School of Public Health and Community Medicine, University of New South Wales, Sydney, NSW, Australia.
BMC Med Inform Decis Mak. 2012 Jul 3;12:61. doi: 10.1186/1472-6947-12-61.
Quality care of type 2 diabetes is complex and requires systematic use of clinical data to monitor care processes and outcomes. An electronic decision support (EDS) tool for the management of type 2 diabetes in primary care was developed by the Australian Pharmaceutical Alliance. The aim of this qualitative study was to evaluate the uptake and use of the EDS tool as well as to describe the impact of the EDS tool on the primary care consultation for diabetes from the perspectives of general practitioners and practice nurses.
This was a qualitative study of telephone interviews. General Practitioners and Practice Nurses from four Divisions of General Practice who had used the EDS tool for a minimum of six weeks were invited to participate. Semi-structured interviews were conducted and the interview transcripts were coded and thematically analysed using NVivo 8 software.
In total 15 General Practitioners and 2 Practice Nurses completed the interviews. The most commonly used feature of the EDS tool was the summary side bar; its major function was to provide an overview of clinical information and a prompt or reminder to diabetes care. It also assisted communication and served an educational role as a visual aide in the consultation. Some participants thought the tool resulted in longer consultations. There were a range of barriers to use related to the design and functionality of the tool and to the primary care context.
The EDS tool shows promise as a way of summarising information about patients' diabetes state, reminder of required diabetes care and an aide to patient education.
2 型糖尿病的高质量护理较为复杂，需要系统地使用临床数据来监测护理过程和结果。澳大利亚药品联盟开发了一种用于初级保健中 2 型糖尿病管理的电子决策支持（EDS）工具。本定性研究的目的是评估 EDS 工具的采用和使用情况，并从全科医生和执业护士的角度描述 EDS 工具对糖尿病初级保健咨询的影响。
这是一项关于电话访谈的定性研究。邀请至少使用 EDS 工具六周的四个全科医生分部的全科医生和执业护士参加。对访谈记录进行半结构化访谈、编码和使用 NVivo 8 软件进行主题分析。
共有 15 名全科医生和 2 名执业护士完成了访谈。EDS 工具最常使用的功能是摘要侧边栏；其主要功能是提供临床信息概述，并提示或提醒糖尿病护理。它还有助于沟通，并作为咨询中的视觉辅助工具发挥教育作用。一些参与者认为该工具导致咨询时间延长。在工具的设计和功能以及初级保健环境方面存在一系列使用障碍。
EDS 工具有望成为一种总结患者糖尿病状况信息、提醒所需糖尿病护理以及辅助患者教育的方法。
