Objective: To compare the efficacy of a short messaging service (SMS) text messaging and phone reminder to im-prove attendance rates at a health promotion center. Methods: A total of 1 859 participants who had schedul...Objective: To compare the efficacy of a short messaging service (SMS) text messaging and phone reminder to im-prove attendance rates at a health promotion center. Methods: A total of 1 859 participants who had scheduled appointments in the health promotion center of our hospital from April 2007 to May 2007 were enrolled in the study and randomly assigned into 3 groups: control (no reminder) group,SMS text messaging reminder group and telephone reminder group. Attendance rates and costs of interventions were collected. Results: A total of 1848 participants were eligible for analysis. Attendance rates of control,SMS and telephone groups were 80.5%,87.5% and 88.3%,respectively. The attendance rates were significantly higher in SMS and telephone groups than that in the control group,with odds ratio 1.698,95% confidence interval 1.224 to 2.316,P=0.001 in the SMS group,and odds ratio 1.829,95% confidence interval 1.333 to 2.509,P<0.001 in the telephone group. However,there was no difference between the SMS group and the telephone group (P=0.670). The cost effectiveness analysis showed that the cost per attendance for the SMS group (0.31 Yuan) was significantly lower than that for the telephone group (0.48 Yuan). Conclusion: SMS and telephone are effective reminders for improving attendance rate at a health promotion center. SMS reminder may be more cost-effective compared with the telephone reminder.展开更多
Individuals with-Mild Cognitive Impairment (MCI) often complain of difficulty remembering to carry out intended actions. We investigated the relative efficacy of a different reminder in performing a time-based Prospec...Individuals with-Mild Cognitive Impairment (MCI) often complain of difficulty remembering to carry out intended actions. We investigated the relative efficacy of a different reminder in performing a time-based Prospective Memory (PM) task. The PM performance of 24 participants with amnesic Mild Cognitive Impairment (AMCI) has been compared with that of 24 healthy controls. As ongoing task, samples of the Attentive Matrices Test were used. In the PM task subjects were requested to write an “X” every three minutes during a 9 minutes period. Participants received the task consisting either in a low demand condition (checking number “5”) or in a high demand condition (checking numbers “1”, “4”, “9”). In order to be as punctual as possible, participants were asked to simultaneously write the “X” at task time expiration, using a digital clock. Time monitoring was recorded. Reminder occurring was manipulated in that participants could receive critical, accidental or completely absent reminder. As expected, high cognitive demand was negatively correlated with PM performance and time monitoring. Unexpectedly, all the participants did not benefit from the critical reminder. These findings demonstrated, from a behavioral perspective, that Working Memory (WM) and PM processes are not based on the same memory system and PM may require WM resources at high demand.展开更多
Diagnostic error is prevalent and there is a need for reducing it for improving patient safety. Electronic resources may be candidates as diagnostic decision support systems to assist physicians in clinics or hospital...Diagnostic error is prevalent and there is a need for reducing it for improving patient safety. Electronic resources may be candidates as diagnostic decision support systems to assist physicians in clinics or hospitals. A unique system has been developed by consisting of a disease knowledge database coupled with algorithms designed specifically for clinical reminders during real-time diagnostic processes. This system is currently being used as a diagnostic decision-support tool in a clinic base and its usefulness has been empirically evaluated by applying it to the case reports in the New England Journal of Medicine. Further studies are needed to prove its usefulness for reducing diagnostic errors in real clinical practice.展开更多
A web-based diagnosis reminder system may help physicians to perform difficult diagnostic reasoning but its performance has not been evaluated in comparison to that of expert physicians. Clinical case conference was c...A web-based diagnosis reminder system may help physicians to perform difficult diagnostic reasoning but its performance has not been evaluated in comparison to that of expert physicians. Clinical case conference was conducted using 10 difficult cases related to internal medicine. Two experienced and expert diagnosticians were invited to comprise a team. A physician assisted with a web-based diagnosis reminder system also participated. Two groups were allowed to propose three possibilities for each case immediately obtaining information on history, physical exam and simple tests. Total scores and the number of accurate diagnoses were greater in the computer-assisted physicianthan in the expert physician team. In conclusion, A web-based diagnosis reminder system can help physicians to well perform difficult diagnostic reasoningcompared to expert physicians.展开更多
