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Use of online knowledge base in primary health care and correlation to health care quality: an observational study. | LitMetric

Use of online knowledge base in primary health care and correlation to health care quality: an observational study.

BMC Med Inform Decis Mak

Division of Family Medicine and Primary Care, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Alfred Nobels Allé 23 D2, 141 83, Stockholm, Sweden.

Published: November 2020

AI Article Synopsis

  • Evidence-based information at the point of care can lead to improved patient care and outcomes, which this study aimed to explore through the use of an online knowledge base at primary health care centers in Sweden.
  • The research involved comparing the frequency of knowledge base usage among 24 health care centers to patient outcomes captured in national quality registries, utilizing statistical methods to analyze the data.
  • Results showed that frequent users of the knowledge base reported better patient experiences, but there was little correlation to health care quality metrics in diabetes, suggesting further evaluation is needed to understand these impacts.

Article Abstract

Background: Evidence-based information available at the point of care improves patient care outcomes. Online knowledge bases can increase the application of evidence-based medicine and influence patient outcome data which may be captured in quality registries. The aim of this study was to explore the effect of use of an online knowledge base on patient experiences and health care quality.

Methods: The study was conducted as a retrospective, observational study of 24 primary health care centers in Sweden exploring their use of an online knowledge base. Frequency of use was compared to patient outcomes in two national quality registries. A socio-economic Care Need Index was applied to assess whether the burden of care influenced the results from those quality registries. Non-parametric statistical methods and linear regression were used.

Results: Frequency of knowledge base use showed two groups: frequent and non-frequent users, with a significant use difference between the groups (p < 0.001). Outcome data showed significant higher values for all seven National Primary Care Patient Survey dimensions in the frequent compared to the non-frequent knowledge base users (p < 0.001), whereas 10 out of 11 parameters in the National Diabetes Register showed no differences between the groups (p > 0.05). Adjusting for Care Need Index had almost no effect on the outcomes for the groups.

Conclusions: Frequent users of a national online knowledge base received higher ratings on patient experiences, but figures on health care quality in diabetes showed near to no correlation. The findings indicate that some effects may be attributed to the use of knowledge bases and requires a controlled evaluation.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7670813PMC
http://dx.doi.org/10.1186/s12911-020-01313-9DOI Listing

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