一个电子患者记录集成COPD自我管理应用程序的共同设计:我的肺健康教练伴侣
Chandra Farrer1, Daryl Manankil2, Kristen Thuringer3
1Department of Quality, Safety Risk & Patient Experience, Women's College Hospital, Toronto, ON, Canada.
概括
这项研究为COPD患者开发了一个集成的数字自我管理应用程序,通过将其嵌入到电子患者记录中来提高可用性和可持续性. 共同设计的工具增强了慢性疾病的护理.
科学领域:
- 数字健康数字健康
- 慢性疾病管理 慢性疾病管理
- 呼吸系统医学 呼吸系统医学
背景情况:
- 数字自我管理干预措施对COPD有希望,但往往缺乏整合到护理途径中.
- 独立的数字工具面临着可用性,采用性和长期可持续性的挑战.
- 将数字健康工具集成到电子病历 (EPR) 中,为这些局限性提供了潜在的解决方案.
研究的目的:
- 开发和完善一个COPD自我管理应用程序,集成到EPR平台中.
- 为了提高COPD管理的数字健康工具的可用性和临床一致性.
- 创建一个可扩展的模型,将数字干预整合到常规慢性疾病护理中.
主要方法:
- 以用户为中心的设计过程和使用计划-做-研究-行动 (PDSA) 循环的代改进.
- 与临床医生和项目经理进行面部验证,随后进行焦点小组和利益相关者评估.
- 通过系统可用性量表 (SUS) 和利克特等级进行可用性评估,并对反进行定性主题分析.
主要成果:
- 代修改显著提高了应用程序的可用性,达到"优秀"的水平.
- 在功能和内容方面报告了高满意度;确定了关键的采用推动因素 (可读性,简单性,语气,认可,培训).
- 集成EPR确保了数据安全性,工作流的调整和可扩展性;为临床试验开发了一个培训模块.
结论:
- 代的共同设计成功地产生了一个EPR集成的COPD应用程序,具有持续的可用性.
- 嵌入患者和利益相关者的反导致了临床一致,高度可用的工具.
- 这种方法克服了独立数字工具的局限性,并提供了一个可扩展的模型,用于在慢性疾病管理中整合数字健康.
相关概念视频
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