利益相关者对临床信息学干预措施的有意义整合的观点,使用患者报告的结果在医疗保健中.
David Russell1, Yashika Sharma2, Andrew P Ambrosy3
1Department of Sociology, Appalachian State University, Boone, North Carolina, United States.
患者报告的结果 (PROs) 对于跟踪患者健康至关重要. 在临床信息学中实施PRO需要系统集成,临床医生支持,并解决患者的技术素养,以便更广泛地采用和维护.
科学领域:
- 医疗信息学 医疗信息学
- 临床信息学 临床信息学
- 患者报告的研究结果研究结果
背景情况:
- 患者报告的结果 (PROs) 从患者的角度提供了对患者健康状况和疾病进展的关键见解.
- PROs 能够识别患者直接报告的健康状况变化.
研究的目的:
- 应用RE-AIM框架来理解用于PRO收集和使用的临床信息学干预措施.
- 确定影响健康系统中PRO的覆盖范围,有效性,采用,实施和维护的因素.
主要方法:
- 采访了14名健康信息学和临床专业人员.
- 针对RE-AIM领域的利益相关方观点的定向内容分析.
主要成果:
- 根据机构支持和系统集成,PRO的干预范围各不相同.
- 在患者对话中注意到了有效性,但采用面临着许可和低健康素养等障碍.
- 实施成功取决于培训,多语言支持和清晰的数据可视化.
- 维护涉及多式联运数据收集和治理组.
结论:
- 提高PRO干预范围需要卫生系统投资于电子病历集成和患者/临床医生支持.
- 解决语言障碍和技术素养对于公平的PRO实施至关重要.
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