J Am Dent Assoc. 2017 May;148(5):328-337. doi: 10.1016/j.adaj.2017.01.026. Epub 2017 Mar 8.
The authors conducted this study to identify the most relevant patient dental information in a medical-dental integrated electronic health record (iEHR) necessary for medical care providers to inform holistic treatment.
The authors collected input from a diverse sample of 65 participants from a large, regional health system representing 13 medical specialties and administrative units. The authors collected feedback from participants through 11 focus group sessions. Two independent reviewers analyzed focus group transcripts to identify major and minor themes.
The authors identified 336 of 385 annotations that most medical care providers coded as relevant. Annotations strongly supporting relevancy to clinical practice aligned with 18 major thematic categories, with the top 6 categories being communication, appointments, system design, medications, treatment plan, and dental alerts.
Study participants identified dental data of highest relevance to medical care providers and recommended implementation of user-friendly access to dental data in iEHRs as crucial to holistic care delivery.
Identification of the patients' dental information most relevant to medical care providers will inform strategies for improving the integration of that information into the medical-dental iEHR.
作者开展这项研究旨在确定医疗保健提供者在医疗牙科综合电子健康记录（iEHR）中所需的最相关的患者牙科信息，以提供全面治疗。
作者从一个大型地区性卫生系统的 65 名参与者中收集了不同的样本，代表了 13 个医学专业和行政单位。作者通过 11 次焦点小组会议收集了参与者的反馈。两位独立的评论员分析了焦点小组的记录，以确定主要和次要主题。
作者从 385 条注释中确定了 336 条最受医疗保健提供者认为相关的注释。强烈支持与临床实践相关的注释与 18 个主要主题类别一致，前 6 个类别是沟通、预约、系统设计、药物、治疗计划和牙科警报。
研究参与者确定了对医疗保健提供者最相关的牙科数据，并建议在 iEHR 中实施用户友好的牙科数据访问，这对提供整体护理至关重要。
确定对医疗保健提供者最相关的患者牙科信息将为改进该信息在医疗牙科 iEHR 中的整合策略提供信息。
