Use este identificador para citar ou linkar para este item: http://www.repositorio.ufop.br/jspui/handle/123456789/12166
Título: Development and evaluation of a mobile decision support system for hypertension management in the primary care setting in Brazil : mixed-methods rield study on usability, feasibility, and utility.
Autor(es): Silveira, Daniel Vitório
Marcolino, Milena Soriano
Machado, Elaine Leandro
Ferreira, Camila Gonçalves
Alkmim, Maria Beatriz Moreira
Resende, Elmiro Santos
Carvalho, Bárbara Couto
Antunes, André Pires
Ribeiro, Antônio Luiz Pinho
Palavras-chave: Telemedicine
Clinical decision support system
Cardiovascular disease
Data do documento: 2018
Referência: SILVEIRA, D. V. et al. Development and evaluation of a mobile decision support system for hypertension management in the primary care setting in Brazil: mixed-methods rield study on usability, feasibility, and utility. JMIR mHealth and uHealth, v. 7, n. 3, p. 1-12, mar. 2018. Disponível em: <https://mhealth.jmir.org/2019/3/e9869/>. Acesso em: 10 fev. 2020.
Resumo: Background: Despite being an important cardiovascular risk factor, hypertension has low control levels worldwide. Computerized clinical decision support systems (CDSSs) might be effective in reducing blood pressure with a potential impact in reducing cardiovascular risk. Objective: The goal of the research was to evaluate the feasibility, usability, and utility of a CDSS, TeleHAS (tele–hipertensão arterial sistêmica, or arterial hypertension system), in the care of patients with hypertension in the context of a primary care setting in a middle-income country. Methods: The TeleHAS app consists of a platform integrating clinical and laboratory data on a particular patient, from which it performs cardiovascular risk calculation and provides evidence-based recommendations derived from Brazilian and international guidelines for the management of hypertension and cardiovascular risk. Ten family physicians from different primary care units in the city of Montes Claros, Brazil, were randomly selected to use the CDSS for the care of hypertensive patients for 6 months. After 3 and 6 months, the feasibility, usability, and utility of the CDSS in the routine care of the health team was evaluated through a standardized questionnaire and semistructured interviews. Results: Throughout the study, clinicians registered 535 patients with hypertension, at an average of 1.24 consultations per patient. Women accounted for 80% (8/10) of participant doctors, median age was 31.5 years (interquartile range 27 to 59 years). As for feasibility, 100% of medical users claimed it was possible to use the app in the primary care setting, and for 80% (8/10) of them it was easy to incorporate its use into the daily routine and home visits. Nevertheless, 70% (7/10) of physicians claimed that the time taken to fill out the CDSS causes significant delays in service. Clinicians evaluated TeleHAS as good (8/10, 80% of users), with easy completion and friendly interface (10/10, 100%) and the potential to improve patients’ treatment (10/10, 100%). A total of 90% (9/10) of physicians had access to new knowledge about cardiovascular risk and hypertension through the app recommendations and found it useful to promote prevention and optimize treatment. Conclusions: In this study, a CDSS developed to assist the management of patients with hypertension was feasible in the context of a primary health care setting in a middle-income country, with good user satisfaction and the potential to improve adherence to evidence-based practices.
URI: http://www.repositorio.ufop.br/handle/123456789/12166
DOI: https://doi.org/10.2196/mhealth.9869
ISSN: 2291-5222
Licença: This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR mhealth and uhealth, is properly cited. The complete bibliographic information, a link to the original publication on http://mhealth.jmir.org/, as well as this copyright and license information must be included. Fonte: o próprio artigo.
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