BMC Med Inform Decis Mak - From design to implementation--the Joint Asia Diabetes Evaluation (JADE) program: a descriptive report of an electronic web-based diabetes management program.

Tópicos

{ care(1570) inform(1187) nurs(1089) }
{ risk(3053) factor(974) diseas(938) }
{ patient(2315) diseas(1263) diabet(1191) }
{ data(3963) clinic(1234) research(1004) }
{ research(1218) medic(880) student(794) }
{ clinic(1479) use(1117) guidelin(835) }
{ record(1888) medic(1808) patient(1693) }
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{ concept(1167) ontolog(924) domain(897) }
{ data(1714) softwar(1251) tool(1186) }
{ studi(1410) differ(1259) use(1210) }
{ health(3367) inform(1360) care(1135) }
{ ehr(2073) health(1662) electron(1139) }
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{ perform(999) metric(946) measur(919) }
{ model(2656) set(1616) predict(1553) }
{ patient(1821) servic(1111) care(1106) }
{ imag(1947) propos(1133) code(1026) }
{ assess(1506) score(1403) qualiti(1306) }
{ treatment(1704) effect(941) patient(846) }
{ framework(1458) process(801) describ(734) }
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{ detect(2391) sensit(1101) algorithm(908) }

Resumo

CKGROUND: The Joint Asia Diabetes Evaluation (JADE) Program is a web-based program incorporating a comprehensive risk engine, care protocols, and clinical decision support to improve ambulatory diabetes care.METHODS: The JADE Program uses information technology to facilitate healthcare professionals to create a diabetes registry and to deliver an evidence-based care and education protocol tailored to patients' risk profiles. With written informed consent from participating patients and care providers, all data are anonymized and stored in a databank to establish an Asian Diabetes Database for research and publication purpose.RESULTS: The JADE electronic portal (e-portal: http://www.jade-adf.org) is implemented as a Java application using the Apache web server, the mySQL database and the Cocoon framework. The JADE e-portal comprises a risk engine which predicts 5-year probability of major clinical events based on parameters collected during an annual comprehensive assessment. Based on this risk stratification, the JADE e-portal recommends a care protocol tailored to these risk levels with decision support triggered by various risk factors. Apart from establishing a registry for quality assurance and data tracking, the JADE e-portal also displays trends of risk factor control at each visit to promote doctor-patient dialogues and to empower both parties to make informed decisions.CONCLUSIONS: The JADE Program is a prototype using information technology to facilitate implementation of a comprehensive care model, as recommended by the International Diabetes Federation. It also enables health care teams to record, manage, track and analyze the clinical course and outcomes of people with diabetes.

Resumo Limpo

ckground joint asia diabet evalu jade program webbas program incorpor comprehens risk engin care protocol clinic decis support improv ambulatori diabet caremethod jade program use inform technolog facilit healthcar profession creat diabet registri deliv evidencebas care educ protocol tailor patient risk profil written inform consent particip patient care provid data anonym store databank establish asian diabet databas research public purposeresult jade electron portal eport httpwwwjadeadforg implement java applic use apach web server mysql databas cocoon framework jade eport compris risk engin predict year probabl major clinic event base paramet collect annual comprehens assess base risk stratif jade eport recommend care protocol tailor risk level decis support trigger various risk factor apart establish registri qualiti assur data track jade eport also display trend risk factor control visit promot doctorpati dialogu empow parti make inform decisionsconclus jade program prototyp use inform technolog facilit implement comprehens care model recommend intern diabet feder also enabl health care team record manag track analyz clinic cours outcom peopl diabet

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