Does Informatics Enable or Inhibit the Delivery of Patient-centred, Coordinated, and Quality-assured Care: a Delphi Study

H. Liyanage; S-T. Correa; C. Kuziemsky; A. L. Terry; S. de Lusignan

doi:10.15265/IY-2015-017

Yearbook of Medical Informatics, Inhaltsverzeichnis

Yearb Med Inform 2015; 24(01): 22-29
DOI: 10.15265/IY-2015-017

Original Article

Georg Thieme Verlag KG Stuttgart

Does Informatics Enable or Inhibit the Delivery of Patient-centred, Coordinated, and Quality-assured Care: a Delphi Study

A Contribution of the IMIA Primary Health Care Informatics Working Group

Autoren

H. Liyanage

¹Department of Health Care Management & Policy, University of Surrey, Guildford, Surrey, UK
S-T. Correa

²School of Public Health & Community Medicine, UNSW Medicine, Australia
C. Kuziemsky

³Telfer School of Management, University of Ottawa, Ontario, Canada
A. L. Terry

⁴Centre for Studies in Family Medicine, Western University, London, Ontario, Canada
S. de Lusignan

¹Department of Health Care Management & Policy, University of Surrey, Guildford, Surrey, UK

Abstract

Summary

Background: Primary care delivers patient-centred and coordinated care, which should be quality-assured. Much of family practice now routinely uses computerised medical record (CMR) systems, these systems being linked at varying levels to laboratories and other care providers. CMR systems have the potential to support care.

Objective: To achieve a consensus among an international panel of health care professionals and informatics experts about the role of informatics in the delivery of patient-centred, coordinated, and quality-assured care.

Method: The consensus building exercise involved 20 individuals, five general practitioners and 15 informatics academics, members of the International Medical Informatics Association Primary Care Informatics Working Group. A thematic analysis of the literature was carried out according to the defined themes. Results:The first round of the analysis developed 27 statements on how the CMR, or any other information system, including paper-based medical records, supports care delivery. Round 2 aimed at achieving a consensus about the statements of round one. Round 3 stated that there was an agreement on informatics principles and structures that should be put in place. However, there was a disagreement about the processes involved in the implementation, and about the clinical interaction with the systems after the implementation.

Conclusions: The panel had a strong agreement about the core concepts and structures that should be put in place to support high quality care. However, this agreement evaporated over statements related to implementation. These findings reflect literature and personal experiences: whilst there is consensus about how informatics structures and processes support good quality care, implementation is difficult.

Keywords

Patient-centred care - clinical informatics - healthcare quality assurance - computerised medical records - patient participation

Volltext

Referenzen

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