电子记录和共享预先护理计划偏好系统:一个范围审查
Hüsna Sarıca Çevik1,2, Catharina Muente3,4, Felix Muehlensiepen3,4,5
1Leeds Institute of Health Sciences, School of Medicine, Faculty of Medicine and Health, University of Leeds, Leeds, UK.
Progress in palliative care
|June 4, 2024
概括
预先护理规划 (ACP) 文档的数字工具正在增长,但研究有限. 研究表明,这些系统通常存在于电子健康记录中,患者几乎无法访问和非标准的设计,突出需要更好的结果措施.
科学领域:
- 医疗信息学 医疗信息学
- 数字健康数字健康
- 提前护理规划研究研究研究
背景情况:
- 全球越来越多地采用了预先护理规划 (ACP) 文档和共享的数字工具.
- 在理解这些数字方法的设计,内容和利用方面存在很大的差距.
- 现有的研究缺乏对当前国际实践的全面描述.
研究的目的:
- 描述数字方法的国际格局,支持提前护理规划 (ACP) 文档和共享.
- 确定该领域的常见实践,系统设计和研究方法.
- 精确确定未来的研究和开发领域,以数字化的非洲国家和地区工具.
主要方法:
- 根据JBI指南和PRISMA 2020检查清单进行了全面的范围审查.
- 在主要数据库 (MEDLINE,EMBASE,PsycINFO,ACM Digital,IEEE Xplore,CINAHL) 进行了搜索,从2008年开始搜索英语出版物.
- 纳入标准侧重于事先的护理计划和电子系统,分析了34份报告.
主要成果:
- 大多数包含的报告 (76.5%) 来自美国.
- 预先护理规划文档主要存储在电子健康记录 (EHR) 中 (67.6%),在三分之一的病例中 (32.4%) 患者访问有限.
- 非标准的研究设计 (44.1%) 是最常见的,结果指标侧重于文档影响 (创建,数量,质量,频率,时间) (67.6%).
结论:
- 国际上正在实施和研究ACP的数字方法,但证据基础严重依赖于非标准的研究设计.
- 需要未来的研究来扩大结果测量超越文档指标.
- 需要进一步调查,以评估当前的数字系统是否与患者所重视的护理质量方面保持一致.
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