Please use this identifier to cite or link to this item: https://hdl.handle.net/1959.11/15517
Title: Electronic Human Immunodeficiency Virus (HIV) Clinical Reminder System Improves Adherence to Practice Guidelines among the University of Washington HIV Study Cohort
Contributor(s): Kitahata, Mari M (author); Dillingham, Peter  (author); Chaiyakunapruk, Nathorn (author); Buskin, Susan E (author); Jones, Jeffrey L (author); Harrington, Robert D (author); Hooton, Thomas M (author); Holmes, King K (author)
Publication Date: 2003
DOI: 10.1086/368085
Handle Link: https://hdl.handle.net/1959.11/15517
Abstract: We conducted a prospective study of an electronic clinical reminder system in an academic medical center-based human immunodeficiency virus (HIV) specialty clinic. Published performance indicators were used to examine adherence to HIV practice guidelines before and after its implementation for 1204 patients. More than 90% of patients received CD₄ cell count and HIV type 1 (HIV-1) RNA level monitoring every 3-6 months during both time periods, and ~80% of patients with a CD₄ cell count nadir of <350 cells/mm³ received highly active antiretroviral therapy. Patients were significantly more likely to receive prophylaxis against 'Mycobacterium avium' complex (hazard ratio, 3.84; 95% confidence interval [CI], 1.58-9.31; 'P'=.003), to undergo annual cervical carcinoma screening (OR, 2.09; 95% CI, 1.04-4.16; 'P'=.04), and to undergo serological screening for Toxoplasma gondii (odds ratio [OR], 1.86; 95% CI, 1.05-3.27; 'P'=.03) and syphilis infection (OR, 3.71; 95% CI, 2.37-5.81; 'P'<.0001). HIV clinical reminders delivered at the time that HIV care is provided were associated with more timely initiation of recommended practices.
Publication Type: Journal Article
Source of Publication: Clinical Infectious Diseases, 36(6), p. 803-811
Publisher: Oxford University Press
Place of Publication: United States of America
ISSN: 1537-6591
1058-4838
Fields of Research (FoR) 2008: 010402 Biostatistics
110309 Infectious Diseases
Socio-Economic Objective (SEO) 2008: 920109 Infectious Diseases
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
Appears in Collections:Journal Article

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