Evaluating barriers and facilitators to healthcare providers' use of an emergency department electronic referral portal for high-risk children with asthma using the Theoretical Domains Framework.
Evaluating barriers and facilitators to healthcare providers' use of an emergency department electronic referral portal for high-risk children with asthma using the Theoretical Domains Framework.
复制标题
使用理论领域框架评估医疗保健提供者使用急诊科电子转诊门户来治疗高危哮喘儿童的障碍和促进因素。
DOI：
10.1080/02770903.2023.2257318
复制
发表时间：
2024
期刊：
影响因子：
--
通讯作者：
Ellis,DeborahA
中科院分区：
文献类型：
--
作者：
Shukla,Meghna;Carcone,April;Mooney,Michael;Kannikeswaran,Nirupama;Ellis,DeborahA
城市哮喘儿童面临频繁急诊（艾德）就诊和哮喘管理不佳的风险。艾德访视提供了转介到社区哮喘管理服务的机会。基于电子病历的转诊门户网站已被证明可以提高护理质量，但医疗保健提供者（HCP）对这些门户网站的使用是可变的。本研究的目的是调查促进者，障碍，并建议，以提高使用电子转诊门户网站，以连接儿童哮喘急性发作在城市儿科艾德社区为基础的教育和个案管理service.MethodsThe研究是接地的理论领域框架，实施提供了理论基础的研究。邀请所有艾德HCP完成定性访谈; 23名HCP参与。使用定向内容analysis.ResultsFacilitators门户网站的使用，包括其相对易用性和HCP的信念，这种转介预防性哮喘护理的重要性进行了编码。障碍包括没有足够的时间进行转介，缺乏有关社区机构的信息，以及向患者和/或其照顾者传达转介价值的挑战。ConclusionsSuccessfully engaged HCP working in艾德setting to use electronic portals to refer children with asthma to community agencies for health services may involve helping providers increase their comfort and knowledge of the external provider agency，确保组织领导人支持预防哮喘护理的需求，并向HCP提供关于此类转诊成功满足所服务家庭需求的反馈。
ObjectiveUrban children with asthma are at risk for frequent emergency department (ED) visits and suboptimal asthma management. ED visits provide an opportunity for referrals to community-based asthma management services. Electronic medical record-based referral portals have been shown to improve quality of care but use of these portals by healthcare providers (HCPs) is variable. The purpose of the study was to investigate facilitators, barriers, and recommendations to improve the use of an electronic referral portal to connect children presenting with asthma exacerbations in an urban pediatric ED to community-based education and case management services.MethodsThe study was grounded in the Theoretical Domains Framework, an implementation provided the theoretical basis of the study. All ED HCPs were invited to complete qualitative interviews; twenty-three HCPs participated. Interviews were coded using directed content analysis.ResultsFacilitators to portal use included its relative ease of use and HCP beliefs regarding the importance of such referrals for preventive asthma care. Barriers included insufficient time to make referrals, lack of information regarding the community agency and challenges communicating the value of the referral to patients and/or their caregivers.ConclusionsSuccessfully engaging HCPs working in ED settings to use electronic portals to refer children with asthma to community agencies for health services may involve helping providers increase their comfort and knowledge of the external provider agency, ensuring organizational leaders support the need for preventive asthma care and provision of feedback to HCPs on the success of such referrals in meeting the needs of those families served.