Using a certified electronic health record technology platform to screen, test and refer patients with prediabetes.
Using a certified electronic health record technology platform to screen, test and refer patients with prediabetes.
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DOI：
10.1093/jamiaopen/ooab101
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发表时间：
2021-10
期刊：
影响因子：
2.1
通讯作者：
O'Connell C
中科院分区：
文献类型：
--
作者：
Kirley K;Khan T;Aquino G;Brown A;Meier S;Chambers N;O'Connell C
本研究的目的是确定认证的电子健康记录技术（CEHRT）是否可用于识别糖尿病前期患者并将其推荐给国家糖尿病预防计划（DPP）认可的生活方式改变计划（LCP）。该试点利用糖尿病前期登记、患者门户网站和临床决策支持来增加转诊。来自36名初级保健提供者的数据显示，4930名患者有资格接受DPP LCP，293名患者转诊，而基线期有20名患者转诊，116名患者入组。转介入组转换率在研究期间为41%，在研究后1年期间为69%。CEHRT功能可以支持糖尿病前期的系统识别和管理。与基线期相比，转诊率增加了7倍，转诊到登记的转换率很高。CEHRT加上积极的提供者参与可以作为一种工具，以确定糖尿病前期患者，并促进LCP转诊和登记。
The objective of this study was to determine if certified electronic health record technology (CEHRT) can be used to identify and refer patients with prediabetes to lifestyle change programs (LCPs) recognized by the National Diabetes Prevention Program (DPP). This pilot utilized a prediabetes registry, patient portal, and clinical decision support to increase referrals. Data from 36 primary care providers showed 4930 patients were eligible for DPP LCP, 293 referrals were generated, compared to 20 referrals in the baseline period, and 116 patients enrolled. Referral to enrollment conversion rates were 41% in the study period and 69% in the post-study 1-year period. CEHRT functionalities can support systematic identification and management of prediabetes. The referral rate increased 7-fold compared to the baseline period, with high referral to enrollment conversion rates. CEHRT coupled with active provider engagement can serve as a tool to identify prediabetes patients and facilitate LCP referrals and enrollment.
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