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使用电子健康记录命令,直接将糖尿病前期患者推到社区糖尿病预防计划

Karen A Scherr¹, Cassie D Turner^2,3,4, Sabrina Wolf⁵

¹Duke Center for Childhood Obesity Research and Department of Family Medicine and Community Health, Duke University, Durham, North Carolina.

Annals of family medicine

|September 22, 2025

概括

电子健康记录推 (eReferrals) 显示出将糖尿病前期患者连接到社区糖尿病预防计划 (DPP) 的希望. 然而,需要进一步的策略来改善临床医生采用和患者参与,以实现最佳的计划覆盖范围和有效性.

科学领域:

医疗信息学医疗信息学
公共卫生公共卫生
提高质量提高质量

背景情况:

基于社区的糖尿病预防计划 (DPP) 在糖尿病前期患者中参与率较低.
卫生系统的推率低,导致患者参与DPP的比例低.
电子健康记录推 (eReferrals) 提供了一个潜在的解决方案,以增加DPP推和参与.

研究的目的:

评估eReferral系统的实施和结果,以将糖尿病前期患者与学术卫生系统内的社区DPP联系起来.
评估电子推战略的覆盖范围,有效性,采用,实施和维护 (RE-AIM).

主要方法:

在一个大型的学术卫生系统中进行了一项质量改善计划.
使用EpicCare Link创建了一个eReferral路径,将符合条件的患者 (≥18岁,BMI ≥25 kg/m2,糖尿病前期或妊娠糖尿病史) 转介到当地DPP.
从2021年6月到2022年6月,使用RE-AIM框架进行了回顾性评估.

主要成果:

577名患者被转诊,DPP的入学率为21%.
30%的目标初级保健临床医生在14家诊所中使用了eReferral系统.
在临床医生之间,转诊率差异很大,大多数转诊患者符合资格标准.

结论:

电子推代表了一个可扩展的策略,将糖尿病前期患者与社区DPP联系起来.
提高临床医生对eReferrals的利用率和改善患者参与度对于最大限度地提高DPP有效性至关重要.
需要进一步优化才能充分发挥eReferrals在预防糖尿病方面的潜力.

关键词:

在 EPIC 里面,你会看到 EPIC.重新设定目标临床社区合作伙伴关系临床医生行为改变改变糖尿病预防计划 (DPP)电子推 (eReferral) 是一个电子推.电子健康记录是电子医疗记录.医疗信息技术健康信息技术实施实施实施实施实施.跨部门合作跨部门合作首要预防首要预防项目评价项目评价质量改善质量改善转介和咨询,以及咨询.2 型糖尿病 2 型糖尿病

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