将患者生成的血压数据集成到初级保健EHR工作流程中的促进者和障碍
Shannon M Canfield1, Richelle J Koopman1
1Department of Family and Community Medicine, University of Missouri-Columbia, Columbia, Missouri, United States.
Applied clinical informatics
|November 13, 2024
概括
将患者生成的健康数据 (PGHD) 集成到电子健康记录 (EHR) 中,可以改善高血压管理. 这项研究确定了无EHR集成的关键促进者和障碍,指导未来的数字健康解决方案.
科学领域:
- 数字健康解决方案数字健康解决方案
- 高血压管理 高血压管理
- 患者生成的健康数据 (PGHD)
背景情况:
- 患者生成的血压数据可以改善高血压的结果.
- 将家庭血压数据整合到临床护理中面临纸质记录和数据有效性的挑战.
- 数字健康工具对于收集患者数据和支持共享决策越来越重要.
研究的目的:
- 评估基于EHR的数据可视化工具,用于家庭血压数据.
- 探索将患者生成的健康数据 (PGHD) 整合到临床电子工作流程中的障碍和促进因素.
- 为利用PGHD在高血压管理中提供建议.
主要方法:
- 使用实施研究综合框架 (CFIR) 对实施前和早期实施因素的定性探索.
- 通过临床专注小组,行政反,研究小组观察和团队会议收集的数据.
- 在中西部的学术健康中心进行的研究.
主要成果:
- 在CFIR领域确定了实施促进者和采用考虑因素.
- 关键建议包括调整优先事项,赋予冠军权力,直观设计和计划意外后果.
- 详细介绍了大规模实施的促进因素和障碍.
结论:
- 调查结果指导未来将PGHD整合到临床工作流程中,以加强共享决策.
- 了解实施障碍和促进者有助于在EHR中采用和维护PGHD.
- 为在高血压管理中更大规模实施数字健康工具奠定了基础.
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