Abstract
BackgroundGlobally, diabetes mellitus presents a substantial and increasing burden to individuals, health care systems and society. Structuring and coding of information in the electronic health record underpin attempts to improve...
Highlights
The number of people worldwide with the long-term, complex endocrine condition of diabetes is predicted to rise above 470 million by 2030, linked to ageing populations, ethnicity and lifestyle-related factors, such as obesity.[1,2,3,4] Type 2 diabetes is a complex and potentially serious long-term condition, which is costly in terms of health care resources and patient morbidity and mortality
The main themes derived from the interview data related to the different contexts of the family practice and hospital care settings (‘Working in different worlds’); the limited electronic exchange of information between the two sectors (‘Communicating across the divide?’) and the different approaches to the structuring and coding of diabetes data we observed (‘Drivers; Who codes and how?; Involving the patients and Coding enablers and barriers’)
Both family practice and hospital clinicians in our study identified some clinical benefits from structuring and coding diabetes
Summary
The number of people worldwide with the long-term, complex endocrine condition of diabetes is predicted to rise above 470 million by 2030, linked to ageing populations, ethnicity and lifestyle-related factors, such as obesity.[1,2,3,4] Type 2 diabetes is a complex and potentially serious long-term condition, which is costly in terms of health care resources and patient morbidity and mortality. The approach encompasses: improving the early detection, diagnosis and monitoring of diabetes; more timely interventions that can often involve a range of health care specialists in addition to the family doctor and supporting patient selfmanagement and planned, structured service provision.[3] The activities within this approach rely on good quality, accurate information being documented, accessible and sharable. Structuring and coding of information in the electronic health record underpin attempts to improve sharing and searching for information. Digital records for those with long-term conditions are expected to bring direct and secondary uses benefits, and potentially to support patient self-management
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