临床医生对决策辅助导航器的需求和要求:定性研究
Brad Morse1, Carrie Reale2, An T Nguyen3
1Division of General Internal Medicine, University of Colorado Anschutz Medical Campus, 1890 North Revere Court, Aurora, CO, 80045, United States, 1 3037245138.
JMIR human factors
|August 21, 2025
概括
临床医生需要综合电子健康记录 (EHR) 工具,以便有效地使用决策辅助工具 (DAs) 进行共享决策 (SDM). 简化功能和临床医师培训对于在患者护理中采用这些DA至关重要.
科学领域:
- 卫生信息学
- 临床决策支持
- 患者参与
背景情况:
- 通过支持共享决策 (SDM),提高了以患者为中心的护理.
- 临床医生采用DAs受时间限制和EHR整合问题等因素的限制.
- 现有的障碍阻碍了DA在临床实践中的有效使用.
研究的目的:
- 确定临床医生需要设计一个与EHR集成的DA工具.
- 为决定援助导航器 (DEAN) 应用程序的开发提供信息.
- 解决临床医生使用DA的障碍.
主要方法:
- 这项定性研究涉及4个学术医疗中心的临床医生进行了13次半结构面试.
- 在面试期间展示中等保真度的DEAN应用程序原型.
- 对面试数据进行定性内容分析以确定主题.
主要成果:
- 临床医生需要精简的功能来简化工作流程并减少使用DA的负担.
- 发展临床医生的能力对于有效使用DA工具至关重要.
- 临床医生强调需要将电子健康记录与建议的决策辅助工具整合起来.
结论:
- 整合到EHR的工具是必要的,以克服临床医生使用DA的障碍.
- 简化DA文档可以提高临床医生的采用率并改善SDM.
- 开发用户能力和确保信任是成功实施DA工具的关键.
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