针对英国全科医生的基于电子健康记录的行为改变干预措施:使用行为改变理论进行混合方法系统审查
Jamie Soames1, Luisa M Pettigrew2
1Department of Health Services Research and Policy, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK.
BMJ open
|May 30, 2024
概括
电子健康记录 (EHR) 的干预可以改变英国全科医生的行为. 简单的,持久的提示比复杂的干预更有效,突出显示了需要更好地设计EHR系统.
科学领域:
- 医疗信息学 医疗信息学
- 行为科学 行为科学
- 一般的做法一般的做法
背景情况:
- 电子健康记录 (EHR) 系统显著影响医疗保健提供和临床医生的行为.
- 了解EHR设计对临床实践的影响对于优化医疗保健结果至关重要.
研究的目的:
- 系统地审查针对英国全科医生临床实践的基于EHR的干预措施.
- 用行为变化理论来评估这些干预措施的有效性.
- 为了确定设计未来EHR干预措施的经验教训.
主要方法:
- 进行了混合方法的系统审查,搜索主要数据库直到2023年3月.
- 包括的研究包括随机对照试验,对照前后研究和中断时间序列.
- 使用行为变化轮和MINDSPACE框架分析了干预措施,并进行了定量和定性综合.
主要成果:
- 包括从2002年至2021年的10项研究 (8项RCT,2项定性研究).
- 在七项定量研究中,有四项对临床医生的行为产生积极影响,三项对患者的结果产生积极影响.
- 有效的干预使用了简单的,以行动为导向的提示,需要较少的认知参与,尽管一些被临床医生忽视了.
结论:
- 在英国的一般实践中,基于电子健康记录的干预措施的高质量证据有限.
- 电子耳机和耳机干预显示出改变行为的潜力,更简单的提示更有效.
- 未来的研究必须专注于优化干预设计,提供理论理由,并解决局限性.
相关概念视频
Methods of Documentation VII: EMR
830
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
830
Stress Prevention and Stress Management Techniques VI
31
Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
31
Behavior Modification
139
Behavioral approaches have often been criticized for ignoring mental processes and focusing solely on observable behavior. However, these approaches provide an optimistic perspective for individuals seeking to change their behaviors. Rather than concentrating on intrinsic personality traits, behavioral approaches suggest that even longstanding habits can be modified by changing the reward contingencies that maintain them.
A real-world application of operant conditioning principles is applied...
A real-world application of operant conditioning principles is applied...
139
Community Based Intervention
38
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
38
Preventive Healthcare Services
1.0K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.0K
Levels of Health Promotion and Illness Prevention
12.6K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
12.6K


