儿科医生对电子临床决策支持的偏好,以促进艾滋病毒暴露前预防
Carly E Guss1, Danielle DeMaio2, Brittany Gluskin2
1Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.
概括
儿科医生需要更好的电子健康记录 (EHR) 警报来处方艾滋病毒暴露前预防 (PrEP). 工具应该识别有风险的年轻人,自动化后续,并链接到指南,同时避免警报疲劳.
科学领域:
- 儿科初级护理专业的儿童初级护理
- 预防传染病 预防传染病
- 医疗信息学 医疗信息学
背景情况:
- 小儿初级保健临床医生在评估艾滋病毒风险和处方暴露前预防 (PrEP) 时面临挑战.
- 关于PrEP指导方针的不确定性可能导致未达到最佳的患者护理.
- 电子健康记录 (EHR) 系统为改善决策支持提供了潜力.
研究的目的:
- 探索儿科医生对基于电子健康记录的PrEP决策支持警报的偏好.
- 确定设计有效的PrEP相关电子健康记录工具的关键特征.
- 在儿科初级保健中减轻PrEP提供方面的挑战.
主要方法:
- 使用与儿科医生进行个人访谈和焦点小组进行的定性研究.
- 在EHR中探索关于PrEP的临床决策支持的提供者偏好.
- 使用沉浸结晶定性分析技术进行分析,以确定关键主题.
主要成果:
- 临床医生希望EHR工具简洁,并识别艾滋病毒感染风险的患者.
- 提供者更喜欢自动后续功能和直接链接到基于证据的处方指南.
- 发现的一个重大问题是基于EHR的干预措施可能导致警报疲劳.
结论:
- 总结了临床医生对EHR工具开发的偏好,以支持PrEP提供.
- 这些发现可以为为儿科医生创建以提供者为中心的PrEP决策支持系统提供信息.
- 增强的EHR工具可以改善有限经验的临床医生对PrEP的处方.
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