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首页> 外文期刊>JMIR Medical Informatics >Toward Standardized Monitoring of Patients With Chronic Diseases in Primary Care Using Electronic Medical Records: Development of a Tool by Adapted Delphi Procedure
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Toward Standardized Monitoring of Patients With Chronic Diseases in Primary Care Using Electronic Medical Records: Development of a Tool by Adapted Delphi Procedure

机译：通过电子医疗记录对初级保健患者的标准化监测：通过适应的Delphi程序开发工具

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Background Long-term care for patients with chronic diseases poses a huge challenge in primary care. There are deficits in care, especially regarding monitoring and creating structured follow-ups. Appropriate electronic medical records (EMR) could support this, but so far, no generic evidence-based template exists. Objective The aim of this study is to develop an evidence-based standardized, generic template that improves the monitoring of patients with chronic conditions in primary care by means of an EMR. Methods We used an adapted Delphi procedure to evaluate a structured set of evidence-based monitoring indicators for 5 highly prevalent chronic diseases (ie, diabetes mellitus type 2, asthma, arterial hypertension, chronic heart failure, and osteoarthritis). We assessed the indicators’ utility in practice and summarized them into a user-friendly layout. Results This multistep procedure resulted in a monitoring tool consisting of condensed sets of indicators, which were divided into sublayers to maximize ergonomics. A cockpit serves as an overview of fixed goals and a set of procedures to facilitate disease management. An additional tab contains information on nondisease-specific indicators such as allergies and vital signs. Conclusions Our generic template systematically integrates the existing scientific evidence for the standardized long-term monitoring of chronic conditions. It contains a user-friendly and clinically sensible layout. This template can improve the care for patients with chronic diseases when using EMRs in primary care.
机译：背景技术慢性病患者的长期护理在初级保健中提出了巨大的挑战。护理有缺陷，特别是关于监测和创建结构化随访。适当的电子医疗记录（EMR）可以支持这一点，但到目前为止，没有存在通用的基于证据的模板。目的本研究的目的是开发一种基于证据的标准化通用模板，可通过EMR提高初级保健患者的监测。方法采用适应的Delphi程序评估了5种基于证据的慢性疾病的基于证据的监测指标（即糖尿病患者2型，哮喘，动脉高血压，慢性心力衰竭和骨关节炎）。我们在实践中评估了指标的效用，并将其汇总为用户友好的布局。结果该多步骤导致监测工具由浓缩的指示灯组成，分为子层以最大化人体工程学。驾驶舱是固定目标的概述和一系列促进疾病管理的程序。另一个选项卡包含有关无酶特异性指标的信息，例如过敏和生命体征。结论我们的通用模板系统地整合了现有的科学证据，以便标准化的长期监测慢性病。它包含一个用户友好且临床明智的布局。当在初级保健中使用EMRS时，该模板可以改善慢性疾病患者的护理。

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