title: Online dissemination of clinical practice guidelines as narrative texts and structured pathways: a case study with the treatment of type 2 diabetes.
abstract: Recently, National agencies in charge of the development of clinical practice guidelines (CPGs) have started to improve the usual narrative CPGs to provide guidance for different clinical pathways. In France, in conjunction with the development of the type 2 diabetes National CPGs, we have developed the system RecosDoc-Diabète which allows to interactively build a patient-centred pathway and get the appropriate recommendations. National narrative CPGs and RecosDoc-Diabète were published and made available online at the same time (February 2013). A questionnaire was provided to collect visitors' judgement about the system. Between February 12th and December 31st, 2013, 55,203 visitors accessed the narrative CPGs whereas 10,565 accessed the system. Among them, 186 (2%) responded to the questionnaire. One third of the comments were criticisms towards the CPG content. The system was globally positively evaluated although assessments were mixed illustrating that users' needs may be contradictory.
authors.affiliation: Sorbonne Universités, UPMC Université Paris 06, UMR_S 1142, LIMICS, Paris, France.
authors.forename: Brigitte
authors.initials: B
authors.lastname: Séroussi
authors.affiliation: Université Paris Descartes, Sorbonne Paris Cité, Département de médecine générale, Paris, France; SFTG, Paris, France.
authors.forename: Hector
authors.initials: H
authors.lastname: Falcoff
authors.affiliation: Haute Autorité de Santé, Saint-Denis-La-Plaine, France.
authors.forename: Valérie
authors.initials: V
authors.lastname: Ertel-Pau
authors.affiliation: Haute Autorité de Santé, Saint-Denis-La-Plaine, France.
authors.forename: Véronique
authors.initials: V
authors.lastname: Raimond
authors.affiliation: AP-HP, DRCD, Paris, France.
authors.forename: Jacques
authors.initials: J
authors.lastname: Bouaud
mesh_terms: D019090:Case Management / Q000592:standards; D019091:Critical Pathways / Q000592:standards*; D020000:Decision Support Systems, Clinical / Q000592:standards*; D003661:Decision Support Techniques; D003920:Diabetes Mellitus / Q000175:diagnosis / Q000628:therapy*; D004282:Documentation / Q000592:standards*; D005602:France; D006801:Humans; D033181:Information Dissemination / Q000379:methods*; D020407:Internet / Q000592:standards*; D017146:Models, Organizational; D033262:Narration; D009862:Online Systems; D019982:Organizational Case Studies