General practitioners' experiences of a data-driven quality development process.

IF 1.2 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Louise Hansen, Sarah Sofie Elmer Brandborg, Ulla Bjerre-Christensen, Trine Kjeldgaard Møller, Natasja Bjerre
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引用次数: 0

Abstract

Introduction: Research shows that structured data use can optimise treatment in general practice clinics. This qualitative feasibility study evaluated a one-year intervention (DataSam) to assess whether increased use of population data can enhance type 2 diabetes treatment and workflows in general practice clinics.

Methods: Audio-recordings of visits from 12 clinics at baseline, six and 12 months and end-of-intervention semi-structured interviews (n = 14) explored data use, workflow changes and implementation challenges. The data analysis was inspired by qualitative content analysis.

Results: Clinics were positive about project activities and how structured data use enhanced management and patient overview while optimising treatment and prescribing practices. Most clinics experienced workflow improvements, such as nurses taking on more responsibilities and heightened staff skills, knowledge, job satisfaction and confidence in data-driven decision-making, medications and guidelines. However, approximately half of the clinics faced some implementation challenges, including technical issues and time constraints. Furthermore, some raised concerns about overtreatment, data misuse and de-prioritisation of other diagnoses.

Conclusions: DataSam emphasises the potential of population data to optimise patient care, though further attention to implementation is needed.

Funding: This study received an internal grant from Steno Diabetes. Centre Copenhagen.

Trial registration: Registered as "not required approval" with the Regional Ethics Committee of the Capital Region (F-22073139).

全科医生在数据驱动的质量发展过程中的经验。
研究表明,结构化数据的使用可以优化全科诊所的治疗。本定性可行性研究评估了一项为期一年的干预(DataSam),以评估增加人口数据的使用是否可以增强全科诊所的2型糖尿病治疗和工作流程。方法:12家诊所在基线、6个月和12个月的就诊录音和干预结束时的半结构化访谈(n = 14),探讨数据使用、工作流程变化和实施挑战。数据分析受到定性内容分析的启发。结果:诊所对项目活动以及结构化数据如何使用增强管理和患者概况,同时优化治疗和处方实践持积极态度。大多数诊所都经历了工作流程的改进,例如护士承担了更多的责任,提高了员工的技能、知识、工作满意度和对数据驱动决策、药物和指南的信心。然而,大约一半的诊所面临一些执行方面的挑战,包括技术问题和时间限制。此外,一些人提出了对过度治疗、数据滥用和其他诊断不优先的担忧。结论:DataSam强调了人口数据优化患者护理的潜力,尽管需要进一步关注实施。资助:本研究获得了Steno Diabetes公司的内部资助。哥本哈根会议中心。试验注册:在首都大区伦理委员会注册为“无需审批”(F-22073139)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Danish medical journal
Danish medical journal MEDICINE, GENERAL & INTERNAL-
CiteScore
2.30
自引率
6.20%
发文量
78
审稿时长
3-8 weeks
期刊介绍: The Danish Medical Journal (DMJ) is a general medical journal. The journal publish original research in English – conducted in or in relation to the Danish health-care system. When writing for the Danish Medical Journal please remember target audience which is the general reader. This means that the research area should be relevant to many readers and the paper should be presented in a way that most readers will understand the content. DMJ will publish the following articles: • Original articles • Protocol articles from large randomized clinical trials • Systematic reviews and meta-analyses • PhD theses from Danish faculties of health sciences • DMSc theses from Danish faculties of health sciences.
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