Electronic clinical decision support tool for the evaluation of cardiovascular risk in general practice: A pilot study.

Q3 Medicine Australian family physician Pub Date : 2017-10-01
Jason Chiang, John Furler, Douglas Boyle, Malcolm Clark, Jo-Anne Manski-Nankervis
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引用次数: 0

Abstract

Background: Cardiovascular disease (CVD) is a major cause of death in Australia. Electronic medical record (EMR)-based clinical decision support (CDS) tools have the potential to support absolute CVD risk (ACVDR) evaluation and management. The objective of this study was to test the acceptability and feasibility of the Treat to Target CVD (T3CVD), an EMR-based CDS tool, for the evaluation of ACVDR in general practice.

Methods: Five general practitioners (GPs) piloted the T3CVD tool in their clinic. Interviews with the clinicians explored the acceptability and feasibility of the T3CVD tool.

Results: The T3CVD tool was acceptable and, in the small pilot, was shown to have the capacity to support GPs in ACVDR assessment and management, and to encourage patient participation and motivation. Technical and structural factors important to ensure feasibility of the tool were identified.

Discussion: With further development, the T3CVD tool has the potential to improve ACVDR assessment and management in primary care.

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电子临床决策支持工具在一般实践中心血管风险评估:一项试点研究。
背景:心血管疾病(CVD)是澳大利亚人死亡的主要原因。基于电子病历(EMR)的临床决策支持(CDS)工具具有支持心血管疾病绝对风险(ACVDR)评估和管理的潜力。本研究的目的是测试治疗目标CVD (T3CVD),一种基于emr的CDS工具,在一般实践中评估ACVDR的可接受性和可行性。方法:5名全科医生在他们的诊所试用了T3CVD工具。与临床医生的访谈探讨了T3CVD工具的可接受性和可行性。结果:T3CVD工具是可接受的,并且在小型试点中显示有能力支持全科医生进行ACVDR评估和管理,并鼓励患者参与和激励。确定了确保工具可行性的重要技术和结构因素。讨论:随着进一步发展,T3CVD工具有可能改善初级保健中的ACVDR评估和管理。
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来源期刊
Australian family physician
Australian family physician 医学-医学:内科
CiteScore
0.61
自引率
0.00%
发文量
1
审稿时长
4-8 weeks
期刊介绍: The Australian Journal of General Practice (AJGP) aims to provide relevant, evidence-based, clearly articulated information to Australian GPs to assist them in providing the highest quality patient care, applicable to the varied geographic and social contexts in which GPs work and to all GP roles as clinician, researcher, educator, practice team member and opinion leader. All articles are subject to a peer-review process before they are accepted for publication. The journal is indexed in MEDLINE, Index Medicus and Science Citation Index Expanded.
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