Linking internet-based diabetes self-management to primary care: lessons learned and implications for research translation and practice implementation.
Linking internet-based diabetes self-management to primary care: lessons learned and implications for research translation and practice implementation.
复制标题
将基于互联网的糖尿病自我管理与初级保健联系起来：经验教训以及对研究转化和实践实施的影响。
DOI：
10.1007/s13142-012-0109-8
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发表时间：
2012
影响因子：
3.6
通讯作者：
King,DianeK
中科院分区：
文献类型：
--
作者：
Glasgow,RussellE;Kurz,Deanna;Dickman,JenniferM;Osuna,Diego;Strycker,Lisa;King,DianeK
关于如何在HMO的多个初级保健诊所中整合患者自我管理计划的关键转化问题，很少有讨论或研究。本研究的目的是总结我们在尝试将基于网络的糖尿病自我管理程序中的信息整合到初级保健和电子健康记录（EHR）中的经验和教训。我们描述了331名成人初级保健患者对“我的道路”糖尿病自我管理项目的计划、实施、调整，以及患者和医生反应的数据。混合方法结果显示，尽管有最先进的电子病历，但干预措施并没有很好地纳入初级保健。来自健康促进和疾病管理项目的信息，即使在同一组织内，使用先进的电子健康档案系统，也很难整合到繁忙的初级保健中。
There has been little discussion of or research on the key translational issue of how to integrate patient self-management programs across multiple primary care clinics within an HMO. The purpose of this study was to summarize our experiences and lessons learned in trying to integrate information from a web-based diabetes self-management program into primary care and the electronic health record (EHR). We describe plans, implementation, adaptations made, and data on patient and physician reactions to the My Path diabetes self-management program provided to 331 adult primary care patients. Mixed methods results revealed that, despite the availability of a state-of-the-art EHR, the intervention was not well integrated into primary care. Information from health-promotion and disease management programs, even within the same organization and with advanced EHR systems, is challenging to integrate into busy primary care.