ACADEMIC AND RESEARCH PEER-REVIEWED MEDICAL JOURNALISSN 1727-2378 (Print)         ISSN 2713-2994 (Online)
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A Decision Support System as a Component of a Patient-Centered Model of Cardiac Rehabilitation

Bibliography link: Lyamina N. P., Kotelnikova Е. V. A Decision Support System as a Component of a Patient-Centered Model of Cardiac Rehabilitation. Doctor.Ru. 2017; 5(134): 42–46.
20 May 00:00

Study Objective: To obtain a users' assessment of the efficacy of a decision support system (DSS) as an organizational and functional component of a patient-centered model of rehabilitation for patients with ST elevation myocardial infarction (STEMI).

Materials and Methods: This prospective study (six months of observation of 28 patients with STEMI) used information and communications technologies, including a DSS and modern online communications tools. The efficacy of the DSS was assessed by testing 15 doctors, who used this system, and evaluating electronic Patient-Reported Outcomes (еPRO).

Study Results: Twelve doctors (80%) successfully created an electronic Patient Rehabilitation Chart, spending on average 11 ± 4 minutes to create one such form. The mean number of errors made by doctors when choosing cardiac rehabilitation (CR) measures was 4.8 ± 1.2. Data obtained from ePRO showed that 15 patients (53.6%) had a physiological response to their CR programs. For six patients (21.4%), who had a borderline response, the CR programs were adjusted through distance consultations. Seven patients (25.0%) with an abnormal response required changes in treatment. The final score reflecting a subjective assessment of the doctors’ satisfaction with the DSS was fairly high (9.5 ± 0.5).

Conclusion: This study demonstrated the high efficacy of a DSS for organizing home-based CR programs. The use of electronic reports, designed to involve patients in the treatment and rehabilitation process, helped in obtaining information about the safety of the CR programs and assessing the role of a DSS in making patient-centered decisions.

N. P. Lyamina — Research Institute of Cardiology, Federal State Budget-Funded Educational Institution of Higher Education V. I. Razumovsky Saratov State Medical University, Russian Ministry of Health. E-mail: lyana_n@mail.ru

Е. V. Kotelnikova — Research Institute of Cardiology, Federal State Budget-Funded Educational Institution of Higher Education V. I. Razumovsky Saratov State Medical University, Russian Ministry of Health. E-mail: kotel_elena@mail.ru

Доктор.ру
20 May 00:00
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