DARTS 2000 online diabetes management system: formative evaluation in clinical practice

Pagliari, Claudia; Clark, Deborah; Hunter, Karen; Boyle, Douglas; Cunningham, Scott; Morris, Andrew D.; Sullivan, Frank

doi:10.1046/j.1365-2753.2003.00390.x

Cited by 9 publications

(17 citation statements)

References 10 publications

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“…[13][14][15] A valuable adaptation of ITenabled clinical decision support is the use of a cardiovascular risk calculator to assist GPs in identifying patients that are more likely to develop cardiovascular disease, which is a common complication in patients with diabetes. 16 The advances in IT have created new opportunities for changes in the design of healthcare delivery. IT has also been used as an information storage system to create diabetes registries 16,17 which can assist GPs to conduct clinical audits.…”

Section: Uses Of It To Support Diabetes Carementioning

confidence: 99%

“…16 The advances in IT have created new opportunities for changes in the design of healthcare delivery. IT has also been used as an information storage system to create diabetes registries 16,17 which can assist GPs to conduct clinical audits. Patients can now upload their blood glucose and blood pressure readings onto their computers and share these with their GP via the internet.…”

Section: Uses Of It To Support Diabetes Carementioning

confidence: 99%

“…12,21,[24][25][26][27][28][29] Web based programs were used to provide diabetes education, and access to online coaches and peer support groups 26,30 in addition to providing web links to internet sites of support agencies. 16 IT has also been used to provide physical activity programs tailored to the patient's specific needs. 18,30 Attempts have been made to enable patients to view parts of their EMR to facilitate selfmanagement.…”

Section: Uses Of It To Support Diabetes Carementioning

confidence: 99%

See 2 more Smart Citations

The use of information technology to enhance diabetes management in primary care: a literature review

Adaji¹,

Schattner²,

Jones³

2008

Journal of Innovation in Health Informatics

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Section: Uses Of It To Support Diabetes Carementioning

confidence: 99%

Section: Uses Of It To Support Diabetes Carementioning

confidence: 99%

Section: Uses Of It To Support Diabetes Carementioning

confidence: 99%

See 1 more Smart Citation

The use of information technology to enhance diabetes management in primary care: a literature review

Adaji¹,

Schattner²,

Jones³

2008

Journal of Innovation in Health Informatics

View full text Add to dashboard Cite

“…8 A beneficial outcome of stakeholder involvement in the process of evaluation led to high levels of ownership and widespread implementation.…”

Section: Introductionmentioning

confidence: 99%

Investigating patients' and general practitioners' views of computerised decision support software for the assessment and management of cardiovascular risk

Wilson¹,

Duszynski²,

Turnbull³

et al. 2007

Journal of Innovation in Health Informatics

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Purpose This paper reports an evaluation of the usability and acceptability of a computer-based decision support program (EMPOWER TM ) for cardiovascular risk from the perspectives of both general practitioners (GPs) and consumers. Methods A qualitative research design utilised semi-structured telephone interviews to assess the program from participants' perspectives. Qualitative approaches included the use of purposeful sampling, the collection of open-ended data, and the analysis of text and personal interpretation of findings. The theoretical foundations for the methods chosen are explained. Results Consumers enjoyed being involved in the study and thought the program had benefits for encouraging confidence in seeking health care. Consumers reported feeling reassured about the processes followed during consultation. GPs found the application of the software program increased demands on their time but admired several features of the program, especially its educational advantages. Participants were of the opinion that the program would be of particular benefit to inexperienced GPs and newly diagnosed patients. Conclusion Computer decision support programs are becoming more prevalent, but little is known about their usability and acceptability to both health professionals and consumers. The complexities of cardiovascular risk assessment and management can be adequately managed with such programs. As a contemporary report this study contributes to the growing knowledge required for developers of medical software and decision support systems to better understand the needs of endusers.

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“…Comprehensive in-practice training in the system was provided to every practice, with user-informed evaluation carried out during the early stages of development. 15,16 As a result, the system has been well used overall and has become integrated both into routine Under these circumstances, the analysis shows that structural characteristics of a practice are not associated with uptake of a new IT facility, but that use may be influenced by postgraduate education in the clinical condition which the system is addressing. For this diabetes system at least, practice nurse use was critical in spreading uptake beyond initial GP enthusiasts and for sustained and rising use in subsequent years.…”

mentioning

confidence: 99%

Do general practice characteristics influence uptake of an information technology (IT) innovation in primary care?

Evans

Guthrie

Pagliari³

et al. 2008

Journal of Innovation in Health Informatics

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Introduction Recent evaluations of IT innovations in primary care have highlighted variations between centres and practices in uptake and use. We evaluated whether structural characteristics of a general practice were associated with variations in use of a web-based clinical information system underpinning a Managed Clinical Network in diabetes, between the years 2001 and 2003. Methods Using a computerised audit trail, we calculated the numbers of web-based operations that occurred in each practice, stratified by staff type and year, and adjusted for the numbers of registered diabetic patients. In regression analyses, we determined whether total use was associated with structural characteristics of the practice (total list size, training status, numbers of GPs (general practitioners), mean age of the GPs, numbers of female GPs, level of deprivation of the population and whether staff had received advanced training in diabetes care). Results Initially there were a few practices which made very frequent use of the information system,

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DARTS 2000 online diabetes management system: formative evaluation in clinical practice

Abstract: Evaluation informed a number of important and unforeseen improvements to the prototype and helped refine the implementation plan. Engagement in the process of evaluation has led to high levels of stakeholder ownership and widespread implementation.

Cited by 9 publications

References 10 publications

The use of information technology to enhance diabetes management in primary care: a literature review

The use of information technology to enhance diabetes management in primary care: a literature review

Investigating patients' and general practitioners' views of computerised decision support software for the assessment and management of cardiovascular risk

Do general practice characteristics influence uptake of an information technology (IT) innovation in primary care?

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