为初级保健医生使用喘诊断临床决策支持系统的使用和可接受性:一项观察性混合方法研究
Luke Daines1, Anne Canny2, Eddie Donaghy2
1Asthma UK Centre for Applied Research, Usher Institute, University of Edinburgh, Edinburgh, UK. luke.daines@ed.ac.uk.
NPJ primary care respiratory medicine
|November 28, 2024
概括
一个新的临床决策支持系统 (CDSS) 用于青少年的喘诊断是可行的和可接受的在英国的初级保健. 临床医生发现喘诊断工具易于使用,尽管它对经验丰富的从业人员的影响受到质疑.
科学领域:
- 初级医疗保健医学 一级医疗保健医学
- 临床决策支持系统 临床决策支持系统
- 儿科呼吸系统健康 儿科呼吸系统健康
背景情况:
- 在初级保健中诊断喘是具有挑战性的,导致频繁的误诊.
- 准确的喘诊断对于儿童和青少年的有效治疗至关重要.
- 在初级保健机构中需要改进诊断工具.
研究的目的:
- 评估一种用于喘诊断的新型临床决策支持系统 (CDSS) 的可行性和可接受性.
- 评估CDSS在英国常规初级保健咨询中的可用性和整合性.
- 收集临床医生对CDSS的潜在好处和局限性的反.
主要方法:
- 一项涉及英格兰和苏格兰一般做法的前性研究.
- 在六个月的例行商期间部署CDSS.
- 对CDSS使用数据的定量分析和与参与的临床医生进行的定性访谈.
主要成果:
- 在10个参与实践中的94名临床医生中,75名临床医生使用了CDSS.
- 临床医生报告说CDSS易于使用,并欣赏其自动填充功能.
- 障碍包括有限的直接注释集成和经验丰富的临床医生所感知的有限的实用性.
结论:
- 喘诊断CDSS是英国初级保健的可行和可接受的工具.
- 该系统看起来很有前途,特别是在支持学员和经验较少的临床医生方面.
- 可能需要进一步开发,以解决所有用户级别的集成障碍和感知价值.
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