青少年获取临床医生的笔记:青少年,家长和临床医生的观点
Carley M Sprackling1, Madeline Q Kieren1, Carrie L Nacht2
1Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
概括
青少年,家长和临床医生从分享临床笔记中看到改善健康知识和关系等好处. 建议采取战略来解决这些问题,并支持这种新的患者信息透明度.
科学领域:
- 医疗信息学 医疗信息学
- 以患者为中心的护理
- 青少年医学 青少年医学
背景情况:
- 联邦指导方针现在要求医疗保健组织与患者分享临床医生的笔记.
- 虽然对成年人有好处,但笔记分享对青少年的影响不太清楚.
- 这项研究探讨了青少年对临床笔记的访问的观点.
研究的目的:
- 确定青少年,家长和临床医生对与青少年分享临床笔记的好处的看法.
- 了解与青少年获得临床笔记相关的担忧.
- 确定支持青少年护理中的笔记共享实施策略.
主要方法:
- 六个焦点小组与青少年,家长和临床医生进行了讨论.
- 参与者在2021年5月至10月期间从儿童医院招募.
- 专题分析用于分析半结构面试中的定性数据.
主要成果:
- 38个利益相关者确定了好处,例如改善患者理解,加强学习,加强关系和增加卫生机构.
- 担忧包括潜在的违反机密性,负面的情感影响,并减少了笔记的临床效用.
- 提出了四个实施策略:增强安全性,优化笔记内容/布局,明确的期望和仅限临床医生的部分.
结论:
- 利益相关者提出了优化青少年,家长和临床医生的笔记共享策略.
- 这些策略旨在最大限度地提高效益,并最大限度地减少与联邦票共享任务相关的挑战.
- 成功实施可以提高患者参与度,并支持遵守透明度法规.
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