Use of an Online Clinical Process Support System as an Aid to Identification and Management of Developmental and Mental Health Problems.
Use of an Online Clinical Process Support System as an Aid to Identification and Management of Developmental and Mental Health Problems.
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DOI：
10.1007/s40474-017-0124-z
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发表时间：
2017-12
影响因子：
2
通讯作者：
Sturner R
中科院分区：
文献类型：
--
作者：
Howard BJ;Sturner R
描述筛查和解决初级保健中的发育和行为问题以及使用在线临床过程支持系统作为解决方案的好处和问题。筛查已被发现存在各种实施障碍，包括时间成本、准确性、工作流程和工具知识。此外，缺乏对临床医生处理已查明问题的培训。患者披露的信息更多，也更喜欢电脑筛查。在线临床过程支持系统(CHADIS)在解决这些问题方面显示出希望。使用全面的在线检查前筛查小组；提供即时护理培训的相关决策支持；以及针对患者的具体教育、监测和护理协调的访问后活动和资源，是在初级保健中使筛查和后续护理的整个过程可行的有效方式。CHADIS满足这些要求，并为医生提供维持认证积分，以及为筛查工作增加收入。
To describe benefits and problems with screening and addressing developmental and behavioral problems in primary care and using an online clinical process support system as a solution. Screening has been found to have various implementation barriers including time costs, accuracy, workflow and knowledge of tools. In addition, training of clinicians in dealing with identified issues is lacking. Patients disclose more to and prefer computerized screening. An online clinical process support system (CHADIS) shows promise in addressing these issues. Use of a comprehensive panel of online pre-visit screens; linked decision support to provide moment-of-care training; and post-visit activities and resources for patient-specific education, monitoring and care coordination is an efficient way to make the entire process of screening and follow up care feasible in primary care. CHADIS fulfills these requirements and provides Maintenance of Certification credit to physicians as well as added income for screening efforts.