针对弱势群体的首个离线电子健康记录:混合方法可行性研究
Henry Ashista1,2, Alanis Santiago Comas1, Taylor Selby3
1Hikma Health, San Jose, California, United States of America.
PLOS digital health
|February 13, 2026
概括
希克马健康 (HH) 电子健康记录 (EHR) 是一个可行的,离线的解决方案,用于低资源的设置,改进文档和患者的结果. 尽管存在一些同步挑战,但它提高了对流离失所者和农村人口的照顾.
科学领域:
- 医疗信息学 医疗信息学
- 全球卫生技术 全球卫生技术
- 医疗保健中的开源软件
背景情况:
- 电子健康记录 (EHR) 在资源有限的环境中提供了好处,但通常需要互联网接入,并且很难部署.
- 现有的EHR系统在定制和持续连接方面面临着挑战,对于资源较少的环境中的医生来说.
研究的目的:
- 评估Hikma健康 (HH) 线下第一电子健康记录 (EHR) 系统的可行性.
- 评估HH EHR对黎巴嫩和尼加拉瓜的两家服务于流离失所者和农村人口的低资源诊所的临床工作流程和患者护理的影响.
主要方法:
- 这是一项混合方法研究,结合了定量数据收集 (REDCap,描述性统计) 和定性深度访谈.
- 采访编码使用了框架分析,实现了7.6.6.的评审者间可靠性卡帕得分.
- 通过用户培训,系统使用时间和患者采访时间指标来评估可行性.
主要成果:
- 参与者在经过大约三小时的培训和三周的使用后,表现出对HH EHR的舒适感.
- 皇家医院电子健康系统将患者访谈时间平均减少了三分钟,这是由于其简单的模块化工作流程.
- 当需要频繁的网络连接时,在同步功能方面发现了挑战,影响了多临床医生的工作流程.
结论:
- 高等级电子健康记录是离线第一医疗保健环境的可行和有效解决方案.
- 通过促进药物和疾病跟踪,HH EHR的实施增强了医疗文档,减少了错误,并改善了患者的治疗结果.
- 该系统的易用性和离线功能解决了资源有限的临床环境中的关键需求.
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