TY - JOUR
AU - M. McFarlane
AU - A. Morra
AU - M. D. Lougheed
A1 - 
AB - INTRODUCTION: Asthma is one of the most common chronic respiratory diseases globally. Despite national and international asthma care guidelines, gaps persist in primary care. Knowledge translation (KT) electronic tools (eTools) exist aiming to address these gaps, but their impact on practice patterns and patient outcomes is variable. We aimed to conduct a nonsystematic review of the literature for key asthma care gaps and identify limitations and future directions of KT eTools optimised for use in electronic medical records (EMRs). METHODS: The database OVID Medline was searched (1999-2024) using keywords such as asthma, KT, primary healthcare and EMRs. Primary research articles, systematic reviews and published international/national guidelines were included. Findings were interpreted within the knowledge-to-action framework. RESULTS: Key asthma care gaps in primary care include under-recognition of suboptimal control, underutilisation of pulmonary function tests, barriers to care delivery, provider attitudes/beliefs, limited access to asthma education and referral to asthma specialists. Various KT eTools have been validated, many with optimisation for use in EMRs. KT eTools within EMRs have been a recent focus, including asthma management systems, decision support algorithms, data standards initiatives and asthma case definition validation for EMRs. CONCLUSIONS: The knowledge-to-action cycle is a valuable framework for developing and implementing novel KT tools. Future research should integrate end-users into the process of KT tool development to improve the perceived utility of these tools. Additionally, the priorities of primary care physicians should be considered in future KT tool research to improve end-user uptake and overall asthma management practices.
AD - Asthma Research Unit, Kingston Health Sciences Centre, Kingston, ON, Canada 17mlm10@queensu.ca.; Division of Respirology, Department of Medicine, Queen's University, Kingston, ON, Canada.; Asthma Research Unit, Kingston Health Sciences Centre, Kingston, ON, Canada.
AN - 39603664
BT - Eur Respir Rev
C5 - HIT & Telehealth; Education & Workforce
CP - 174
DA - Oct
DO - 10.1183/16000617.0247-2023
DP - NLM
ET - 20241127
IS - 174
JF - Eur Respir Rev
LA - eng
N2 - INTRODUCTION: Asthma is one of the most common chronic respiratory diseases globally. Despite national and international asthma care guidelines, gaps persist in primary care. Knowledge translation (KT) electronic tools (eTools) exist aiming to address these gaps, but their impact on practice patterns and patient outcomes is variable. We aimed to conduct a nonsystematic review of the literature for key asthma care gaps and identify limitations and future directions of KT eTools optimised for use in electronic medical records (EMRs). METHODS: The database OVID Medline was searched (1999-2024) using keywords such as asthma, KT, primary healthcare and EMRs. Primary research articles, systematic reviews and published international/national guidelines were included. Findings were interpreted within the knowledge-to-action framework. RESULTS: Key asthma care gaps in primary care include under-recognition of suboptimal control, underutilisation of pulmonary function tests, barriers to care delivery, provider attitudes/beliefs, limited access to asthma education and referral to asthma specialists. Various KT eTools have been validated, many with optimisation for use in EMRs. KT eTools within EMRs have been a recent focus, including asthma management systems, decision support algorithms, data standards initiatives and asthma case definition validation for EMRs. CONCLUSIONS: The knowledge-to-action cycle is a valuable framework for developing and implementing novel KT tools. Future research should integrate end-users into the process of KT tool development to improve the perceived utility of these tools. Additionally, the priorities of primary care physicians should be considered in future KT tool research to improve end-user uptake and overall asthma management practices.
PY - 2024
SN - 0905-9180 (Print); 0905-9180
ST - Integrating asthma care guidelines into primary care electronic medical records: a review focused on Canadian knowledge translation tools
T1 - Integrating asthma care guidelines into primary care electronic medical records: a review focused on Canadian knowledge translation tools
T2 - Eur Respir Rev
TI - Integrating asthma care guidelines into primary care electronic medical records: a review focused on Canadian knowledge translation tools
U1 - HIT & Telehealth; Education & Workforce
U3 - 10.1183/16000617.0247-2023
VL - 33
VO - 0905-9180 (Print); 0905-9180
Y1 - 2024
ER -