Computerised Decision-Support Tools in Diabetes Care: Hurdles to Implementation
Abstract
In this Diabetes Information Technology & WebWatch column hurdles to the use of computerised decision-support tools in clinical diabetes care will be considered. The clinical background with respect to insulin-dependent (type 1) diabetes mellitus and the Diabetes Control and Complications Trial is reviewed, and an overview is given of various computer applications. The use of decision-support tools is discussed, and the importance of identifying the proposed user, e.g., health-care professional, student, or patient, is highlighted. Validation/evaluation issues are considered as important topics that remain to be properly addressed for many decision-support prototypes. The column concludes by highlighting that in this era of evidence-based medicine well-conducted, rigorous evaluation and validation studies are required to inform decisions about whether or not to make use of current computerised decision-support prototypes.
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Existing evidence on eHealth readiness mainly relates to organizational readiness within the health service or the readiness of health professionals, patients, or carers for a specific single digital health service.
“However, the existing evidence mainly relates to organizational readiness within the health service [17,18] or the readiness of health professionals [19-21], patients or carers for a specific single digital health service [22].”
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- Authors
- Lehmann, E. D.
- Affiliations
- Royal Brompton Hospital (GB)
- Corresponding author
- Lehmann, Eldon D.
- ORCID
- Lehmann, Eldon D.
- Venue
- Diabetes Technology & Therapeutics
- Publisher
- SAGE Publications
- Published
- 2004-06
- Volume
- 6
- Issue
- 3
- Pages
- 422-429
- ISSN
- 1520-9156 (ISSN-L)
- 1557-8593
- OpenAlex
- W2174397391
- Cited by
- 18
- References
- 28
- Citations by year
- 2020: 1 · 2019: 1 · 2018: 1 · 2017: 1 · 2012: 2
- FWCI
- 0.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes Technology & Therapeutics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Technology and Human Factors in Education and Health
- Keywords
- clinical decision support, diabetes management, type 1 diabetes, Diabetes Control and Complications Trial, implementation barriers, evidence-based medicine, healthcare workers, patient decision support
- MeSH terms
- Decision Making, Computer-Assisted, Decision Support Techniques, Diabetes Mellitus, Humans, User-Computer Interface, Telemedicine, Internet
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