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

被引：0

作者：

Chakrabarti, B. ^{[1
,2
]}

Mcknight, E. ^{[2
,3
]}

Pearson, M. G. ^{[2
]}

Dowie, L. ^{[3
]}

Richards, J. ^{[4
]}

Choudhury-Iqbal, M. ^{[4
]}

Malone, R. ^{[4
]}

Osborne, M. ^{[2
]}

Cooper, C. ^{[2
]}

Davies, L. ^{[2
]}

Angus, R. M. ^{[1
,2
]}

机构：

[1] Liverpool Univ Hosp NHS Fdn Trust, Liverpool, England

[2] Lunghealth Ltd, Swaffham, England

[3] Natl Serv Hlth Improvement Ltd, Swaffham, England

[4] Chiesi Ltd, Manchester, England

来源：

NPJ PRIMARY CARE RESPIRATORY MEDICINE | 2025年 / 35卷 / 01期

关键词：

SELF-MANAGEMENT; SMOKING-CESSATION; GENERAL-PRACTICE; COPD; REHABILITATION; MISDIAGNOSIS; DIAGNOSIS; COMORBIDITIES; MORTALITY; ACCURACY;

D O I：

10.1038/s41533-025-00421-1

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

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.

引用

页数：9

共 49 条

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