Using active choice within the electronic health record to increase physician ordering and patient completion of high-value cancer screening tests.

ABSTRACT:

Background

High value screening tests such as colonoscopy and mammography can improve early cancer detection but are often underutilized.

Methods

We evaluated an active choice intervention using the electronic health record (EHR) to confirm patient eligibility for colonoscopy or mammography during the patient's clinic visit and prompt the physician and his/her medical assistant to actively choose to "accept" or "cancel" an order for it. We fit multivariate logistic regression models using a difference-in-differences approach to evaluate changes in physician ordering and patient completion of colonoscopy and mammography at the intervention practice compared to two control practices, adjusting for time trends, patient and clinic visit characteristics.

Results

The sample

SUBMITTER: Patel MS 

PROVIDER: S-EPMC7240802 | biostudies-literature | 2016 Dec

REPOSITORIES: biostudies-literature