%0 Journal Article
%@ 2291-9694
%I JMIR Publications
%V 8
%N 3
%P e14483
%T Toward Standardized Monitoring of Patients With Chronic Diseases in Primary Care Using Electronic Medical Records: Development of a Tool by Adapted Delphi Procedure
%A Falck,Leandra
%A Zoller,Marco
%A Rosemann,Thomas
%A Martínez-González,Nahara Anani
%A Chmiel,Corinne
%+ Institute of Primary Care, University of Zurich and University Hospital of Zurich, Pestalozzistrasse 24, Zurich, 8091, Switzerland, 41 44 255 98 55, Leandra.Falck@usz.ch
%K monitoring of chronic diseases
%K indicators
%K primary care
%K electronic medical record
%K diabetes mellitus type 2
%K arterial hypertension
%K asthma
%K osteoarthritis
%K chronic heart failure
%D 2020
%7 25.3.2020
%9 Original Paper
%J JMIR Med Inform
%G English
%X 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. 
%M 32209535
%R 10.2196/14483
%U http://medinform.jmir.org/2020/3/e14483/
%U https://doi.org/10.2196/14483
%U http://www.ncbi.nlm.nih.gov/pubmed/32209535