在初级保健中确定开放笔记的实施问题:焦点小组研究
Marianne Dees1, Sevde Alkir-Yurt1, Gert Olthuis1
1Radboud University Medical Centre, Radboud Institute for Health Sciences, IQ healthcare, Nijmegen, The Netherlands.
BMC primary care
|April 23, 2025
概括
开放笔记可以提高患者的参与度,但使用率很低. 解决数据所有权和专业人员与患者关系等因素是成功在一般实践中实施的关键.
科学领域:
- 医疗信息学 医疗信息学
- 患者参与 患者参与
- 一般的做法一般的做法
背景情况:
- 在线访问医疗记录 (开放的笔记) 正在增长,但未得到充分利用.
- 医疗保健专业人员对开放笔记的看法没有得到充分代表.
- 缺乏一个系统的框架来实施公开的笔记.
研究的目的:
- 用能力方法评估开放笔记的价值.
- 检查影响开放笔记在一般实践中的可用性的因素.
- 了解患者和工作人员的能力,机会和与开放笔记相关的挑战.
主要方法:
- 在10个荷兰的一般实践中进行定性研究.
- 焦点小组由19名医疗保健专业人员和29名患者组成.
- 两位独立研究人员使用ATLAS.ti对成绩单的内容分析.
主要成果:
- 个人,社会和环境因素 (例如,识字,支持,立法) 影响开放笔记的使用.
- 出现了四个实施主题:数据所有权/完整性,组织支持,管理意想不到的后果和增强专业技能.
- 患者和专业人士都发现了类似的因素,他们的经历有细微差异.
结论:
- 开放笔记为患者和专业经验提供了洞察力.
- 解决实际障碍和四个关键实施主题对于成功采用开放性笔记至关重要.
- 以这些主题为指导的进一步实施可以提高患者参与度和健康结果.
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