کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3151657 1197915 2015 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Toward Implementing Primary Care at Chairside: Developing a Clinical Decision Support System for Dental Hygienists
ترجمه فارسی عنوان
در راستای اجرای مراقبت های اولیه در صندلی: ایجاد یک سیستم پشتیبانی بالینی تصمیم گیری برای بهداشت دهان و دندان
کلمات کلیدی
بهداشت دهان و دندان، مراقبت های اولیه، سیستم پشتیبانی تصمیم گیری بالینی، علم پیاده سازی، غربالگری سلامتی، هماهنگی مراقبت
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی دندانپزشکی، جراحی دهان و پزشکی
چکیده انگلیسی

IntroductionThe goal of this project was to use the Consolidated Framework for Implementation Research (CFIR) as the theoretical foundation for developing a web-based clinical decision support system (CDSS) for primary care screening and care coordination by dental hygienists at chairside.MethodsFirst, we appraised New York State education and scope of practice requirements for dental hygienists with input from health experts who constituted a Senior Advisory Board for the project, and reviewed current professional guidelines and best practices for tobacco use, hypertension and diabetes screening, and nutrition counseling at chairside. Second, we created algorithms for these four health issues (tobacco, hypertension, diabetes, and nutrition) using evidence-based guidelines endorsed by authoritative professional bodies. Third, an information technology specialist incorporated the algorithms into a tool using an iterative process to refine the CDSS, with input from dental hygienists, dentists, Senior Advisory Board members and research staff.ResultsAn evidence-based CDSS for use by dental hygienists at chairside for tobacco use, hypertension and diabetes screening, and nutrition counseling was developed with the active participation of the individuals involved in the implementation process.ConclusionsCDSS technology may potentially be leveraged to enhance primary care screening and coordination by dental hygienists at chairside, leading to improved patient care. Using the CFIR as a pragmatic structure for implementing this intervention across multiple settings, the developed CDSS is available for downloading and adaptation to diverse dental settings and other primary care sensitive conditions.

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ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Evidence Based Dental Practice - Volume 15, Issue 4, December 2015, Pages 145–151
نویسندگان
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