荷兰医院和私人医疗诊所采用个人健康记录:长度研究
Doris van der Smissen1, Christine Leenen-Brinkhuis2,3, Kim M E Janssens1
1Tranzo, Scientific Center for Care and Wellbeing, Tilburg School of Social and Behavioral Sciences, Tilburg University, Postbus 90153, Tilburg, 5000 LE, The Netherlands, 31 31134662969.
Journal of medical Internet research
|October 7, 2025
概括
个人健康记录 (PHR) 在荷兰医疗保健机构的采用情况有所改善,观察到更好的理解和参与. 然而,技术问题和隐私问题等挑战仍然存在,需要进一步的整合和沟通努力,以实现更广泛的患者和专业使用.
科学领域:
- 医疗信息学 医疗信息学
- 数字健康采用数字健康采用
- 患者赋权是患者赋权的一种方式.
背景情况:
- 个人健康记录 (PHR) 为患者自我管理,增强患者提供者沟通和集中管理健康数据提供了重大潜力.
- 尽管有好处,但PHR在医疗保健系统中的广泛采用仍然是一个持续的挑战.
研究的目的:
- 纵向研究荷兰不同医疗保健机构 (包括普通医院,学术医院和私人诊所) 的个人健康记录 (PHR) 的采用趋势.
- 在三年时间内,确定PHR采用的变化和持续障碍.
主要方法:
- 技术采用和准备度量表 (TARS),评估电子健康采用七个子度量表,在2021年,2022年和2023年对医疗保健专业人员进行管理.
- 用量化混合模型分析和开放式响应的定性内容分析来评估采用趋势和识别障碍.
主要成果:
- 随着时间的推移,PHR的连贯性,认知参与和技能集可行性得到了显著改善.
- 互动可行性显著下降,背景整合因组织类型而异,在私人诊所下降,但在医院增加.
- 定性见解显示,改进的沟通增强了创造意义和参与,但技术,财务和隐私问题仍然是关键障碍.
结论:
- 荷兰医疗保健机构的PHR采用已取得进展,但持续存在的技术,财务和隐私障碍阻碍了其充分的潜力.
- 加强与电子健康记录的技术整合和强大的隐私解决方案对于克服采用挑战至关重要.
- 持续的沟通强调PHR的好处是必要的,以提高患者和医疗保健专业人员的认识,参与和采用.
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