{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,22]],"date-time":"2025-02-22T05:36:57Z","timestamp":1740202617683,"version":"3.37.3"},"reference-count":0,"publisher":"IOS Press","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2011]]},"abstract":"<jats:p>Background: Replication studies evaluate technologies in usual use settings. Methods: We conducted a clinical trial to determine whether reductions in clinical and economic results observed in a previous study could be replicated in a larger setting. Subjects were randomized to receive intervention (email notifications for sentinel health events sent to their care managers) or control. Main Outcome Measures: The primary outcome was the rate of emergency department visits for low severity conditions. Secondary outcomes included: medical costs and other clinical event rates. Results: We randomized 13,454 individuals (intervention, 6740; control, 6714). Subjects in both groups had similar rates of clinical events and medical costs. Conclusion: The use of email notifications to care managers was associated with no reductions in clinical events or medical costs.<\/jats:p>","DOI":"10.3233\/978-1-60750-709-3-77","type":"book-chapter","created":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T18:09:19Z","timestamp":1740161359000},"source":"Crossref","is-referenced-by-count":0,"title":["Clinical and Economic Results from a Randomized Trial of Clinical Decision Support in a Rural Health Network"],"prefix":"10.3233","author":[{"family":"Eisenstein Eric L.","sequence":"additional","affiliation":[]},{"family":"Kawamoto Kensaku","sequence":"additional","affiliation":[]},{"family":"Anstrom Kevin J.","sequence":"additional","affiliation":[]},{"family":"Willis Janese M.","sequence":"additional","affiliation":[]},{"family":"Silvey Garry M.","sequence":"additional","affiliation":[]},{"family":"Johnson Fred S.","sequence":"additional","affiliation":[]},{"family":"Edwards Rex","sequence":"additional","affiliation":[]},{"family":"Mise Jean","sequence":"additional","affiliation":[]},{"family":"Yaggy Susan D.","sequence":"additional","affiliation":[]},{"family":"Lobach David F.","sequence":"additional","affiliation":[]}],"member":"7437","container-title":["Studies in Health Technology and Informatics","International Perspectives in Health Informatics"],"original-title":[],"deposited":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T18:37:50Z","timestamp":1740163070000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.medra.org\/servlet\/aliasResolver?alias=iospressISSNISBN&issn=0926-9630&volume=164&spage=77"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011]]},"references-count":0,"URL":"https:\/\/doi.org\/10.3233\/978-1-60750-709-3-77","relation":{},"ISSN":["0926-9630"],"issn-type":[{"value":"0926-9630","type":"print"}],"subject":[],"published":{"date-parts":[[2011]]}}}