接受用于牛皮的数字治疗推系统
Lisa Graf1, Falko Tesch1, Felix Gräßer2
1Center for Evidence-Based Healthcare, University Hospital Carl Gustav Carus and Faculty of Medicine Carl Gustav Carus, TU Dresden, Dresden, Germany.
BMC medical informatics and decision making
|August 4, 2023
概括
数字疗法推系统 (TRS) 在皮肤科医生中对治疗牛皮的接受度很高,有可能改善患者的护理. 时间限制仍然是这些临床决策支持系统 (CDSS) 广泛采用的关键障碍.
科学领域:
- 皮肤病学 皮肤病学
- 医疗信息学 医疗信息学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 牛皮影响了德国人口的2%,尽管有可用的全身疗法,但许多患者未得到充分治疗.
- 数字治疗推系统 (TRS) 为基于指南的治疗实施提供了一个潜在的解决方案.
- 像TRS这样的临床决策支持系统 (CDSS) 的接受程度尚不清楚.
研究的目的:
- 评估皮肤科医生对原型数字治疗推系统 (TRS) 演示器的接受程度.
- 确定影响人们使用TRS治疗牛皮管理的意愿因素.
主要方法:
- 一项与76名皮肤科医生进行的横截面调查,使用病例简介和原型TRS演示器.
- 皮肤科医生使用系统可用性量表 (SUS) 评价了该系统,并表示对不同患者场景的接受.
- 普森回归分析了可能使用TRS的原因.
主要成果:
- 在符合全身治疗条件的患者中,TRS使用的接受率很高 (82%).
- 在患有并发症 (50%) 和特殊牛皮亚型 (43%) 的患者中适度接受.
- 系统可用性量表 (SUS) 得分为76.8;较高的SUS得分与对特殊亚型使用TRS的意愿增加有关.
结论:
- 高接受率表明牛皮CDSS是可实施的,可以改善临床护理.
- 时间需求是主要的障碍,需要高效的变量选择以获得准确的建议.
- 进一步的开发应该集中在尽量减少时间负担,同时保持推的有效性.
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