Time to Push: Use of Gestational Age in the Electronic Health Record to Support Delivery of Relevant Prenatal Education Content.
Time to Push: Use of Gestational Age in the Electronic Health Record to Support Delivery of Relevant Prenatal Education Content.
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DOI：
10.13063/2327-9214.1281
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发表时间：
2017-04-20
期刊：
影响因子：
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通讯作者：
Arcia, Adriana
中科院分区：
文献类型：
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作者：
Arcia, Adriana
简介：临床医生必须提供预期的指导怀孕客户会发现有用的，但可能不寻求独立。面向客户的健康信息资源应a)满足客户的健康自我管理查询，b)在发展适当的时间提供预期指导。Care Guide（由我们的技术合作伙伴Maternity Neighborhood提供）是一个在线产科教育平台，旨在通过高质量、精心策划的内容与安全的提供者/客户消息传递相结合，满足孕妇客户的信息需求。《护理指南》的研究版本被称为产妇信息接入点（MIAP）。对于客户如何看待或参与通过患者门户网站或个人健康记录提供的产妇教育知之甚少。方法：本定性研究采用焦点小组和为期四周的实地测试期，包括参加医疗补助计划的英语和西班牙语孕妇。通过自我报告工具评估用户满意度和系统可用性。结果：16名参与者中有12名记录了MIAP的使用情况，其使用量差异很大。满意度（4.3/5）和可用性（4.7/5）评分很高。每周内容推送邮件是一个很受欢迎的功能；与会者一致认为，会议内容相关、及时、有用。忘记密码和缺乏技术经验是使用的障碍。讨论与结论：电子健康记录中捕获的胎龄可以支持包含高度相关预期指导的内容的自动推送。可以利用引导用户浏览内容的平台功能来促进持续的用户粘性。用户希望轻松访问内容的愿望必须与保护受保护的健康信息的需要相平衡。数字新来者可能需要面对面的技术支持。
INTRODUCTION: Clinicians must provide anticipatory guidance pregnant clients would find useful but might not seek out independently. Client-facing health information resources should a) satisfy clients' health self-management queries, and b) provide anticipatory guidance at developmentaly appropriate times. Care Guide (by our technology partner, Maternity Neighborhood) is an online maternity education platform positioned to meet pregnant clients' information needs through high-quality, curated content paired with secure provider/client messaging. The research version of Care Guide is called Maternity Information Access Point (MIAP). Little is known about how clients perceive or engage with maternity education delivered via patient portal or personal health record.METHODS: This qualitative study employed focus groups and four week field-testing periods with English- and Spanish-speaking pregnant women enrolled in Medicaid. User satisfaction and system usability were evaluated through self-report instruments.RESULTS: Twelve of the 16 participants logged usage of MIAP, with amount of usage varying widely. Satisfaction (4.3/5) and usability (4.7/5) were rated highly. Weekly content push emails were a popular feature; participants agreed the content was relevant, timely, and useful. Forgetting passwords and lack of experience with technology were barriers to use.DISCUSSION AND CONCLUSION: Gestational age captured in the electronic health record can support automated pushing of content containing highly relevant anticipatory guidance. Platform features that guide the user through content can be leveraged to promote continued user engagement. Users' desire for easy access to content must be balanced against the need to safeguard protected health information. Digital newcomers may require in-person technical support.