Nurturing Health with DietCARE: A Needs Analysis for the Development of A Nutritional Care Database Management System at University Health Centre
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Abstract
Introduction: In recent decades, electronic medical records (EMR) have been widely used in healthcare, replacing traditional paper records. EMRs are mainly found in large hospitals or specific clinical departments, but notably, the Diet Clinic of Universiti Malaysia Terengganu (UMT) still relies on paper-based records for patient data. Therefore, there is a compelling need to introduce EMR into the clinic’s operation. As such, this study aims to identify the characteristics and needs of the users for the development of a comprehensive nutritional care database management system, namely DietCARE. Methods: A needs analysis was conducted through a combination of methods, including observations, clinical staff interviews, discussions with Informative Technology (IT) experts, patients’ records reviews, and literature reviews. Results: Results show that a total of 186 patients visited the clinic from 2018 to 2022, with the majority of patients requiring nutrition counselling on weight management (80.6%), while the remaining patients had diet-related non-communicable diseases (NCDs). The weaknesses and limitations of paper-based records at the clinic include unorganized and incomplete data, difficulty keeping track of appointment schedules, concern for the security of the data, and duplicate files. In the development of this system, DietCARE will be designed as a web application, using a specialized approach to ensure alignment with the standards of practice for nutrition and dietetics. Conclusion: Based on this analysis, there is a clear need to develop a comprehensive nutritional care database management system, along with its constituent elements and parameters.
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