从基于EHR的工具的可用性评估中吸取的教训,以支持对抗高血压药物的坚持
Safa Elkefi1,2,3, Tiffany R Martinez4, Talia Nadel4
1School of Nursing Columbia University, New York, New York, United States.
Applied clinical informatics
|August 14, 2025
概括
一个新的数字工具显示了改善高血压患者的药物坚持和血压控制的前景. 可用性测试揭示了内容和工作流集成的优势,并提出了提高警报可见性和特异性的建议.
科学领域:
- 数字健康数字健康
- 心血管医学 心血管医学
- 医疗信息学 医疗信息学
背景情况:
- 失控的高血压是一个重要的公共卫生问题,通常与不良的药物守有关.
- 医疗保健提供者需要有效的工具来应对在护理点的坚持挑战.
- 电子健康记录 (EHR) 中的技术集成为高血压管理提供了潜在的解决方案.
研究的目的:
- 评估EHR集成的数字工具的可用性,旨在提高非附着高血压患者的药物服药和血压控制.
- 根据最终用户的反来完善工具的设计,以实现最佳的临床实施.
- 探索技术在改善高血压管理中的作用.
主要方法:
- 使用"大声思考"和"近乎实时"方法的定性可用性测试,与初级保健提供者 (PCP) 和医疗助理 (MA) 合作.
- 以最终用户计算满意度指数 (EUCSI) 和技术接受模型 (TAM) 为指导的评估.
- 对面试数据进行主题分析,以确定优势和挑战.
主要成果:
- 数字工具在内容,格式,易用性,及时性,准确性和实用性方面表现出强项.
- 突出的是用户友好的内容呈现,有价值的遵守信息和及时的工作流集成的警报.
- 改进的关键领域包括警报可见性和信息特异性.
结论:
- 集成到EHR的数字工具是改善高血压中药物坚持的有前途的干预措施.
- 以TAM和EUCSI框架为指导的可用性测试为工具改进提供了有价值的见解.
- 基于用户反的进一步细化将支持成功的临床试验实施.
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