The Impact of an eHealth Portal on Health Care Professionals' Interaction with Patients: Qualitative Study.
The Impact of an eHealth Portal on Health Care Professionals' Interaction with Patients: Qualitative Study.
复制标题
DOI：
10.2196/jmir.4950
复制
发表时间：
2015-11-24
影响因子：
7.4
通讯作者：
Svanæs D
中科院分区：
文献类型：
--
作者：
Das A;Faxvaag A;Svanæs D
接受减肥手术的人需要一个综合治疗方案以取得成功的治疗效果。电子健康解决方案，比如安全的在线门户，为改善医疗服务和护理创造了新的机遇，但这取决于组织交付系统以及提供服务的医疗专业人员。到目前为止，这些方面受到的关注有限，电子健康解决方案的总体采用率仍然较低。在这项研究中，一个安全的电子健康门户在一家减肥手术诊所得到应用，并提供给患者使用。在6个月的研究期间，60名患者和5名医疗专业人员可以使用该门户。该门户包含患者信息、自我管理工具以及用于与减肥手术诊所的同行和医疗服务提供者进行在线对话的通讯功能。
这项研究的目的是描述和评估电子健康门户对减肥手术中医疗专业人员与患者互动的影响。
这个定性案例研究包括一项实地研究，即在诊所进行情境访谈，包括在实际工作环境中观察人员并与他们交谈。对通过门户与患者互动的医疗专业人员进行了半结构化的深度访谈。对收集到的材料采用主题分析方法进行归纳分析。
分析揭示了在减肥手术中使用电子健康门户的两个主要方面：它所体现的透明度以及提供它所带来的责任。专业人员认为电子健康门户（1）是一个信息来源，（2）是接触和帮助患者的途径，（3）是不可撤销发布的媒介，（4）是暴露责任和能力的渠道，（5）是诊所的一种工具。
通过在减肥手术项目中为患者提供电子健康门户，医疗专业人员可以观察患者的文字表述和透露的信息，从而了解患者面临的挑战，并采取行动和实施措施。通过门户与患者互动可以防止患者中途退出和健康状况恶化。然而，专业人员报告了在组织方面面临的挑战以及与在线书面与患者沟通相关的个人限制。除了更加关注组织基础设施以及在医疗保健中启用此类解决方案的激励措施外，还需要进一步制定指南，并对医疗专业人员进行关于如何在线处理、确定优先次序、沟通和帮助患者的教育。
People who undergo weight loss surgery require a comprehensive treatment program to achieve successful outcomes. eHealth solutions, such as secure online portals, create new opportunities for improved health care delivery and care, but depend on the organizational delivery systems and on the health care professionals providing it. So far, these have received limited attention and the overall adoption of eHealth solutions remains low. In this study, a secure eHealth portal was implemented in a bariatric surgery clinic and offered to their patients. During the study period of 6 months, 60 patients and 5 health care professionals had access. The portal included patient information, self-management tools, and communication features for online dialog with peers and health care providers at the bariatric surgery clinic. The aim of this study was to characterize and assess the impact of an eHealth portal on health care professionals’ interaction with patients in bariatric surgery. This qualitative case study involved a field study consisting of contextual interviews at the clinic involving observing and speaking with personnel in their actual work environment. Semi-structured in-depth interviews were conducted with health care professionals who interacted with patients through the portal. Analysis of the collected material was done inductively using thematic analysis. The analysis revealed two main dimensions of using an eHealth portal in bariatric surgery: the transparency it represents and the responsibility that follows by providing it. The professionals reported the eHealth portal as (1) a source of information, (2) a gateway to approach and facilitate the patients, (3) a medium for irrevocable postings, (4) a channel that exposes responsibility and competence, and (5) a tool in the clinic. By providing an eHealth portal to patients in a bariatric surgery program, health care professionals can observe patients’ writings and revelations thereby capturing patient challenges and acting and implementing measures. Interacting with patients through the portal can prevent dropouts and deterioration of patients’ health. However, professionals report on organizational challenges and personal constraints related to communicating with patients in writing online. Further development of guidelines and education of health care professionals about how to handle, prioritize, communicate, and facilitate patients online is required in addition to increased attention to the organizational infrastructures and incentives for enabling such solutions in health care.