一个结构化的框架,以提高可用性在EHR实施:一个以用户为中心的案例研究在巴西精神卫生保健
Fernanda Peron Gaspary1, Daniel Baia Amaral2, Cristian Vinicius Fagundes1
1Franciscan University, Santa Maria, Brazil.
Frontiers in digital health
|January 21, 2026
概括
提高电子健康记录 (EHR) 在精神卫生保健中的可用性需要一个以用户为中心的框架. 这项研究开发并测试了这样一个框架,解决了导航,集成和文档障碍,以实现更好的数字健康转型.
科学领域:
- 数字健康数字健康
- 人与计算机的交互
- 医疗保健信息学 医疗保健信息学
背景情况:
- 电子健康记录 (EHR) 系统对于数字健康至关重要.
- 电子健康记录中的可用性挑战阻碍了有效性,特别是在精神卫生保健中.
- 目前的EHR系统对高效的临床工作流程构成重大障碍.
研究的目的:
- 开发和描述一个结构化的,以用户为中心的框架,以提高电子健康记录的可用性.
- 为解决在巴西门诊心理健康环境中发现的特定可用性问题.
- 为以人为中心的EHR创新提供可操作的见解.
主要方法:
- 使用双钻方法的定性设计研究研究.
- 对21名医疗保健专业人员进行了采访.
- 使用确定性,假设和怀疑 (CSD) 矩阵,启发式评估和原型测试.
主要成果:
- 确定了关键障碍:非标准化的导航,有限的系统集成,不灵活的文档.
- 拟议的设计驱动的改进:可定制的模板,实时验证,具体的工作流调整.
- 证明了以用户为中心的框架在解决EHR可用性差距方面的有效性.
结论:
- 将服务设计与可用性原则相结合,为以人为中心的EHR提供了一条道路.
- 解决系统性可用性缺口和上下文需求对于EHR创新至关重要.
- 拟议的框架为改善复杂的精神卫生保健环境中的电子健康记录提供了可操作的见解.
相关概念视频
Healthcare Agencies II
1.0K
There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
1.0K
Secondary Healthcare System
2.0K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
2.0K
Tertiary Healthcare System
2.2K
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
2.2K
Stress and Mental Health
839
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
839
Healthcare Agencies I
1.1K
Healthcare agencies provide healthcare services to people. In the United States, voluntary agencies are often non-profit centers sponsored by donations, grants, or fundraisers. One such organization is Meals on Wheels, which provides meals to the elderly and homebound. The American Heart Association and the American Lung Association are other non-profit community organizations. Doctors and nurses are frequently active members of these organizations, which offer health checks and educational...
1.1K
Integrated Healthcare System
2.3K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
2.3K


