在一般实践中优化临床决策支持工具,以改善慢性病管理
Barbara Hunter1, Sandra Davidson2, Natalie Lumsden2,3
1Department of General Practice and Primary Care, University of Melbourne, Melbourne, Australia. barbara.hunter@unimelb.edu.au.
BMC primary care
|June 19, 2024
概括
今天的未来健康是一个用户友好的软件,有助于一般实践识别和管理慢性病 (CKD). 该平台被认为是可以接受和有用的,大多数实践在评估后继续使用该平台.
科学领域:
- 医疗信息学 医疗信息学
- 初级医疗保健医学 一级医疗保健医学
- 慢性疾病管理 慢性疾病管理
背景情况:
- 慢性疾病的早期发现和管理可以改善患者的治疗结果,并降低医疗保健成本.
- 初级保健机构对于识别风险人群和实施预防策略至关重要.
- 今天的未来健康 (FHT) 干预措施是为了帮助治疗慢性病 (CKD) 的一般做法而开发的.
研究的目的:
- 评估未来健康今天 (FHT) 技术干预在澳大利亚一般实践中的实施情况.
- 确定影响采用和使用FHT用于CKD管理的障碍和促进者的障碍.
- 评估FHT在支持患者护理中的可用性和临床实用性.
主要方法:
- 这是一项定性研究,涉及52次采访,对30名实践人员进行了采访,来自澳大利亚维多利亚州的12家全科医院.
- 数据收集发生在2020年7月至2021年4月期间,通过调查收集实践特征.
- 分析采用了诱导和演的定性策略,以临床性能 - 反干预理论 (CP-FIT) 为指导.
主要成果:
- 今天的未来健康 (FHT) 被认为是可以接受的,用户友好的,并有利于改善CKD的识别和管理.
- 简单性,工作流集成和可操作的反促进了FHT的使用,而外部压力 (例如COVID-19) 和技术问题构成了障碍.
- 实践人员更喜欢对仪表板的点照顾提示,因为它的直接性和相关性,表明兼容性和可信度影响了采用.
结论:
- FHT软件平台是通用诊所的宝贵工具,为识别和管理患有CKD的患者提供直接支持.
- 该研究强调了系统设计,工作流集成和用户反在技术干预实施中的重要性.
- 计划进行进一步的研究,以评估FHT的有效性,并将其应用于其他慢性疾病.
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