Open AccessComputerized Condition‐specific Templates For Improving Care of Geriatric Syndromes in a Primary Care Setting
Author(s) -
Fung Constance H.
Publication year - 2006
Publication title -
journal of general internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.746
H-Index - 180
eISSN - 1525-1497
pISSN - 0884-8734
DOI - 10.1111/j.1525-1497.2006.00522.x
Subject(s) - medicine , usability , veterans affairs , template , medline , geriatrics , population , environmental health , human–computer interaction , psychiatry , computer science , political science , law , materials science , nanotechnology
As the U.S. population ages, primary care clinicians (PCCs) will encounter more patients with geriatric syndromes, such as urinary incontinence (UI) and falls. Yet, current evidence suggests that care of these conditions does not meet expected standards and that PCCs would benefit from tools to improve care of these conditions. Little is known about the role of computerized condition‐specific templates for improving care of geriatric syndromes. AIM: We sought to develop and assess the usefulness of condition‐specific computerized templates in a primary care setting. SETTING: A large academic Veterans Affairs medical center. PROGRAM DESCRIPTION: We developed and tested the usefulness of 2 condition‐specific computerized templates (UI and falls) that could be added on to an existing electronic health record system. PROGRAM EVALUATION: Semistructured interviews were used to identify barriers to use of computerized templates. Usefulness and usability were assessed through a randomized‐controlled trial involving standardized patients. DISCUSSION: Use of condition‐specific templates resulted in improved history and physical exam assessment for both UI and falls ( P <.05). Our computerized, condition‐specific templates are a promising method for improving care of geriatric conditions in a primary care setting, but require improvement in usability before widespread implementation.