Accepted for/Published in: JMIR Medical Informatics
Date Submitted: May 6, 2018
Open Peer Review Period: May 9, 2018 - Jul 4, 2018
Date Accepted: Apr 7, 2019
(closed for review but you can still tweet)
Towards standardized monitoring of patients with chronic diseases in primary care using electronic medical records.
ABSTRACT
Background:
Long-term care for patients with chronic diseases poses a huge challenge. Deficits exist especially regarding monitoring and structured follow up. Appropriate Electronic medical records (EMR) could support this, but so far, no generic templates exist.
Objective:
The aim was to develop an evidence based standardized generic template, which improves monitoring of patients with chronic conditions by means of an EMR.
Methods:
Five highly prevalent chronic diseases were chosen: Diabetes mellitus type 2, arterial hypertension, asthma, osteoarthritis and chronic heart failure. In a first step, a systematic literature review was performed searching for indicators that monitor each chronic condition or studies that address the topic “monitoring”. The resulting indicators were then evaluated by means of an adapted Delphi procedure and in a second step summarized into a user-friendly layout.
Results:
This multi-step procedure resulted in a monitoring tool consisting of condensed sets of indicators, divided into sublayers to maximize ergonomics. A cockpit serves as an overview of fixed goals and set procedures to facilitate disease management. An additional tab contains information on non-disease specific indicators, as for example allergies and vital signs. Our study further shows that the term “monitoring”, in terms of disease management and long-time care of patients, is not widely spread.
Conclusions:
Our generic template can improve the care for patients with chronic diseases, since for the first time it systematically summarizes the existing scientific evidence for the standardized long-term monitoring of chronic conditions by means of an EMR in general practice.
Citation
Per the author's request the PDF is not available.
Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.