服务用户对精神卫生保健综合电子护理记录的看法:定性图片和采访研究
Timothy Kariotis1,2, Megan Prictor2,3, Kathleen Gray3
1Faculty of Engineering and Information Technology, University of Melbourne, Carlton, Australia.
JMIR medical informatics
|June 3, 2025
概括
心理健康服务用户希望控制综合电子护理记录 (IECR),以确保协作护理. 然而,他们担心隐私风险和潜在的歧视,如果不积极参与IECR的开发和使用.
科学领域:
- 医疗信息学 医疗信息学
- 心理健康服务研究 心理健康服务研究
- 患者体验 患者体验
背景情况:
- 建议将电子健康记录 (EHR) 扩展为综合电子护理记录 (IECR),以支持心理健康服务用户.
- 之前的研究探讨了关于电子病历数据存储和共享的一般观点,但没有探讨用户对电子病历在护理提供中的使用态度或IECR概念的观点.
研究的目的:
- 了解心理健康服务用户对综合电子护理记录 (IECR) 的看法.
- 探索服务用户如何设想IECR在护理交付期间在实践中使用.
主要方法:
- 解释性现象学分析10名澳大利亚心理健康服务用户对视频和半结构面试的反应.
- 探索用户对IECR场景的态度,涉及决策和护理旅程.
主要成果:
- 服务用户希望IECR给予他们控制权,促进平等的护理伙伴关系,并使协作,主动的心理健康支持成为可能.
- 人们对专业视角对用户需求的潜在掩盖,隐私风险以及对护理获取信息的污名化影响表示担忧.
- 用户强调需要IECR只包含相关信息,合理共享,并承认用户对这些记录的自我管理存在潜在挑战.
结论:
- 综合电子护理记录 (IECR) 可以解决心理健康护理的碎片化问题,但有可能加剧耻辱和歧视.
- 在IECR的开发和实施中,服务用户的有意义的参与对于减轻风险和实现收益至关重要.
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