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首页> 外文期刊>American journal of medical quality: the official journal of the American College of Medical Quality >Impact of an EHR-Based Diabetes Management Form on Quality and Outcomes of Diabetes Care in Primary Care Practices
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Impact of an EHR-Based Diabetes Management Form on Quality and Outcomes of Diabetes Care in Primary Care Practices

机译：基于EHR的糖尿病管理表格对初级保健实践中糖尿病护理质量和结果的影响

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摘要

Health information technology shows promise for improving chronic disease care. This study assessed the impact of a diabetes management form (DMF), accessible within an electronic health record. From 2007 to 2009, 2108 diabetes patients were seen in 20 primary care practices; 1103 visits involved use of the DMF in 2008. The primary outcome was optimal care: HbA1c 8%, low-density lipoprotein (LDL) cholesterol <100 mg/dL, blood pressure <130/80 mm Hg, not smoking, and aspirin prescription in patients 40 years. After adjusting for number of visits, age, sex, and insulin use, DMF-exposed patients showed less improvement in attaining optimal care (estimated difference-in-difference [DID] = -2.06 percentage points; P < .001), LDL cholesterol (DID = -2.30; P = .023), blood pressure (DID = -3.05; P < .001), and total cholesterol (DID = -0.47; P = .004) targets. Documented microalbumin tests, aspirin prescription, and eye and foot exams increased more. Thus, DMF use was associated with smaller gains in achieving evidence-based targets, but greater improvement in documented delivery of care.
机译：健康信息技术显示出改善慢性疾病护理的希望。这项研究评估了可通过电子健康记录访问的糖尿病管理表格（DMF）的影响。从2007年到2009年，在20种初级保健实践中共诊治了2108名糖尿病患者。 2008年，有1103名患者使用了DMF。主要结果是最佳护理：HbA1c 8％，低密度脂蛋白（LDL）胆固醇<100 mg / dL，血压<130/80 mm Hg，禁止吸烟和阿司匹林处方在患者40岁。调整就诊次数，年龄，性别和胰岛素使用量后，接触DMF的患者在获得最佳护理方面的改善较小（估计差异[DID] = -2.06个百分点; P <.001），LDL胆固醇（DID = -2.30; P = .023），血压（DID = -3.05; P <.001）和总胆固醇（DID = -0.47; P = .004）。记录在案的微量白蛋白检查，阿司匹林处方以及眼和脚检查增加了更多。因此，DMF的使用与实现基于证据的目标获得的收益较小，但在有文件证明的护理提供方面有了较大的改善。

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