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Addressing modifiable risk factors for coronary heart disease in primary care: an evidence-base lost in translation

S. Debar, P. Kumarapeli, J. C. Kaski, S. de Lusignan
2010 Family Practice  
use of a standard set of test cases.  ...  Electronic patient record (EPR) systems include embedded cardiovascular risk factor calculators and should facilitate this process. Objective.  ...  We repeated this process for Rounds 2 and 3. We mapped which of the originally identified risk factors were likely to be implemented within routine clinical practice.  ... 
doi:10.1093/fampra/cmq025 pmid:20418224 fatcat:kem3nr34znd5jinj47ibiqfzwa

Computer support for shared care of diabetes: findings from a Danish case

Keld Bødker, Maren Fich Granlien
2008 Studies in Health Technology and Informatics  
Shared care has been announced as an effective model for care of chronic diseases. In the paper we discuss various facets of IT support for shared care of diabetes.  ...  the patient deal with his/her situation on a everyday basis.  ...  Acknowledgments We would like to thank Sine Marie Øelund and Louise Baunsgaard Koch who together with the second author, Maren Fich Granlien, have conducted the empirical study that formed the empirical  ... 
pmid:18487762 fatcat:qcoggqnnarb3lmqplyslvqibiu

Does the Belgian diabetes type 2 care trajectory improve quality of care for diabetes patients?

Viviane F. A. Van Casteren, Nathalie H. E. Bossuyt, Sarah J. S. Moreels, Geert Goderis, Katrien Vanthomme, Johan Wens, Etienne W De Clercq
2015 Archives of Public Health  
in the processes and outcomes of care.  ...  Approximately 50 % of these CT patients had received reimbursement for a glucometer and nearly 60 % had had at least one encounter with a diabetes educator.  ...  Acknowledgements This work was funded by the Belgian National Institute for Health and Disability Insurance (NIHDI).  ... 
doi:10.1186/s13690-015-0080-1 pmid:26171143 pmcid:PMC4499949 fatcat:gzfyxwmfsfhypepi6h2z7tv6dy

What to expect from electronic patient record system implementation; lessons learned from published evidence

Ward Priestman, Shankar Sridharan, Helen Vigne, Richard Collins, Loretta Seamer, Neil J Sebire
2018 Journal of Innovation in Health Informatics  
The peer-reviewed literature appears to under-represent a range of technical factors important for EPR implementations, such as data migration from existing systems and impact of organisational readiness.Conclusion  ...  : The findings presented here represent synthesis of data from peer-reviewed literature in the field and should be of value to provide the evidence-base for organisations considering how best to implement  ...  as a part of the 'EPR implementation' process. 9 Chief Information Officers (CIOs) from English National Health Service trusts reported the expected benefits of EPR implementations to include efficiency  ... 
doi:10.14236/jhi.v25i2.1007 fatcat:37oj5corcracthfk4np7kfsufa

What to expect from electronic patient record system implementation; lessons learned from published evidence

Ward Priestman, Shankar Sridharan, Helen Vigne, Richard Collins, Loretta Seamer, Neil J Sebire
2018 Journal of Innovation in Health Informatics  
The peer-reviewed literature appears to under-represent a range of technical factors important for EPR implementations, such as data migration from existing systems and impact of organisational readiness  ...  The findings presented here represent synthesis of data from peer-reviewed literature in the field and should be of value to provide the evidence-base for organisations considering how best to implement  ...  as a part of the 'EPR implementation' process. 9 Chief Information Officers (CIOs) from English National Health Service trusts reported the expected benefits of EPR implementations to include efficiency  ... 
pmid:30398452 fatcat:tmwhfszxjncwtom6hzmnfjj67m

Benefits and problems of electronic information exchange as perceived by health care professionals: an interview study

Marieke Zwaanswijk, Robert A Verheij, Floris J Wiesman, Roland D Friele
2011 BMC Health Services Research  
Various countries are currently implementing a national electronic patient record (n-EPR).  ...  Conclusions: The implementation of the Dutch n-EPR has mainly followed a top-down approach, thereby neglecting the fact that the perceptions and preferences of its users (health care providers) need to  ...  Acknowledgements This study was financially supported by the Netherlands Organisation for Scientific Research (NWO). Author details  ... 
doi:10.1186/1472-6963-11-256 pmid:21982395 pmcid:PMC3200179 fatcat:6ewo57c6hjhhlor4a7sifdyltu

A generic system for critiquing physicians' prescriptions: usability, satisfaction and lessons learnt

Jean-Baptiste Lamy, Vahid Ebrahiminia, Brigitte Seroussi, Jacques Bouaud, Christia Simon, Madeleine Favre, Hector Falcoff, Alain Venot
2011 Studies in Health Technology and Informatics  
We present here the results of usability and satisfaction evaluations for the ASTI critiquing module, obtained with GPs for a newly implemented guideline concerning dyslipaemia, and we discuss the lessons  ...  The ASTI critiquing module is one such systems; it provides the physician with automatic criticisms when a drug prescription does not follow the guidelines.  ...  Acknowledgment We thank the HAS (Haute Autorité de Santé, the French health authority) and the CNAM (Caisse Nationale d'Assurance Maladie, the French health insurance fund for employees) for funding the  ... 
pmid:21893727 pmcid:PMC3882916 fatcat:ff6u5h6ebjd5lgslodjlgxawcy

Health information technology in primary health care in developing countries: a literature review

