跨学科数字健康数据交换在德语国家移动护理和护理环境中的要求和发展潜力:德尔菲研究
Verena Kollmann1, Nathalie Traugott1, Susanne Hensely-Schinkinger2
1Center for Applied Nursing Research, FH Campus Wien, Vienna, Austria.
Journal of medical Internet research
|August 13, 2025
概括
专家们一致认为,互操作的电子健康记录 (EHR) 对DACHL地区的移动护理至关重要. 关键的要求包括开放的系统,标准化数据和用户友好的设计,以提高患者的安全性和协作.
科学领域:
- 数字健康数字健康
- 医疗信息学 医疗信息学
- 移动医疗服务 移动医疗服务
背景情况:
- 在DACHL地区,移动护理的数字化面临着由于基础设施碎片化和不清楚的访问权限的挑战.
- 跨学科数据交换受到阻碍,特别是在移动护理和护理环境中.
研究的目的:
- 探索专家对EHR整合要求和DACHL地区移动护理方面的挑战的观点.
- 确定系统的基本功能,支持结构以及数字数据交换对护理质量,工作量和协作的影响.
主要方法:
- 一种经过修改的Delphi方法,涉及定性专家访谈和两轮结构化的在线调查.
- 面试的定性内容分析为调查设计提供了信息,共识被定义为≥75%的同意.
主要成果:
- 在88.7%的调查项目上达成共识,突出了开放,可互操作的系统和标准化术语的需要.
- 诊断和药物清单等EHR关键功能的排名很高;可用性和支持结构至关重要.
- 专家们同意提高患者安全,减少重复文件和加强合作,但不同意助理角色的访问权.
结论:
- 专家们就移动护理中数字数据交换的基本要求达成广泛共识.
- 互操作性,上下文敏感的访问政策和可用性对于成功实施EHR至关重要.
- 调查结果支持政策制定,系统设计和跨部门安全,高效的数字护理研究.
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