An EMR-based tool to support collaborative planning for medication use among adults with diabetes: design of a multi-site randomized control trial.
An EMR-based tool to support collaborative planning for medication use among adults with diabetes: design of a multi-site randomized control trial.
复制标题
一种基于 EMR 的工具，支持成人糖尿病患者药物使用的协作规划：多中心随机对照试验的设计。
DOI：
10.1016/j.cct.2012.05.010
复制
发表时间：
2012
影响因子：
2.2
通讯作者：
Kaiser,Darren
中科院分区：
文献类型：
--
作者：
Morrow,DanielG;Conner-Garcia,Thembi;Graumlich,JamesF;Wolf,MichaelS;McKeever,Stacey;Madison,Anna;Davis,Kathryn;Wilson,ElizabethAH;Liao,Vera;Chin,Chieh-Li;Kaiser,Darren
II型糖尿病患者通常难以自我护理，包括坚持复杂的药物治疗方案和管理血糖水平。这一人群中的药物不依从性反映了许多因素，包括服用药物的需求与许多患者为这项任务带来的有限的识字和认知资源之间的差距。缺乏卫生系统的支持，如患者与提供者之间的合作不足，加剧了这一差距。我们项目的目标是通过提供系统支持来改善药物和相关健康结果的自我管理。Medtable™是一种电子病历（EMR）集成工具，旨在支持药物管理所需的患者-提供者协作。它帮助提供者和患者共同努力，创建易于实施的有效药物计划。我们描述了该工具的开发和初步评估，以及将其与普通内科诊所的EMR系统集成的过程。一项计划中的评估研究将调查以Medtable™为中心的干预是否改善了难以管理多种药物的II型糖尿病患者的药物知识，依从性和相对于常规护理控制条件的健康结果。
Patients with type II diabetes often struggle with self-care, including adhering to complex medication regimens and managing their blood glucose levels. Medication nonadherence in this population reflects many factors, including a gap between the demands of taking medication and the limited literacy and cognitive resources that many patients bring to this task. This gap is exacerbated by a lack of health system support, such as inadequate patient–provider collaboration. The goal of our project is to improve self-management of medications and related health outcomes by providing system support. The Medtable™ is an Electronic Medical Record (EMR)-integrated tool designed to support patient–provider collaboration needed for medication management. It helps providers and patients work together to create effective medication schedules that are easy to implement. We describe the development and initial evaluation of the tool, as well as the process of integrating it with an EMR system in general internal medicine clinics. A planned evaluation study will investigate whether an intervention centered on the Medtable™ improves medication knowledge, adherence, and health outcomes relative to a usual care control condition among type II diabetic patients struggling to manage multiple medications.
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影响因子：
2.9
作者：
Krapek, K;King, K;Lubowski, TJ
通讯作者：
Lubowski, TJ
影响因子：
3.7
作者：
Liu, LL;Park, DC
通讯作者：
Park, DC
健康素养低下患者的沟通技巧：对医生、护士和药剂师的调查。
影响因子：
2.3
作者：
J. Schwartzberg;A. Cowett;Jonathan B VanGeest;M. Wolf
通讯作者：
M. Wolf
影响因子：
--
作者：
Wolf, Michael S.;Curtis, Laura M.;Waite, Katherine;Bailey, Stacy Cooper;Hedlund, Laurie A.;Davis, Terry C.;Shrank, William H.;Parker, Ruth M.;Wood, Alastair J. J.
通讯作者：
Wood, Alastair J. J.
影响因子：
3.7
作者：
Beier, ME;Ackerman, PL
通讯作者：
Ackerman, PL