针对有特殊医疗需求的患者，从儿科向成人护理过渡的计算机化临床决策支持的可行性。
Feasibility of computerized clinical decision support for pediatric to adult care transitions for patients with special healthcare needs.
作者信息
Koscielniak Nikolas J, Dharod Ajay, Moses Adam, Bundy Richa, Feiereisel Kirsten B, Albertini Laurie W, Palakshappa Deepak
机构信息
Clinical and Translational Science Institute, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
出版信息
JAMIA Open. 2021 Nov 3;4(4):ooab088. doi: 10.1093/jamiaopen/ooab088. eCollection 2021 Oct.
The objective of this study was to determine the feasibility of a computerized clinical decision support (cCDS) tool to facilitate referral to adult healthcare services for children with special healthcare needs. A transition-specific cCDS was implemented as part of standard care in a general pediatrics clinic at a tertiary care academic medical center. The cCDS alerts providers to patients 17-26 years old with 1 or more of 15 diagnoses that may be candidates for referral to an internal medicine adult transition clinic (ATC). Provider responses to the cCDS and referral outcomes (e.g. scheduled and completed visits) were retrospectively analyzed using descriptive statistics. One hundred and fifty-two patients were seen during the 20-month observation period. Providers referred 87 patients to the ATC using cCDS and 77% of patients ≥18 years old scheduled a visit in the ATC. Transition-specific cCDS tools are feasible options to facilitate adult care transitions for children with special healthcare needs.
本研究的目的是确定一种计算机化临床决策支持（cCDS）工具在促进有特殊医疗需求儿童转诊至成人医疗服务方面的可行性。作为三级医疗学术医学中心普通儿科诊所标准护理的一部分，实施了一种针对转诊过渡阶段的cCDS。该cCDS会向17至26岁、患有15种诊断中1种或更多种诊断的患者发出警报，这些患者可能是转诊至内科成人转诊诊所（ATC）的候选对象。使用描述性统计方法对提供者对cCDS的反应和转诊结果（如预约和完成就诊）进行回顾性分析。在20个月的观察期内共诊治了152名患者。提供者使用cCDS将87名患者转诊至ATC，≥18岁患者中有77%预约了ATC的就诊。针对转诊过渡阶段的cCDS工具是促进有特殊医疗需求儿童向成人护理过渡的可行选择。
Zotero 插件