Cited by 146Electronic Health Records SystemsMedication Adherence and CompliancePharmaceutical Practices and Patient Outcomes

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Computerised reminders and feedback in medication management: a systematic review of randomised controlled trials

Bennett, John W, Glasziou, Paul P·2003·Medical Journal of Australia

DOI 10.5694/j.1326-5377.2003.tb05166.x

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Abstract

OBJECTIVE: To systematically review randomised controlled trials (RCTs) of computer-generated medication reminders or feedback directed to healthcare providers or patients. DATA SOURCES: Extensive computerised and manual literature searches identified 76 English-language reports of RCTs reported before 1 January 2002. Searches were conducted between June 1998 and April 2002. STUDY SELECTION: 26 papers making 29 comparisons (two papers reported on multiple interventions) of computer-supported medication management to a control group. DATA EXTRACTION: The quality of the RCTs was systematically assessed and scored independently by two reviewers. Rates of compliance with (potential) reminders for the control and intervention groups were extracted. DATA SYNTHESIS: Heterogeneity of studies prevented a meta-analysis. Where possible, rates were calculated using the intention-to-treat principle. The comparisons were grouped into five areas. Reminders to providers in outpatient settings: six of 12 comparisons demonstrated positive effects (relative rates [RRs: intervention rates/control rates], 1.0 to 42.0). Provider feedback in outpatient settings: five of seven comparisons showed improved clinician behaviour (RRs, 1.0 to 2.5). Combined reminders and feedback in outpatient settings: the single comparison found no improvement. Reminders to providers in inpatient settings: three of five comparisons showed improvements (RRs, 1.0 to 2.1). Patient-directed reminders: two of four comparisons showed improvements in patient compliance. CONCLUSION: Reminders are more effective than feedback in modifying physician behaviour related to medication management. Patient-directed reminders can improve medication adherence.

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¿Podemos mejorar el tratamiento y el control de las enfermedades crónicas?
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Feedback and reminders
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Authors: Bennett, J. W., & Glasziou, P. P.
Affiliations: The University of Queensland (AU)
ORCID: Glasziou, Paul P
Venue: Medical Journal of Australia
Publisher: AMPCo
Published: 2003-03
Volume: 178
Issue: 5
Pages: 217-222
ISSN: 0025-729X (ISSN-L)
1326-5377
DOI: 10.5694/j.1326-5377.2003.tb05166.x
OpenAlex: W1548347845
Cited by: 146
References: 53
Citations by year: 2026: 2 · 2025: 1 · 2023: 1 · 2022: 6 · 2021: 6 · 2020: 2 · 2019: 4 · 2018: 4 · 2017: 7 · 2016: 3 · 2015: 6 · 2014: 7 · 2013: 6 · 2012: 13
FWCI: 2.34
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 2 d)
doi.wiley.com/10.1002/tdm_license_1.1 (tdm)
Locations: The Medical Journal of Australia (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
Keywords: provider feedback, medication management, medication adherence, clinician behavior, outpatient settings, inpatient settings
MeSH terms: Drug Therapy, Feedback, Humans, Outpatients, Patient Compliance, Practice Patterns, Physicians', Quality Control, Randomized Controlled Trials as Topic, Reminder Systems

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Computerised reminders and feedback in medication management: a systematic review of randomised controlled trials

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