Aff (Millwood). 2002;21(4):255-263.
9. Slifkin RT, Hoag SD, Silberman P, Felt-Lisk S, Popkin B. Medicaid managed care programs in rural areas: a fifty-state overview. Health Aff (Millwood). 1998;17(6):217-227.
10. United States Census Bureau. State & County QuickFacts for Durham County [Internet]. 2008 Jul 25. [cited 2008 Nov 28]. Available from: http://quickfacts.census.gov/qfd/states/37/37063.html
11. Centers for Disease Control and Prevention. Behavioral Risk Factors Surveillance System, 2006 [Internet]. Available from: http://www.cdc.gov/brfss/ technical-infodata/surveydata/2006.htm
12. Center for Disease Control. National Center for Health Statistics. Asthma Prevalence, Health Care Use and Mortality, 2002 [Internet]. 2008 Sep 9. [cited 2008 Nov 28]. Available from: http://www.cdc.gov/nchs/products/pubs/pubd/ hestats/asthma/asthma.htm
13. Blue Cross Blue Shield. Improving Access to Emergency Departments. [internal report]. 2003.
14. Lobach DF, Low R, Arbanas J A, Rabold JS, Tatum JL, Epstein SD. Defining and supporting the diverse information needs of community-based care using the web and hand-held devices. In: Proc AMIA Symp, 2001. 2001:398-402.
15. Kawamoto K, Lobach DF. Design, implementation, use, and preliminary evaluation of SEBASTIAN, a standards-based web service for clinical decision support. In: Proc AMIA Symposium, 2005. 2005:380-384.