实现以患者为中心的临床决策支持的新绩效测量框架:定性发展研究
Prashila Dullabh1, Courtney Zott1, Nicole Gauthreaux1
1Health Sciences Department, NORC at the University of Chicago, Washington, DC, United States.
Journal of medical Internet research
|April 30, 2025
概括
这项研究引入了衡量以患者为中心的临床决策支持 (PC CDS) 绩效的新框架. 该框架指导PCCDS技术的评估,确保患者需求是医疗服务的核心.
科学领域:
- 医疗信息学 医疗信息学
- 临床决策支持系统 临床决策支持系统
- 以患者为中心的护理
背景情况:
- 以患者为中心的临床决策支持 (PC CDS) 技术正在发展,重点是以价值为基础的全人护理.
- 现有的评估框架缺乏衡量PC CDS性能和有效性的全面指导.
- 需要改进的测量策略来评估PC CDS干预措施.
研究的目的:
- 提出一个新的框架,将以患者为中心的原则纳入健康IT和CDS评估中.
- 为评估PC CDS的性能提供统一的指南.
主要方法:
- 对147个关于健康IT,CDS和PCCDS测量的来源进行了有针对性的文献审查.
- 该框架是考虑到社会技术组成部分,整个IT生命周期和多层次测量而开发的.
- 验证和完善涉及对6名专家的关键信息人采访和7名专家委员会反.
主要成果:
- 开发了一个6个领域的PC CDS绩效测量框架:安全,及时,有效,高效,公平,以患者为中心.
- 该框架包括34个子域和4个聚合级别 (个人,人口,组织,IT系统) 进行综合评估.
- 提供了以患者为中心的措施和方法的例子,并提供了2个示例用例.
结论:
- 该框架提供了一个全面的工具,用于评估PC CDS技术在其整个生命周期中,重点关注患者的影响.
- 它使人们能够了解PC CDS的有效性,利用和实现基于证据的,以患者为中心的护理结果.
- 需要进一步的研究,以充分描述所有域和子域,以推进PC CDS评估.
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