West Virginia University, School of Public Health, Occupational Medicine Department, Morgantown, West Virginia (Dr Allen); Center for Construction Research and Training, Silver Spring, Maryland (Dr Welch); Association of Occupational and Environmental Health Clinics, Washington, DC (Dr Kirkland); National Institute for Occupational Safety and Health (NIOSH), DSHEFS, Centers for Disease Control and Prevention, Cincinnati, Ohio (Dr Trout); and Queens College, City University of New York, Queens, New York (Dr Baron).
J Occup Environ Med. 2017 Nov;59(11):e236-e239. doi: 10.1097/JOM.0000000000001181.
The aim of this study was to describe the process by which a group of subject matter experts (SMEs) in the area of occupational health and primary care developed a clinical decision support (CDS) tool addressing work-related issues, which are important in the care of patients with diabetes mellitus (DM). The CDS is intended for primary care clinicians caring for employed adults with DM.
The SME's selected guidelines for the management of DM in working adults, reviewed pertinent literature, and developed specific recommendations for action in the clinical setting.
Multiple factors at work may adversely affect DM management. Clinicians can support working patients through education and care strategies to improve control.
Improved recognition of factors at work that can have an impact on DM care provides opportunities for improved management of DM among working adults.
本研究旨在描述一组职业健康和初级保健领域的主题专家 (SME) 开发临床决策支持 (CDS) 工具的过程，该工具针对与工作相关的问题，这些问题在糖尿病 (DM) 患者的护理中很重要。该 CDS 旨在为照顾患有 DM 的在职成年人的初级保健临床医生提供服务。
SME 选择了管理成年工作者中 DM 的指南，回顾了相关文献，并为临床环境中的具体行动制定了建议。
工作中的多种因素可能会对 DM 的管理产生不利影响。临床医生可以通过教育和护理策略来支持工作中的患者，以改善控制。
更好地认识到可能影响 DM 护理的工作因素，为改善成年工作者的 DM 管理提供了机会。
