From the Occupational and Environmental Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH (Dr McLellan); The Permanente Medical Group, San Francisco, California (Dr Kownacki); University of Massachusetts Medical School, Sudbury, Massachusetts (Dr Pransky; and ACOEM, Elk Grove Village, Illinois (Ms Dreger).
J Occup Environ Med. 2017 Nov;59(11):e240-e244. doi: 10.1097/JOM.0000000000001180.
The aim of this study was to describe the process by which a group of subject matter experts in the area of return to work developed a resource tool to provide clinical decision support (CDS) for primary care clinicians.
A common musculoskeletal disorder, low back pain (LBP), was selected, pertinent literature reviewed, and specific recommendations for action in the clinical setting developed.
Primary care practitioners (PCPs) are routinely expected to create work activity prescriptions. The knowledge base for a CDS tool that could be embedded in electronic health records has been developed.
Improved clinical support should help prevent and manage work limitations associated with LBP not caused by work. The proposed decision support should reduce administrative burden and stimulate PCPs to explore the role of occupation and its demands on patients.
本研究旨在描述一组在重返工作领域的专家如何开发资源工具，为初级保健临床医生提供临床决策支持（CDS）的过程。
选择一种常见的肌肉骨骼疾病，即下腰痛（LBP），对相关文献进行回顾，并为临床环境中的具体行动提出建议。
初级保健医生（PCP）通常需要制定工作活动处方。已经开发出一个可以嵌入电子健康记录中的 CDS 工具的知识库。
更好的临床支持应该有助于预防和管理与非工作原因导致的 LBP 相关的工作限制。拟议的决策支持应该减轻行政负担，并激励 PCP 探索职业及其对患者的需求的作用。
