检查初级保健提供者使用临床决策支持工具来治疗疼痛的经验
Olena Mazurenko1,2, Emma McCord1, Cara McDonnell3
1Department of Health Policy and Management, Indiana University Richard M. Fairbanks School of Public Health, Indianapolis, Indiana, USA.
JAMIA open
|August 14, 2023
概括
初级保健提供者发现慢性疼痛OneSheet临床决策支持工具对特定患者群体有用. 根据患者的不同需求和工作流程来定制该工具是广泛采用和有效使用的关键.
科学领域:
- 医疗信息学 医疗信息学
- 临床决策支持系统 临床决策支持系统
- 疼痛管理 疼痛管理
背景情况:
- 临床决策支持 (CDS) 工具旨在帮助医疗保健提供者在患者护理方面.
- 以用户为中心的设计和实施对于CDS工具的成功至关重要.
- 慢性疼痛管理带来了独特的挑战,需要专门的支持.
研究的目的:
- 评估初级保健提供者 (PCP) 使用慢性疼痛OneSheet (OneSheet) CDS工具的经验.
- 在16个月内评估以用户为中心设计的CDS工具的集成和使用情况.
- 确定影响慢性疼痛CDS工具的采用和有效性的因素.
主要方法:
- 通过对两个学术卫生系统的19名PCP进行半结构化访谈进行定性评估.
- 分析以5个权利的CDS框架为指导.
- 专注于使用慢性疼痛OneSheet工具的PCP经验.
主要成果:
- PCP发现OneSheet工具包含了慢性疼痛管理的相关信息,并与EHR集成得很好.
- 工具的使用因患者分组 (例如,阿片类药物处方,控制不良的疼痛) 和PCP偏好而有所不同.
- PCP报告了可变工作流集成和选择性功能使用,并建议为员工和患者提供更广泛的访问.
结论:
- 患者亚群和工作流变化显著影响CDS工具的使用,即使是以用户为中心的设计.
- 定制CDS设计和实施以适应患者,访问和提供者的动态,可以提高采用和使用.
- 未来的CDS开发应该侧重于灵活性和适应不同临床环境的适应性.
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