People around the world are increasingly affected by multimorbidity, where conditions in different medical specialties can correlate in complex ways. This increases the relevance of multidisciplinary integrated care pathways. Modern software solutions provide vast opportunities to enhance information exchange between patients and various healthcare professionals, thereby improving patient-centered and inter-professional care. This paper describes the development and validation of a mobile patient application which exploits Patient Reported Outcomes to enhance patient-centered medical-dental integration with a focus on integrated management of periodontitis and diabetes. This study was part of a multidisciplinary project for enhancement of medical-dental integration. The Intervention Mapping Protocol was supplemented by the RAND/UCLA Appropriateness Method, including literature reviews, focus group discussions and a Delphi panel in cooperation with various stakeholders. A mobile application was developed in close collaboration with patients, physicians and dentists. The usability of the application’s core components was validated in two medical and two dental practices using the System Usability Scale (SUS). 39 questions were identified to provide relevant patient-reported information which can be collected via a mobile application to enhance integrated management of periodontitis and diabetes. Usability testing of the application’s core components (14 questions) among 137 participants in medical and dental practices indicated a good SUS score of 77.88 (±12.17). The systematically developed mobile application offers the potential to provide physicians and dentists with treatment-relevant information to enhance medical-dental integration, thereby reducing the workload of medical staff, improving the quality of routinely collected data, and enabling automated data processing. This unique, novel, and validated approach can serve as an open framework for the development and evaluation of interdisciplinary healthcare software.

中文翻译：

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开发和评估移动患者应用程序，以增强牙周炎和糖尿病治疗的医疗牙科一体化

世界各地的人们越来越多地受到多重疾病的影响，不同医学专业的情况可能以复杂的方式相互关联。这增加了多学科综合护理途径的相关性。现代软件解决方案为加强患者和各种医疗保健专业人员之间的信息交流提供了巨大的机会，从而改善以患者为中心的跨专业护理。本文介绍了移动患者应用程序的开发和验证，该应用程序利用患者报告结果来增强以患者为中心的医疗牙科一体化，重点关注牙周炎和糖尿病的综合管理。这项研究是加强医学-牙科一体化的多学科项目的一部分。兰德公司/加州大学洛杉矶分校适当性方法对干预方案进行了补充，包括文献综述、焦点小组讨论以及与各利益相关者合作的德尔菲小组。移动应用程序是与患者、医生和牙医密切合作开发的。该应用程序核心组件的可用性在两个医疗诊所和两个牙科诊所中使用系统可用性量表 (SUS) 进行了验证。确定了 39 个问题，以提供相关的患者报告信息，这些信息可以通过移动应用程序收集，以加强牙周炎和糖尿病的综合管理。在 137 名医疗和牙科诊所参与者中对该应用程序的核心组件（14 个问题）进行了可用性测试，结果显示 SUS 得分为 77.88 (±12.17)。系统开发的移动应用程序有可能为医生和牙医提供治疗相关信息，以增强医疗牙科一体化，从而减少医务人员的工作量，提高常规收集数据的质量，并实现自动化数据处理。这种独特、新颖且经过验证的方法可以作为跨学科医疗保健软件的开发和评估的开放框架。