@Article{info:doi/10.2196/14483,
author="Falck, Leandra
and Zoller, Marco
and Rosemann, Thomas
and Mart{\'i}nez-Gonz{\'a}lez, Nahara Anani
and Chmiel, Corinne",
title="Toward Standardized Monitoring of Patients With Chronic Diseases in Primary Care Using Electronic Medical Records: Development of a Tool by Adapted Delphi Procedure",
journal="JMIR Med Inform",
year="2020",
month="Mar",
day="25",
volume="8",
number="3",
pages="e14483",
keywords="monitoring of chronic diseases; indicators; primary care; electronic medical record; diabetes mellitus type 2; arterial hypertension; asthma; osteoarthritis; chronic heart failure",
abstract="Background: Long-term care for patients with chronic diseases poses a huge challenge in primary care. There are deficits in care, especially regarding monitoring and creating structured follow-ups. Appropriate electronic medical records (EMR) could support this, but so far, no generic evidence-based template exists. Objective: The aim of this study is to develop an evidence-based standardized, generic template that improves the monitoring of patients with chronic conditions in primary care by means of an EMR. Methods: We used an adapted Delphi procedure to evaluate a structured set of evidence-based monitoring indicators for 5 highly prevalent chronic diseases (ie, diabetes mellitus type 2, asthma, arterial hypertension, chronic heart failure, and osteoarthritis). We assessed the indicators' utility in practice and summarized them into a user-friendly layout. Results: This multistep procedure resulted in a monitoring tool consisting of condensed sets of indicators, which were divided into sublayers to maximize ergonomics. A cockpit serves as an overview of fixed goals and a set of procedures to facilitate disease management. An additional tab contains information on nondisease-specific indicators such as allergies and vital signs. Conclusions: Our generic template systematically integrates the existing scientific evidence for the standardized long-term monitoring of chronic conditions. It contains a user-friendly and clinically sensible layout. This template can improve the care for patients with chronic diseases when using EMRs in primary care. ",
issn="2291-9694",
doi="10.2196/14483",
url="http://medinform.jmir.org/2020/3/e14483/",
url="https://doi.org/10.2196/14483",
url="http://www.ncbi.nlm.nih.gov/pubmed/32209535"
}