A service evaluation following the implementation of computer guided consultation software to support primary care reviews for chronic obstructive pulmonary disease.

IF 4.7 3区医学 Q1 PRIMARY HEALTH CARE NPJ Primary Care Respiratory Medicine Pub Date : 2025-03-11 DOI:10.1038/s41533-025-00421-1

B Chakrabarti, E McKnight, M G Pearson, L Dowie, J Richards, M Choudhury-Iqbal, R Malone, M Osborne, C Cooper, L Davies, R M Angus

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Abstract

This study evaluates the impact of using a Clinical Decision Support System software in the form of a computer-guided consultation (CGC) when conducting Chronic Obstructive Pulmonary Disease (COPD) reviews in primary care. 5221 patients on the COPD register underwent CGC review with 21.1% found not to have COPD. Previously unrecognised cardiac disease was highlighted by the CGC in 7% of confirmed COPD cases. CGC review resulted in the number of patients possessing a self-management plan rising from 62-85%. 13% were found to have sub-optimal inhaler technique during CGC review with the CGC prompting correction in all cases. Only 26% of patients identified by the CGC as appropriate for Pulmonary Rehabilitation (PR) referral had previously attended a PR program. The integration of technology in the form of clinical decision support system software results in greater implementation of guideline-level care representing a scalable solution when performing COPD reviews.

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实施计算机指导咨询软件后的服务评估，以支持慢性阻塞性肺病的初级保健审查。

本研究评估了在初级保健中进行慢性阻塞性肺疾病（COPD）评估时，以计算机指导咨询（CGC）形式使用临床决策支持系统软件的影响。5221名COPD登记患者接受了CGC审查，其中21.1%未发现患有COPD。在7%的慢性阻塞性肺病确诊病例中，CGC强调了以前未被识别的心脏病。CGC审查导致拥有自我管理计划的患者数量从62-85%上升。在CGC审查期间，13%的患者发现吸入器技术不理想，所有病例都有CGC提示纠正。只有26%的被CGC确定为适合肺康复（PR）转诊的患者以前参加过PR项目。以临床决策支持系统软件的形式整合技术，在进行COPD审查时，可以更好地实施指南级护理，这是一种可扩展的解决方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

NPJ Primary Care Respiratory Medicine PRIMARY HEALTH CARE-RESPIRATORY SYSTEM

CiteScore

5.50

自引率

6.50%

发文量

审稿时长

10 weeks

期刊介绍： npj Primary Care Respiratory Medicine is an open access, online-only, multidisciplinary journal dedicated to publishing high-quality research in all areas of the primary care management of respiratory and respiratory-related allergic diseases. Papers published by the journal represent important advances of significance to specialists within the fields of primary care and respiratory medicine. We are particularly interested in receiving papers in relation to the following aspects of respiratory medicine, respiratory-related allergic diseases and tobacco control: epidemiology prevention clinical care service delivery and organisation of healthcare (including implementation science) global health.