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December 13, 2000

Effectiveness of Computerized Reminders in Ambulatory Care—Reply

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Executive Deputy EditorIndividualAuthor

JAMA. 2000;284(22):2872-2873. doi:10.1001/jama.284.22.2869

In Reply: We did consider the possibility that, in reaction to the reminders, resident physicians would first provide care to the most agreeable patients, leaving a more resistant group of patients remaining in the later months of the study. To address this, we provided residents with the ability to exclude any patient for whom the suggested care was not appropriate. However, few such patients were identified. Second, following data collection, we conducted additional statistical analyses designed to ensure an equal balance in patient characteristics and to control for the more highly resistant patients.

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