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Effect of an Automated Patient Dashboard Using Active Choice and Peer Comparison Performance Feedback to Physicians on Statin Prescribing

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Key Points Question Can an automated patient dashboard and nudges to physicians increase guideline-appropriate statin prescription rates among patients who were not previously receiving statin therapy? Findings In this cluster… Click to show full abstract

Key Points Question Can an automated patient dashboard and nudges to physicians increase guideline-appropriate statin prescription rates among patients who were not previously receiving statin therapy? Findings In this cluster randomized clinical trial of 96 primary care physicians from 32 practice sites including 4774 patients, an automated patient dashboard using active choice framing and peer comparison feedback led to a modest but significant increase in guideline-appropriate statin prescribing rates compared with usual care. Meaning Nudges to physicians offer an effective, low-cost, and scalable approach to increase use of automated patient dashboards to improve guideline-concordant prescribing behaviors, but these approaches may need to be designed to better fit within clinician workflow or be combined with other approaches to further increase their impact.

Keywords: active choice; dashboard using; patient dashboard; automated patient; using active

Journal Title: JAMA Network Open
Year Published: 2018

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