在电子健康记录中实施患者报告的结果仪表板,以支持严重慢性疾病的共享决策
Laura M Perry1,2, Nisha A Mohindra3,4, Ava Coughlin2
1Center for Health Outcomes, Implementation, and Community-Engaged Science (CHOICES), Tulane University School of Medicine, New Orleans, Louisiana, USA lperry5@tulane.edu.
BMJ open quality
|January 12, 2025
概括
与电子健康记录 (EHR) 集成的患者报告结果 (PRO) 仪表板的实施显示了慢性疾病护理的可行性. 需要进一步的策略来加强患者和临床医生的参与,并为持续使用完成PRO.
科学领域:
- 医疗信息学 医疗信息学
- 实施科学 实施科学
- 以患者为中心的护理
背景情况:
- 患者报告的结果 (PRO) 和数据可视化仪表板可以改善共享决策 (SDM) 和慢性疾病的护理.
- 现实世界的实施策略和PRO仪表板的结果仍然被低估.
研究的目的:
- 评估电子健康记录 (EHR) 集成的PRO仪表板的实施结果,用于晚期癌症和慢性病患者.
- 评估PRO仪表板的适当性,可接受性,采用性和可持续性.
主要方法:
- 一个EHR集成的PRO仪表板从2020年6月到2022年1月实施.
- 使用既定指南 (例如RE-AIM框架) 监测实施策略.
- 临床医生 (n=7) 和患者 (n=30) 调查评估了 6 个月后仪表板的感知.
主要成果:
- 仪表板覆盖率为52% (748/1450名符合条件的患者);PRO完成保真率为37%.
- 在完成的调查中,仪表板使用忠诚度 (访问时的讨论) 为57%.
- 患者认为仪表板是适当的 (77%) 和可以接受的 (63%); 77%的患者和86%的临床医生认为它有助于提高SDM.
结论:
- 集成到EHR的PRO仪表板对于晚期癌症和慢性脏病来说,在临床上是合适的,可以接受的和可行的.
- 需要改善患者/临床医生的参与,PRO完成率和长期可持续性战略.
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