将作者身份嵌入到基于门户的议程中,为支持老年人和护理伙伴制定干预措施
Hillary D Lum1, Jessica Cassidy2, Chen-Tan Lin3
1Division of Geriatric Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, 12631 E. 17Th Ave B-179, Aurora, CO, 80045, USA. hillary.lum@ucdenver.edu.
Journal of general internal medicine
|October 1, 2024
概括
在OurNotes中有一个新的自我识别问题,可以帮助临床医生区分患者撰写的信息与非患者贡献,提高患者门户网站的沟通透明度.
科学领域:
- 医疗信息学 医疗信息学
- 患者与医疗服务提供者之间的沟通
- 老年医学 老年医学
背景情况:
- 患者门户越来越多地用于患者,家人和临床医生之间的沟通.
- 识别门户通信的作者对于准确的解释至关重要.
- 我们的笔记,一个访问前问卷,被调整为包括作者自我识别.
研究的目的:
- 评估使用适应的OurNotes问卷.
- 收集临床医生对自我识别功能的反.
- 为了告知这个工具的未来实施.
主要方法:
- 经过调整的OurNotes在老年医疗诊所进行了评估.
- 一个横截面图表审查分析了问卷填写和作者类型.
- 八名临床医生接受了采访,谈论他们的经验.
主要成果:
- 在134个完成的OurNotes中,69%是患者撰写的,14%是有帮助的,17%是由非患者撰写的.
- 自写的OurNotes与年轻的患者和较少的认知障碍有关.
- 非患者的作者更频繁地报告了症状,社区资源,痴呆症和护理伙伴的担忧.
结论:
- 自我识别问题有效地识别了OurNotes.的非患者作者.
- 进一步的研究应该评估这种透明度是否提高了护理质量,特别是与护理合作伙伴的参与.
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