Development and implementation of a computerized decision support system for screening hypertension and diabetes in a resource-constrained region

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dc.creatorLaura Defensor Ribeiro Demelo
dc.creatorChristiane Correa Rodrigues Cimini
dc.creatorMilena Soriano Marcolino
dc.creatorAntonio Luiz Pinho Ribeiro
dc.creatorJoão Antonio de Queiroz Oliveira
dc.creatorJunia Xavier Maia
dc.creatorThábata Queiroz Vivas de sá
dc.creatorVânia Soares de Oliveira e Almeida Pinto
dc.creatorMarcia Maria Oliveira Lima
dc.creatorPatrick Wander Enlich
dc.creatorLeonardo Bonisson Ribeiro
dc.date.accessioned2025-07-24T18:38:51Z
dc.date.accessioned2025-09-09T00:27:14Z
dc.date.available2025-07-24T18:38:51Z
dc.date.issued2024
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.36660/ijcs.20230085
dc.identifier.issn23594802
dc.identifier.urihttps://hdl.handle.net/1843/83822
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofInternational Journal of Cardiovascular Sciences (Int J Cardiovasc Sci.)
dc.rightsAcesso Aberto
dc.subjectHypertension
dc.subjectDiabetes Mellitus
dc.subjectTelemedicine
dc.subjectMass Screening
dc.subjectDecision Support Systems, Clinical
dc.subject.otherHypertension
dc.subject.otherDiabetes Mellitus
dc.subject.otherTelemedicine
dc.subject.otherMass Screening
dc.subject.otherDecision Support Systems, Clinical
dc.titleDevelopment and implementation of a computerized decision support system for screening hypertension and diabetes in a resource-constrained region
dc.typeArtigo de periódico
local.citation.epage14
local.citation.issue24
local.citation.spage1
local.citation.volume37
local.description.resumoBackground: Strategies aimed at improving the diagnosis and treatment of cardiovascular diseases (CVD) are of utmost importance. Clinical decision support systems (CDSS) are guided by updated guidelines and may be capable of benefiting screening and early diagnosis initiatives in remote regions. Objective: To develop a CDSS for screening hypertension and diabetes mellitus (DM), as well as to assess its feasibility and usability in the context of a primary care setting in a resource-constrained region.Methods: This research focused on the strategy of screening hypertension and DM based on CDSS. A software was developed and implemented in 10 municipalities in the Northeast of the state of Minas Gerais, Brazil, from April 2017 to October 2018. Patients of 30 to 69 years of age were attended by primary care practitioners using the software. A Likert-scale questionnaire with 15 questions to assess usability (System Usability Scale) and satisfaction was applied to the professionals at the end of study. Groups were compared by applying the chi-squared test for categorical variables. Statistical significance was considered as p < 0.05. Results: In the field study, 13,775 individuals were assessed; 185 patients were diagnosed with hypertension; 35 were diagnosed with DM, and 5 were diagnosed with both diseases. For the usability and satisfaction assessment, 258 healthcare professionals participated. Fifty-one percent considered their prior knowledge for the use of technologies to be good; 53.7% reported a desire to use the application frequently, and 78.4% would recommend the platform. Conclusion: The implementation of a CDSS developed to assist in the screening of hypertension and DM was feasible in the context of a primary care setting in a resource-constrained region, with good user satisfaction.
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE CLÍNICA MÉDICA
local.publisher.initialsUFMG
local.url.externahttps://ijcscardiol.org/article/development-and-implementation-of-a-computerized-decision-support-system-for-screening-hypertension-and-diabetes-in-a-resource-constrained-region/

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