一个新的初级保健规划信息学工具,由数据驱动的多病症分组提供信息:以用户为中心的设计和可行性测试
Linnaea Schuttner1,2, Karin Daniels3, Srinidhi Venkatesh4
1Health Services Research & Development, VA Puget Sound Health Care System, 1660 S Columbian Way, Seattle, WA, 98108, United States, 1 2062776126.
JMIR formative research
|December 4, 2025
概括
一个新的信息化工具VET-PATHS帮助初级保健团队管理多种慢性疾病患者. 它提高了护理规划的效率,并导致了具体的临床行动,显示了可行性和可接受性.
科学领域:
- 医疗信息学 医疗信息学
- 初级保健管理管理初级保健管理
- 慢性疾病管理 慢性疾病管理
背景情况:
- 患有多病症的患者具有复杂的医疗保健需求,并且面临不良结果的高风险.
- 初级保健团队需要有效的工具来积极规划这些高风险患者的护理.
- VET-PATHS (为高风险子组的退伍军人小组管理工具) 是作为一种用于复杂的初级保健患者管理的新型信息学工具而开发的.
研究的目的:
- 根据用户输入,代地调整 VET-PATHS 工具.
- 测试VET-PATHS在一线初级保健团队中可行性和可接受性,用于管理被包装的高风险患者.
主要方法:
- 以用户为中心的设计会议与多个站点的初级保健提供者和护士进行,以改进该工具的布局,内容和界面.
- 一项试点干预研究通过观察,图表审查和定性访谈评估了工具使用和护理计划的生成.
- 电子健康记录数据的潜在类别分析被用于根据慢性疾病对患者进行分组.
主要成果:
- 用户反导致了VET-PATHS内容,上下文,目标用户和显示的改进.
- 试点团队积极审查高风险患者的高比例,促使新的临床行动和护理计划文件.
- 该工具促进了诸如诊所返回请求,转诊和疫苗接种等行动,并完成了显著比例的计划行动.
- 差异分析表明,试点后急性住院患者数量有所下降,而门诊利用率保持稳定或增加.
- 一般主义团队报告了更高的接受度,而具有同质面板的专注团队发现护理步骤不那么有用.
结论:
- 以用户为中心的改进增强了VET-PATHS帮助临床医生高效管理复杂的患者信息和创建护理计划的能力.
- 对于前线初级保健团队来说,VET-PATHS证明了可接受性和可行性,特别是那些管理一般患者小组的人.
- 该工具导致了对多病症患者的临床护理提供有形改善.
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