Accepted for/Published in: JMIR Medical Informatics
Date Submitted: Apr 24, 2019
Open Peer Review Period: Apr 25, 2019 - Jun 3, 2019
Date Accepted: Jan 21, 2020
(closed for review but you can still tweet)
Towards standardized monitoring of patients with chronic diseases in primary care using electronic medical records: the monitoring tool.
ABSTRACT
Background:
Long-term care for patients with chronic diseases poses a huge challenge in primary care. Deficits exist especially regarding monitoring and structured follow up. Appropriate electronic medical records (EMR) could support this, but so far, no generic evidence-based template exists.
Objective:
The aim was to develop an evidence based standardized generic template, which improves monitoring of patients with chronic conditions in primary care by means of an EMR.
Methods:
Five highly prevalent chronic diseases were chosen: Diabetes mellitus type 2, asthma, arterial hypertension, chronic heart failure and osteoarthritis. Previously, a systematic literature review has been performed, resulting in an evidence based structured set of indicators. These indicators were now evaluated, by means of an adapted Delphi procedure concerning usability in practice, and 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.
Conclusions:
Our generic template can improve the care for patients with chronic diseases by means of an EMR in primary care, since for the first time it systematically summarizes the existing scientific evidence for the standardized long-term monitoring of chronic conditions, and was implemented into a user friendly and clinically sensible layout.
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