[计算机化医疗记录在高血压监测中的应用。对意大利摩德纳初级保健机构中25名全科医生的纵向和横向评估]

[Computerized medical records in monitoring hypertension. Longitudinal and horizontal evaluation of 25 general practitioners in a primary care setting of Modena, Italy].

作者信息

Perrone Enrica, Padula Maria Stella, Scarpa Marina, Acerbi Maria Angela, Andreoli Claudio, Baldoni Patrizia, Bannò Gabriella, Bregoli Renato, Campolieti Manfredo, Cataldo Nicola, Daya Ghassan, D'Urso Anna Rita, Feltri Gaetano, Gualandrini Alessandra, Lambertini Giorgio, Mazzi Wainer, Modafferi Gino Paolo, Mussati Pierpaolo, Onesti Luca, Piancone Cataldo, Pieralisi Fernando, Poppi Maria Cristina, Scaglioni Alberto, Tsoutsis Nycolaos, Turrini Stefano, Viola Elisabetta, Capelli Oreste

机构信息

CeVEAS (Centro Valutazione Efficacia Assistenza Sanitaria), AUSL Modena.

出版信息

Recenti Prog Med. 2009 Jan;100(1):4-8.

PMID:19445274

Abstract

This study aims at evaluating the effectiveness of a computerized-based Clinical Record in monitoring hypertension in a Primary Care Setting. Blood pressure (BP) recording increased by 62% to 70% in the years 2004 to 2006. No improvement, however, was noticeable in the achievement of gold-standard targets in BP control (62% in all period). At the end of 2006 BP was recorded in 65% of patients. Among them, 2/3 of the non diabetics reached < 140/90 mmHg standard, while only 23% of diabetics reached < 130/80 mmHg standard. In conclusion, using a computerized clinical record appears not to be sufficient to obtain good clinical performances, yet it is a necessary first step to clinical audit.

摘要

本研究旨在评估基于计算机的临床记录在基层医疗环境中监测高血压的有效性。2004年至2006年期间，血压（BP）记录增加了62%至70%。然而，在实现血压控制的金标准目标方面（所有时间段均为62%），并未观察到明显改善。2006年底，65%的患者记录了血压。其中，三分之二的非糖尿病患者血压达到<140/90 mmHg标准，而只有23%的糖尿病患者血压达到<130/80 mmHg标准。总之，使用计算机化临床记录似乎不足以获得良好的临床效果，但它是临床审计的必要第一步。