在实施计算机辅助咨询软件以支持慢性阻塞性肺疾病初级保健评估之后进行的服务评估。
A service evaluation following the implementation of computer guided consultation software to support primary care reviews for chronic obstructive pulmonary disease.
作者信息
Chakrabarti B, McKnight E, Pearson M G, Dowie L, Richards J, Choudhury-Iqbal M, Malone R, Osborne M, Cooper C, Davies L, Angus R M
机构信息
Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK.
LungHealth Ltd, Swaffham, UK.
出版信息
NPJ Prim Care Respir Med. 2025 Mar 11;35(1):12. doi: 10.1038/s41533-025-00421-1.
This study evaluates the impact of using a Clinical Decision Support System software in the form of a computer-guided consultation (CGC) when conducting Chronic Obstructive Pulmonary Disease (COPD) reviews in primary care. 5221 patients on the COPD register underwent CGC review with 21.1% found not to have COPD. Previously unrecognised cardiac disease was highlighted by the CGC in 7% of confirmed COPD cases. CGC review resulted in the number of patients possessing a self-management plan rising from 62-85%. 13% were found to have sub-optimal inhaler technique during CGC review with the CGC prompting correction in all cases. Only 26% of patients identified by the CGC as appropriate for Pulmonary Rehabilitation (PR) referral had previously attended a PR program. The integration of technology in the form of clinical decision support system software results in greater implementation of guideline-level care representing a scalable solution when performing COPD reviews.
本研究评估了在初级保健中进行慢性阻塞性肺疾病（COPD）评估时，使用计算机引导咨询（CGC）形式的临床决策支持系统软件的影响。COPD登记册上的5221名患者接受了CGC评估，发现21.1%的患者没有患COPD。在7%确诊的COPD病例中，CGC突出显示了先前未被识别的心脏疾病。CGC评估使拥有自我管理计划的患者数量从62%上升到85%。在CGC评估期间，发现13%的患者吸入器技术欠佳，CGC在所有病例中都促使进行了纠正。CGC确定适合转诊至肺康复（PR）的患者中，只有26%之前参加过PR项目。以临床决策支持系统软件形式整合技术，可在进行COPD评估时更大程度地实施指南级护理，这是一种可扩展的解决方案。
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