After the grant runs out. Long-term provider health maintenance compliance using a computer-based tracking system

Arch Fam Med. 1999 Jan-Feb;8(1):13-7. doi: 10.1001/archfami.8.1.13.


Objective: To measure long-term provider (physicians and physician's assistants) health maintenance compliance 4 years after the completion of a grant-funded project to improve provider compliance by using a computer-based health maintenance tracking system.

Design: Cross-sectional comparison of provider health maintenance compliance for patients receiving computer-based health maintenance tracking in 1992 and 1996.

Setting: Rural, multiple-office, nonprofit, fee-for-service family practice.

Main outcome measures: Overall provider compliance with the common elements of the health maintenance protocols in 1992 and 1996. Provider compliance with specific, individual preventive interventions was compared.

Results: Overall provider compliance was 83% in 1996, compared with 80% in 1992. This difference was statistically significant (P = .05) but not clinically significant. Provider compliance was significantly higher in 1996 for 3 procedures: blood pressure determination, tetanus-diphtheria immunization, and weight. It was unchanged for 5 procedures: clinical breast examination, mammography, Papanicolaou smears, cholesterol determination, and fecal occult blood testing for colon cancer. Provider compliance with obtaining a history of tobacco use declined.

Conclusion: Improvements in provider health maintenance compliance associated with installation of a computer-based health maintenance tracking system were maintained 4 years after cessation of the formal research intervention.

Publication types

  • Comparative Study

MeSH terms

  • Cross-Sectional Studies
  • Family Practice / economics
  • Family Practice / statistics & numerical data*
  • Fee-for-Service Plans
  • Female
  • Health Behavior
  • Humans
  • Male
  • Management Information Systems*
  • New York
  • Preventive Health Services / economics
  • Preventive Health Services / statistics & numerical data*
  • Research Support as Topic*
  • Rural Population