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医生在糖尿病管理中使用安全消息的经验:一项定性研究
Ben Kragen1,2, Maryum Zaidi3, Stephanie L Shimada1,4
1Center for Health Optimization and Implementation Research, VA Bedford Healthcare System, 200 Springs Road (152), Building 70, Bedford, MA, 01730, United States, 1 6032052878.
JMIR diabetes
|September 26, 2025
概括
安全消息传递提高了2型糖尿病护理效率,用于重新填充和调度等任务. 然而,医生发现非结构化的患者信息具有挑战性,强调需要更好的工作流工具.
科学领域:
- 医疗信息学 医疗信息学
- 糖尿病管理 糖尿病管理
- 卫生沟通健康沟通
背景情况:
- 随着COVID-19大流行,通过安全消息传递增加了对2型糖尿病远程管理的需求.
- 此前的研究探讨了安全消息内容和糖尿病护理的结果.
- 对于特定的临床任务和医生的经验,安全消息传递的有效性存在一个知识差距.
研究的目的:
- 调查医生在2型糖尿病管理任务中使用安全消息的经验.
- 了解安全消息如何促进或阻碍特定临床活动的通信.
主要方法:
- 定性研究涉及10名内科医生和内分泌学家的半结构面试.
- 采访的重点是医生在6个糖尿病管理任务中使用安全消息传递的经验.
- 数据收集于2021-2023年间,并使用主题分析的框架方法进行分析.
主要成果:
- 医生报告说,安全消息增加了沟通频率和及时性,改善了护理协调.
- 需要明确信息的任务 (例如,处方补充,调度) 时间效率更高.
- 医生们对非结构化,往往不足的患者信息感到丧,这使得非紧急问题的答案变得复杂.
结论:
- 安全消息支持纵向糖尿病护理,允许在访问之间代治疗计划.
- 对于具有定义信息边界的任务,人们注意到了效率的提高.
- 确定了对工作流技术的需求,以提高信息清晰度和信息充足度.
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