当患者门户打破坏消息时
Eleanor Iodice1, Emily Penick2,3, Stuart S Winkler3,4
1DeBusk College of Medicine, Lincoln Memorial University, Harrogate, TN 37752, USA.
Military medicine
|December 23, 2023
概括
电子患者门户可以使向瘤患者传递坏消息变得复杂. 提供者应适应实践,比如延迟在电子健康记录中发布敏感报告,以确保共的沟通.
科学领域:
- 医疗信息学 医疗信息学
- 瘤学 患者沟通 患者沟通
- 数字健康数字健康
背景情况:
- 电子患者门户增强了患者与医疗服务提供者的沟通,但在传递敏感信息方面存在挑战.
- 在临床讨论之前,大量瘤患者通过门户网站访问诊断.
- 打破坏消息的传统方法强调面对面或通过电话的同情和支持.
研究的目的:
- 检查电子患者门户对瘤学坏消息传递的影响.
- 为军事医疗保健提供者提供建议,管理通过门户网站发布敏感信息.
- 建议对电子健康记录进行系统层面的更改,以更好地支持敏感的通信.
主要方法:
- 审查有关电子门户的现有文献和患者沟通实践.
- 分析患者对收到坏消息的偏好.
- 为军事提供商和MHS GENESIS系统制定基于实践和系统级别的建议.
主要成果:
- 电子门户可以导致过早访问敏感的瘤学报告,可能会破坏对坏消息的同情传递.
- 大多数患者更喜欢面对面或电话沟通,而不是接受严重的诊断.
- 当前的电子健康记录 (EHR) 系统可能会自动发布敏感结果,而无需提供者与患者进行讨论.
结论:
- 医疗保健提供者必须意识到使用电子门户对敏感患者沟通的影响.
- 调整实践,例如警告患者早期获取结果至关重要.
- 建议修改EHR系统,如MHS GENESIS,以便在讨论后推迟发布敏感报告.
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