基金Project supported by the Health Promotion Center of Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, China
文摘Objective: To compare the efficacy of a short messaging service (SMS) text messaging and phone reminder to im-prove attendance rates at a health promotion center. Methods: A total of 1 859 participants who had scheduled appointments in the health promotion center of our hospital from April 2007 to May 2007 were enrolled in the study and randomly assigned into 3 groups: control (no reminder) group,SMS text messaging reminder group and telephone reminder group. Attendance rates and costs of interventions were collected. Results: A total of 1848 participants were eligible for analysis. Attendance rates of control,SMS and telephone groups were 80.5%,87.5% and 88.3%,respectively. The attendance rates were significantly higher in SMS and telephone groups than that in the control group,with odds ratio 1.698,95% confidence interval 1.224 to 2.316,P=0.001 in the SMS group,and odds ratio 1.829,95% confidence interval 1.333 to 2.509,P<0.001 in the telephone group. However,there was no difference between the SMS group and the telephone group (P=0.670). The cost effectiveness analysis showed that the cost per attendance for the SMS group (0.31 Yuan) was significantly lower than that for the telephone group (0.48 Yuan). Conclusion: SMS and telephone are effective reminders for improving attendance rate at a health promotion center. SMS reminder may be more cost-effective compared with the telephone reminder.
文摘Individuals with-Mild Cognitive Impairment (MCI) often complain of difficulty remembering to carry out intended actions. We investigated the relative efficacy of a different reminder in performing a time-based Prospective Memory (PM) task. The PM performance of 24 participants with amnesic Mild Cognitive Impairment (AMCI) has been compared with that of 24 healthy controls. As ongoing task, samples of the Attentive Matrices Test were used. In the PM task subjects were requested to write an “X” every three minutes during a 9 minutes period. Participants received the task consisting either in a low demand condition (checking number “5”) or in a high demand condition (checking numbers “1”, “4”, “9”). In order to be as punctual as possible, participants were asked to simultaneously write the “X” at task time expiration, using a digital clock. Time monitoring was recorded. Reminder occurring was manipulated in that participants could receive critical, accidental or completely absent reminder. As expected, high cognitive demand was negatively correlated with PM performance and time monitoring. Unexpectedly, all the participants did not benefit from the critical reminder. These findings demonstrated, from a behavioral perspective, that Working Memory (WM) and PM processes are not based on the same memory system and PM may require WM resources at high demand.
文摘Diagnostic error is prevalent and there is a need for reducing it for improving patient safety. Electronic resources may be candidates as diagnostic decision support systems to assist physicians in clinics or hospitals. A unique system has been developed by consisting of a disease knowledge database coupled with algorithms designed specifically for clinical reminders during real-time diagnostic processes. This system is currently being used as a diagnostic decision-support tool in a clinic base and its usefulness has been empirically evaluated by applying it to the case reports in the New England Journal of Medicine. Further studies are needed to prove its usefulness for reducing diagnostic errors in real clinical practice.
文摘A web-based diagnosis reminder system may help physicians to perform difficult diagnostic reasoning but its performance has not been evaluated in comparison to that of expert physicians. Clinical case conference was conducted using 10 difficult cases related to internal medicine. Two experienced and expert diagnosticians were invited to comprise a team. A physician assisted with a web-based diagnosis reminder system also participated. Two groups were allowed to propose three possibilities for each case immediately obtaining information on history, physical exam and simple tests. Total scores and the number of accurate diagnoses were greater in the computer-assisted physicianthan in the expert physician team. In conclusion, A web-based diagnosis reminder system can help physicians to well perform difficult diagnostic reasoningcompared to expert physicians.
