Literature DB >> 15703506

The use of computerized decision support systems in preventive cardiology--principal results from the national PRECARD survey in Denmark.

Lise Bonnevie1, Troels Thomsen, Torben Jørgensen.   

Abstract

BACKGROUND: The PRECARD program has been used for electronic cardiovascular disease (CVD) risk assessment and management in Denmark since 1999. The use of and attitudes toward the program are reported. DESIGN AND METHODS: Using an Internet and postal survey to all Danish general practitioners, a total of 592 Danish general practitioners participated in the Internet part of the survey (response rate 19%) and 291 in the postal survey (response rate 73%).
RESULTS: In all, 21.5% of the GPs use PRECARD, whereas 10% are ex-users. The program is used on average once a week and 64% of the users report that PRECARD prolongs the consultation somewhat or a lot. Both users and ex-users perceive the program to have a favourable effect on the patients, and as an improvement to the dialogue between GP and patient. Reasons for no longer using the program are varied, such as technical problems and lack of routine with the program.
CONCLUSIONS: Our results indicate that an electronic risk management tool like PRECARD, is perceived as a quality improvement in preventive cardiology in primary care. However the use of the program is not optimal and it may prolong the consultation.

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Year:  2005        PMID: 15703506

Source DB:  PubMed          Journal:  Eur J Cardiovasc Prev Rehabil        ISSN: 1741-8267


  7 in total

1.  Selecting data elements to build a patient-centric electronic health record that will support adherence to therapeutic lifestyle change.

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Journal:  AMIA Annu Symp Proc       Date:  2008-11-06

2.  Troponin T and N-terminal pro-B-type natriuretic peptide: a biomarker approach to predict heart failure risk--the atherosclerosis risk in communities study.

Authors:  Vijay Nambi; Xiaoxi Liu; Lloyd E Chambless; James A de Lemos; Salim S Virani; Sunil Agarwal; Eric Boerwinkle; Ron C Hoogeveen; David Aguilar; Brad C Astor; Pothur R Srinivas; Anita Deswal; Thomas H Mosley; Josef Coresh; Aaron R Folsom; Gerardo Heiss; Christie M Ballantyne
Journal:  Clin Chem       Date:  2013-09-13       Impact factor: 8.327

3.  Development and pilot of an internationally standardized measure of cardiovascular risk management in European primary care.

Authors:  Sabine Ludt; Stephen M Campbell; Jan van Lieshout; Richard Grol; Joachim Szecsenyi; Michel Wensing
Journal:  BMC Health Serv Res       Date:  2011-04-07       Impact factor: 2.655

4.  The effect of computerized decision support systems on cardiovascular risk factors: a systematic review and meta-analysis.

Authors:  T Katrien J Groenhof; Folkert W Asselbergs; Rolf H H Groenwold; Diederick E Grobbee; Frank L J Visseren; Michiel L Bots
Journal:  BMC Med Inform Decis Mak       Date:  2019-06-10       Impact factor: 2.796

5.  Ambivalence related to potential lifestyle changes following preventive cardiovascular consultations in general practice: a qualitative study.

Authors:  Dea Kehler; Bo Christensen; Torsten Lauritzen; Morten Bondo Christensen; Adrian Edwards; Mette Bech Risør
Journal:  BMC Fam Pract       Date:  2008-09-12       Impact factor: 2.497

6.  Factors influencing the implementation of cardiovascular risk scoring in primary care: a mixed-method systematic review.

Authors:  Tonny B Muthee; Derick Kimathi; Georgia C Richards; Anthony Etyang; David Nunan; Veronika Williams; Carl Heneghan
Journal:  Implement Sci       Date:  2020-07-20       Impact factor: 7.327

7.  GPs' familiarity with and use of cardiovascular clinical prediction rules: a UK survey study.

Authors:  Jong-Wook Ban; Rafael Perera; Richard Stevens
Journal:  BJGP Open       Date:  2020-12-15
  7 in total

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