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Using Interactive Preventive Health Record Enhances Delivery of Recommended Care

A total of 4,500 patients at eight primary care practices received mailed invitations to use the IPHR or usual care. Outcomes were measured at 4 and 16 months using patient surveys and electronic medical record data, and included IPHR use and service delivery. Comparisons were made between invited and usual-care patients and between users and nonusers among those invited to use the IPHR.

At 4 months, delivery of colorectal, breast, and cervical cancer screenings increased by 19%, 15%, and 13%, respectively, among IPHR users. At 16 months, 25% percent of those who used the IPHR were up to date with all recommended preventive services, nearly double the rate of nonusers.

The IPHR used in this study addressed 18 services recommended by the US Preventive Services Task Force, such as weight and blood pressure checks, cancer screenings, and immunizations. Patients who visited their IPHR created a password-secure account that linked the system to their electronic health records (EHRs). The IPHR extracted 167 clinical data elements to individualize recommendations for preventive services. Patients also completed a health risk assessment, which included race–ethnicity, family history, health behaviors, and some prior test results not contained in the EHR.

For more information, visit the Annals of Family Medicine Web site.

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