为增加患者门户共享访问的采用增加的解决方案:以人为本的设计方法使用双钻模型
Danny L Scerpella1, Liz Salmi2, Isabel Hurwitz2
1Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States.
Applied clinical informatics
|December 3, 2025
概括
以人为中心的设计改善了患者门户,为老年人和护理人员提供共享访问. 这种方法确定了障碍,并创造了诸如视频教程等资源,以促进数字健康公平.
科学领域:
- 数字健康数字健康
- 健康 公平 卫生 公平
- 以人为中心的设计
背景情况:
- 越来越多的人对数字健康的依赖,需要公平的访问和正确使用身份证.
- 共享访问 (以前的代理访问) 使护理合作伙伴能够帮助有复杂需求的患者浏览电子健康记录.
- 采用障碍包括复杂的接口和对共享访问功能的低认识.
研究的目的:
- 评估一项质量改进研究,旨在提高老年人和他们的护理伙伴的患者门户网站共享访问的认识和采用.
- 通过以人为中心的设计原则,识别共享访问采用的障碍,并综合实施策略.
主要方法:
- 利用以人为中心的设计 (HCD) 的双钻模型.
- 通过聚焦小组和采访,吸引各种社区合作伙伴 (老年人,护理合作伙伴,卫生系统领导人,通信专业人员).
- 在共享访问注册中确定了疼痛点,并通过归纳编码和亲和映射合成了解决方案.
主要成果:
- 确定了关键主题:需要简化注册,标准化术语,并为共享访问提供明确信息.
- 根据社区反开发了一种逐步视频教程原型.
- 该原型在合作伙伴卫生系统实施后获得了积极的反.
结论:
- 强调最终用户参与数字健康工具开发和实施的关键作用.
- 以人为中心的设计方法有效地识别了障碍,并导致了改善共享访问的实用资源 (视频教程).
- 该项目展示了HCD在为所有患者门户用户增强数字健康公平方面的潜力.
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