Genomic decision support needs in pediatric primary care.
J Am Med Inform Assoc
; 24(4): 851-856, 2017 Jul 01.
Article
em En
| MEDLINE
| ID: mdl-28339689
ABSTRACT
Clinical genome and exome sequencing can diagnose pediatric patients with complex conditions that often require follow-up care with multiple specialties. The American Academy of Pediatrics emphasizes the role of the medical home and the primary care pediatrician in coordinating care for patients who need multidisciplinary support. In addition, the electronic health record (EHR) with embedded clinical decision support is recognized as an important component in providing care in this setting. We interviewed 6 clinicians to assess their experience caring for patients with complex and rare genetic findings and hear their opinions about how the EHR currently supports this role. Using these results, we designed a candidate EHR clinical decision support application mock-up and conducted formative exploratory user testing with 26 pediatric primary care providers to capture opinions on its utility in practice with respect to a specific clinical scenario. Our results indicate agreement that the functionality represented by the mock-up would effectively assist with care and warrants further development.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pediatria
/
Atitude do Pessoal de Saúde
/
Sistemas de Apoio a Decisões Clínicas
/
Genômica
/
Registros Eletrônicos de Saúde
Tipo de estudo:
Prognostic_studies
/
Qualitative_research
Limite:
Adult
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Child
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Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
J Am Med Inform Assoc
Assunto da revista:
INFORMATICA MEDICA
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Estados Unidos