Elaine Tomasi, Luiz Augusto Facchini, Maria de Fatima Santos Maia
2004 Bulletin of the World Health Organization  
For the analysis of advantages, problems and perspectives of IT applications and systems, 52 articles were selected according to their potential contribution to the primary health-care processes in non-developed  ...  These included: 10 on electronic patient registries (EPR), 22 on process and programmatic action evaluation and management systems (PPAEM) and 20 on clinical decision-support systems (CDS).  ...  ). a EPR = electronic patient registries.  ... 
pmid:15640923 pmcid:PMC2623061 fatcat:ohtmgg2manfmxk2wlsj6wksvhi

Patient-specific computer-based decision support in primary healthcare—a randomized trial

Tiina Kortteisto, Jani Raitanen, Jorma Komulainen, Ilkka Kunnamo, Marjukka Mäkelä, Pekka Rissanen, Minna Kaila
2014 Implementation Science  
In Finland, we designed a trial where a set of evidence-based, patient-specific reminders was introduced into the local Electronic Patient Record (EPR) system.  ...  The intervention consisted of patient-specific reminders concerning 59 different health conditions triggered when the healthcare professional (HCP) opened and used the EPR.  ...  We are grateful to the chief officers at the Sipoo health center, who gave their time to participate in the trial.  ... 
doi:10.1186/1748-5908-9-15 pmid:24444113 pmcid:PMC3901002 fatcat:n3iael2t2jbtdaccbadekoxj4q

A Review of Telemedicine Services in Finland [chapter]

Vikramajeet Khatri, Carrie B. Peterson, Sofoklis Kyriazokos, Neeli R. Prasad
2011 International Federation for Medical and Biological Engineering Proceedings  
The e-Archive (Finland's national EPR) is in the planning stage, making EPR on national level, to promote ease of access to patient records and ubiquitous care.  ...  Telemedicine is gaining popularity due to the provision of ubiquitous health care services that is a fundamental need for every socialized society.  ...  Therefore, the Government of Finland decided to implement EPR on a national level rather than on a regional level, and store the records in a uniform technical format so that it can be distributed and  ... 
doi:10.1007/978-3-642-21683-1_1 fatcat:vvrmvygq4vdx3dkeyzy7zmswua

Using electronic patient records in practice: A focused review of the evidence of risks to the clinical interaction

Merran Toerien
2013 Seizure  
For example, a study of diabetes review consultations found that nurses tended to give precedence to a computerised checklist over the patient's stated agenda. 11 In a typical case, the patient, having  ...  I argue that these studies strongly indicate a need both for the design of EPRs and the training of EPR users to be sensitive to the impact of EPR use on the interaction.  ... 
doi:10.1016/j.seizure.2013.05.015 pmid:23806631 fatcat:kie3h7tcsbg4rfcyjlgeiymozy

An evidence-based shared decision making programme on the prevention of myocardial infarction in type 2 diabetes: protocol of a randomised-controlled trial

Susanne Buhse, Tabitha Heller, Jürgen Kasper, Ingrid Mühlhauser, Ulrich Alfons Müller, Thomas Lehmann, Matthias Lenz
2013 BMC Family Practice  
In this study the efficacy of the programme is evaluated in the setting of a diabetes clinic.  ...  The results of this study will provide information on the efficacy of such a concept in the setting of a diabetes clinic in Germany. Trial registration: ISRCTN84636255  ...  Source of funding The study is funded by the European Foundation for the Study of Diabetes (EFSD) on behalf of the European Association for the Study of Diabetes (EASD).  ... 
doi:10.1186/1471-2296-14-155 pmid:24138325 pmcid:PMC4016600 fatcat:yw4f2b7cufaljixolp5jpz53a4

Informatics as Tool for Quality Improvement: Rapid Implementation of Guidance for the Management of Chronic Kidney Disease in England as an Exemplar

Simon de Lusignan
2013 Healthcare Informatics Research  
Acknowledgments Patients and practices who have contributed data and time to the research underpinning this journey, research colleagues,  ...  Pol-icy was informed by the potential of EPR systems to identify cases of CKD and these systems were also used implement and monitor P4P CKD indicators.  ...  The context has been NHS policy to implement explicit evidence-based guidance, and to use P4P to incentivise that process.  ... 
doi:10.4258/hir.2013.19.1.9 pmid:23626913 pmcid:PMC3633175 fatcat:aojtn673zvdfhglbc7nghmdynm

Telemedicine and Diabetes Management: Current Challenges and Future Research Directions

Riccardo Bellazzi
2008 Journal of Diabetes Science and Technology  
Within those scenarios, telemedicine may prove to be a good instrument to support health care providers in the effective management and prevention of diabetes mellitus.  ...  This article discusses some of the current problems related to the adoption of telemedicine systems and focuses on the information technology solutions that appear to be most promising for diabetes management  ...  Acknowledgments: The author acknowledges Silvana Quaglini, Toni Giorgino, Silvia Panzarasa, Giorgio Leonardi, and the telemedicine group of the Biomedical Informatics Laboratories of the University of  ... 
doi:10.1177/193229680800200114 pmid:19885183 pmcid:PMC2769718 fatcat:pl7mwwfhhne7dcmfqddrvgmxo4

Effect of electronic patient record use on mortality in End Stage Renal Disease, a model chronic disease: retrospective analysis of 9 years of prospectively collected data

Victor E Pollak, Jonathan A Lorch
2007 BMC Medical Informatics and Decision Making  
The main aim of the study was to determine the effects on mortality and cost of an electronic patient record used in daily patient care in a model chronic disease, End Stage Renal Disease, treated by chronic  ...  By December 31, 2006, the patients had been treated by maintenance hemodialysis for a total of 3924 years. A retrospective analysis was made using query tools embedded in the software.  ...  Sources of funding and support: None other than salary support for VEP.  ... 
doi:10.1186/1472-6947-7-38 pmid:18045495 pmcid:PMC2238736 fatcat:o2epb7oyrzelvjtgwg6f2jaujy
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