应用现实主义复制到基于EHR的临床决策支持工具的开发
Suzanne Morrissey1,2, Arwen Bunce1, Jenna Donovan1
1OCHIN, Inc., Portland, OR, USA.
International journal of qualitative methods
|August 28, 2025
概括
基于电子健康记录 (EHR) 的临床决策支持工具的发展. 这种方法通过在正式试验之前识别用户需求来改进工具设计,优化对健康的社会决定因素的干预.
科学领域:
- 实施科学
- 医疗服务研究
- 一个现实的评价
背景情况:
- 医疗干预的社会决定因素需要对环境的理解才能有效.
- 基于电子健康记录 (EHR) 的临床决策支持工具可以解决健康的社会决定因素.
- 实施研究从了解干预机制和背景因素中受益.
研究的目的:
- 在干预开发中展示现实主义回归的应用.
- 使用现实主义原则完善基于电子健康记录的临床决策支持工具.
- 提高解决患者报告的不安全感的工具的可取性和使用.
主要方法:
- 在研究中期的开发阶段应用现实主义原则,特别是现实主义复制.
- 使用研究开发数据来告知回归步骤并确定初步的程序理论.
- 基于回归性发现的五种基于电子健康记录的临床决策支持工具.
主要成果:
- 现实主义复制有效地确定了影响工具可取性和使用的无形临床需求和偏好.
- 在正式试验之前,以复制为指导的代修订过程改进了试验工具.
- 确定了初步方案理论,为更好地满足临床需求提供了工具修订.
结论:
- 现实主义复制是实施研究中的一个有价值的干预开发方法.
- 在试验前应用回归思维优化了对现实世界条件的干预.
- 这种务实的方法促进了研究人员和利益相关者的共同设计,提高了干预的有效性和效率.
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