TY  - JOUR
AU  - Falck, Leandra
AU  - Zoller, Marco
AU  - Rosemann, Thomas
AU  - Martínez-González, Nahara Anani
AU  - Chmiel, Corinne
PY  - 2020
DA  - 2020/3/25
TI  - Toward Standardized Monitoring of Patients With Chronic Diseases in Primary Care Using Electronic Medical Records: Development of a Tool by Adapted Delphi Procedure
JO  - JMIR Med Inform
SP  - e14483
VL  - 8
IS  - 3
KW  - monitoring of chronic diseases
KW  - indicators
KW  - primary care
KW  - electronic medical record
KW  - diabetes mellitus type 2
KW  - arterial hypertension
KW  - asthma
KW  - osteoarthritis
KW  - chronic heart failure
AB  - 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. 
SN  - 2291-9694
UR  - http://medinform.jmir.org/2020/3/e14483/
UR  - https://doi.org/10.2196/14483
UR  - http://www.ncbi.nlm.nih.gov/pubmed/32209535
DO  - 10.2196/14483
ID  - info:doi/10.2196/14483
ER  -