An EMR-based tool to support collaborative planning for medication use among adults with diabetes: Design of a multi-site randomized control trial

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• 作者：Daniel G. Morrow ; Thembi Conner-Garcia ; James F. Graumlich ; Michael S. Wolf ; Stacey McKeever ; Anna Madison ; Kathryn Davis ; Elizabeth A.H. Wilson ; Vera Liao ; Chieh-Li Chin ; Darren Kaiser
• 关键词：Medication adherence ; Illness self-management ; Patient/provider collaboration ; Health literacy ; Cognition ; Electronic medical record
• 刊名：Contemporary Clinical Trials
• 出版年：2012
• 出版时间：September, 2012
• 年：2012
• 卷：33
• 期：5
• 页码：1023-1032
• 全文大小：1103 K

文摘

Patients with type II diabetes often struggle with self-care, including adhering to complex medication regimens and managing their blood glucose levels. Medication nonadherence in this population reflects many factors, including a gap between the demands of taking medication and the limited literacy and cognitive resources that many patients bring to this task. This gap is exacerbated by a lack of health system support, such as inadequate patient-provider collaboration. The goal of our project is to improve self-management of medications and related health outcomes by providing system support. The Medtable? is an Electronic Medical Record (EMR)-integrated tool designed to support patient-provider collaboration needed for medication management. It helps providers and patients work together to create effective medication schedules that are easy to implement. We describe the development and initial evaluation of the tool, as well as the process of integrating it with an EMR system in general internal medicine clinics. A planned evaluation study will investigate whether an intervention centered on the Medtable? improves medication knowledge, adherence, and health outcomes relative to a usual care control condition among type II diabetic patients struggling to manage multiple medications.