A service evaluation following the implementation of computer guided consultation software to support primary care reviews for chronic obstructive pulmonary disease.

• Tác giả: R M Angus, B Chakrabarti, M Choudhury-Iqbal, C Cooper, L Davies, L Dowie, R Malone, E McKnight, M Osborne, M G Pearson, J Richards
• Ngôn ngữ: eng
• Thông tin xuất bản: England : NPJ primary care respiratory medicine , 2025
• Bộ sưu tập: NCBI
• ID: 696093

Tóm tắt

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.