开发、整合和采用与电子健康记录相关联的数字健康解决方案，以支持初级保健中的糖尿病护理。
Development, Integration, and Adoption of an Electronic Health Record-Linked Digital Health Solution to Support Care for Diabetes in Primary Care.
作者信息
Jones James B, Liang Shuting, Husby Hannah M, Delatorre-Reimer Jake K, Mosser Cory A, Hudnut Andrew G, Knobel Kevin, MacDonald Karen, Yan Xiaowei S
机构信息
Sutter Health Research, Development & Dissemination, Walnut Creek, CA.
AstraZeneca, Wilmington, DE.
出版信息
Clin Diabetes. 2019 Oct;37(4):338-346. doi: 10.2337/cd18-0057.
Abstract
Chronic conditions such as diabetes are largely managed by primary care providers (PCPs), with significant patient self-management. This article describes the development, pilot testing, and fine-tuning of a Web-based digital health solution to help PCPs manage patients with cardiometabolic diseases during routine office encounters. It shows that such products can be successfully integrated into primary care settings when they address important unmet needs and are developed with input from end-users.
摘要
糖尿病等慢性病主要由初级保健提供者（PCP）管理，患者需进行大量自我管理。本文描述了一种基于网络的数字健康解决方案的开发、试点测试和优化，以帮助初级保健提供者在常规门诊中管理患有心脏代谢疾病的患者。研究表明，此类产品若能满足重要的未被满足的需求，并在终端用户的参与下进行开发，就能成功融入初级保健环境。
相似文献
1
Development, Integration, and Adoption of an Electronic Health Record-Linked Digital Health Solution to Support Care for Diabetes in Primary Care.开发、整合和采用与电子健康记录相关联的数字健康解决方案，以支持初级保健中的糖尿病护理。
Clin Diabetes. 2019 Oct;37(4):338-346. doi: 10.2337/cd18-0057.
2
Evaluating the Impact of a Point-of-Care Cardiometabolic Clinical Decision Support Tool on Clinical Efficiency Using Electronic Health Record Audit Log Data: Algorithm Development and Validation.使用电子健康记录审计日志数据评估即时心脏代谢临床决策支持工具对临床效率的影响：算法开发与验证
JMIR Med Inform. 2022 Sep 6;10(9):e38385. doi: 10.2196/38385.
4
The Electronic Patient Reported Outcome Tool: Testing Usability and Feasibility of a Mobile App and Portal to Support Care for Patients With Complex Chronic Disease and Disability in Primary Care Settings.电子患者报告结局工具：测试移动应用程序和门户的可用性和可行性，以支持初级保健环境中患有复杂慢性病和残疾的患者的护理。
JMIR Mhealth Uhealth. 2016 Jun 2;4(2):e58. doi: 10.2196/mhealth.5331.
5
Record media used by primary care providers in medically underserved regions of upstate New York was not pivotal to clinical result in the Informatics for Diabetes Education and Telemedicine (IDEATel) project.在纽约州北部医疗服务欠缺地区，基层医疗服务提供者所使用的记录介质对于糖尿病教育与远程医疗信息学（IDEATel）项目的临床结果并非关键因素。
Inform Prim Care. 2009;17(2):103-12. doi: 10.14236/jhi.v17i2.722.
6
Development of an integrated e-health tool for people with, or at high risk of, cardiovascular disease: The Consumer Navigation of Electronic Cardiovascular Tools (CONNECT) web application.为心血管疾病患者或高危人群开发综合电子健康工具：电子心血管工具消费者导航（CONNECT）网络应用程序。
Int J Med Inform. 2016 Dec;96:24-37. doi: 10.1016/j.ijmedinf.2016.01.009. Epub 2016 Jan 24.
7
Knowledgeability, attitude, and practice behaviors of primary care providers toward managing patients' oral health care in medical practice: Wisconsin statewide survey.初级保健提供者在医疗实践中管理患者口腔保健的知识、态度和实践行为：威斯康星州全州调查。
J Am Dent Assoc. 2019 Oct;150(10):863-872. doi: 10.1016/j.adaj.2019.05.020. Epub 2019 Aug 22.
8
Lack of Adoption of a Mobile App to Support Patient Self-Management of Diabetes and Hypertension in a Federally Qualified Health Center: Interview Analysis of Staff and Patients in a Failed Randomized Trial.在一家联邦合格医疗中心，一款支持糖尿病和高血压患者自我管理的移动应用未被采用：对一项失败的随机试验中的工作人员和患者的访谈分析
JMIR Hum Factors. 2017 Oct 3;4(4):e24. doi: 10.2196/humanfactors.7709.
