儿童初级保健提供者和工作人员对基于电子健康记录的社会需求干预措施实施的看法:混合方法研究
Jennifer H LeLaurin1, Jacqueline De La Cruz1, Ryan P Theis1
1Department of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, FL, USA.
使用电子健康记录 (EHR) 工具在儿科护理中实施社会需求干预面临可行性挑战. 综合查和减少重复使用等策略可以改善对这些至关重要的儿童和家庭健康计划的采用.
科学领域:
- 实施科学 实施科学
- 儿科初级护理 儿科初级护理
- 医疗信息学 医疗信息学
背景情况:
- 社会需求干预措施改善了儿童和家庭健康结果.
- 电子健康记录 (EHR) 工具可以支持这些干预措施,但未得到充分利用.
- 儿科初级保健机构在整合社会需求支持方面面临挑战.
研究的目的:
- 通过使用儿科初级保健中现有的EHR模块,确定实施社会需求干预措施的方法.
- 了解基于EHR的社会需求干预措施采用的障碍和促进因素.
- 为社会需求提供支持,为开发有效的EHR工具和工作流提供信息.
主要方法:
- 混合方法研究涉及四家儿科诊所的重点小组,采访和工作流评估.
- 从30个提供商/员工收集数据和48个工作流评估.
- 以实施研究综合框架为指导的分析,采用混合演-诱导方法.
主要成果:
- 高可接受性 (4.9/5) 和适当性 (5.0/5) 但较低可行性 (3.9/5) 对于社会需求干预措施.
- 障碍包括重复的流程,母公司披露问题和人员限制.
- 促进者包括EHR模块的优势,社会需求的感知重要性和工作流的兼容性.
结论:
- 基于EHR的社会需求干预需要在现实环境中实施可行的实施策略.
- 将社会需求评估与现有问卷相结合,减少文档负担是关键策略.
- 未来的发展应该优先考虑利益相关者对EHR工具和临床工作流程的投入.
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