Computer reminders may help physicians
better manage blood sugar levels
in their patients with diabetes, according
to the results of a study reported in the
Archives of Internal Medicine (March 13,
2006). For the 3-year study, the researchers
assessed computerized performance
feedback as a way of overcoming
clinical inertia among 345 physicians
treating 4038 patients with the disease.
The participants were mainly black.
The physicians were randomized to a
usual-care group or to groups that
received computerized reminders or feedback
on how well their patients were
doing or both. The results of the study indicated
that the interventions that incorporated
performance feedback were superior
at intensifying diabetes therapy, compared
with usual-care or reminder-only
interventions. Further investigation proved
that performance feedback predicted
treatment intensification, which in turn led
to improved blood sugar control.