9
A Multicomponent Intervention to Improve Primary Care Provider Adherence to Chronic Opioid Therapy Guidelines and Reduce Opioid Misuse: A Cluster Randomized Controlled Trial Protocol.一项多组分干预措施，旨在提高初级保健提供者对慢性阿片类药物治疗指南的依从性并减少阿片类药物滥用：一项整群随机对照试验方案。
J Subst Abuse Treat. 2016 Jan;60:101-9. doi: 10.1016/j.jsat.2015.06.018. Epub 2015 Jul 15.
10
Web-based PTSD training for primary care providers: a pilot study.针对初级保健提供者的基于网络的创伤后应激障碍培训：一项试点研究。
Psychol Serv. 2014 May;11(2):153-61. doi: 10.1037/a0034855. Epub 2013 Dec 23.
引用本文的文献
1
Accessibility of diabetes education in the United States: barriers, policy implications, and the road ahead.美国糖尿病教育的可及性：障碍、政策影响及未来之路
Health Aff Sch. 2024 Aug 21;2(8):qxae097. doi: 10.1093/haschl/qxae097. eCollection 2024 Aug.
2
Evaluating the Impact of a Point-of-Care Cardiometabolic Clinical Decision Support Tool on Clinical Efficiency Using Electronic Health Record Audit Log Data: Algorithm Development and Validation.使用电子健康记录审计日志数据评估即时心脏代谢临床决策支持工具对临床效率的影响：算法开发与验证
JMIR Med Inform. 2022 Sep 6;10(9):e38385. doi: 10.2196/38385.
3
Electronic Health Record Technology Designed for the Clinical Encounter: MS NeuroShare.专为临床诊疗设计的电子健康记录技术：MS神经共享系统
Neurol Clin Pract. 2021 Aug;11(4):318-326. doi: 10.1212/CPJ.0000000000000986.
本文引用的文献
1
Clinical decision support directed to primary care patients and providers reduces cardiovascular risk: a randomized trial.临床决策支持针对初级保健患者和提供者可降低心血管风险：一项随机试验。
J Am Med Inform Assoc. 2018 Sep 1;25(9):1137-1146. doi: 10.1093/jamia/ocy085.
2
Physician Burnout: Resilience Training is Only Part of the Solution.医生职业倦怠：韧性培训只是解决方案的一部分。
Ann Fam Med. 2018 May;16(3):267-270. doi: 10.1370/afm.2223.
3
Burnout in Young Family Physicians: Variation Across States.年轻家庭医生的倦怠：各州的差异。
J Am Board Fam Med. 2018 Jan-Feb;31(1):7-8. doi: 10.3122/jabfm.2018.01.170269.
4
Tethered to the EHR: Primary Care Physician Workload Assessment Using EHR Event Log Data and Time-Motion Observations.受制于电子健康记录：使用电子健康记录事件日志数据和时间动作观察法评估基层医疗医生的工作量
Ann Fam Med. 2017 Sep;15(5):419-426. doi: 10.1370/afm.2121.
5
Providing Quantitative Information and a Nudge to Undergo Stool Testing in a Colorectal Cancer Screening Decision Aid: A Randomized Clinical Trial.在一项结直肠癌筛查决策辅助工具中提供定量信息并推动进行粪便检测：一项随机临床试验
Med Decis Making. 2017 Aug;37(6):688-702. doi: 10.1177/0272989X17698678. Epub 2017 Apr 11.
6
Electronic Health Record Logs Indicate That Physicians Split Time Evenly Between Seeing Patients And Desktop Medicine.电子健康记录日志显示，医生在看诊病人和进行桌面诊疗之间平均分配时间。
Health Aff (Millwood). 2017 Apr 1;36(4):655-662. doi: 10.1377/hlthaff.2016.0811.
7
A Human-Centered Design Methodology to Enhance the Usability, Human Factors, and User Experience of Connected Health Systems: A Three-Phase Methodology.一种以用户为中心的设计方法，用于提升互联健康系统的可用性、人因工程学及用户体验：一种三阶段方法。
JMIR Hum Factors. 2017 Mar 16;4(1):e8. doi: 10.2196/humanfactors.5443.
8
New Unintended Adverse Consequences of Electronic Health Records.电子健康记录新的意外不良后果。
Yearb Med Inform. 2016 Nov 10(1):7-12. doi: 10.15265/IY-2016-023.
9
Outpatient diabetes clinical decision support: current status and future directions.门诊糖尿病临床决策支持：现状与未来方向。
Diabet Med. 2016 Jun;33(6):734-41. doi: 10.1111/dme.13090.
10
National estimates of the impact of electronic health records on the workload of primary care physicians.电子健康记录对基层医疗医生工作量影响的全国性评估。
BMC Health Serv Res. 2016 May 10;16:172. doi: 10.1186/s12913-016-1422-6.
Zotero 插件