BMC Med Inform Decis Mak - Qualitative evaluation of a diabetes electronic decision support tool: views of users.

Tópicos

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Resumo

CKGROUND: Quality care of type 2 diabetes is complex and requires systematic use of clinical data to monitor care processes and outcomes. An electronic decision support (EDS) tool for the management of type 2 diabetes in primary care was developed by the Australian Pharmaceutical Alliance. The aim of this qualitative study was to evaluate the uptake and use of the EDS tool as well as to describe the impact of the EDS tool on the primary care consultation for diabetes from the perspectives of general practitioners and practice nurses.METHODS: This was a qualitative study of telephone interviews. General Practitioners and Practice Nurses from four Divisions of General Practice who had used the EDS tool for a minimum of six weeks were invited to participate. Semi-structured interviews were conducted and the interview transcripts were coded and thematically analysed using NVivo 8 software.RESULTS: In total 15 General Practitioners and 2 Practice Nurses completed the interviews. The most commonly used feature of the EDS tool was the summary side bar; its major function was to provide an overview of clinical information and a prompt or reminder to diabetes care. It also assisted communication and served an educational role as a visual aide in the consultation. Some participants thought the tool resulted in longer consultations. There were a range of barriers to use related to the design and functionality of the tool and to the primary care context.CONCLUSIONS: The EDS tool shows promise as a way of summarising information about patients' diabetes state, reminder of required diabetes care and an aide to patient education.

Resumo Limpo

ckground qualiti care type diabet complex requir systemat use clinic data monitor care process outcom electron decis support ed tool manag type diabet primari care develop australian pharmaceut allianc aim qualit studi evalu uptak use ed tool well describ impact ed tool primari care consult diabet perspect general practition practic nursesmethod qualit studi telephon interview general practition practic nurs four divis general practic use ed tool minimum six week invit particip semistructur interview conduct interview transcript code themat analys use nvivo softwareresult total general practition practic nurs complet interview common use featur ed tool summari side bar major function provid overview clinic inform prompt remind diabet care also assist communic serv educ role visual aid consult particip thought tool result longer consult rang barrier use relat design function tool primari care contextconclus ed tool show promis way summaris inform patient diabet state remind requir diabet care aid patient educ

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