Healthcare provider attitudes towards the problem list in an electronic health record: a mixed-methods qualitative study.
Healthcare provider attitudes towards the problem list in an electronic health record: a mixed-methods qualitative study.
复制标题
DOI：
10.1186/1472-6947-12-127
复制
发表时间：
2012-11-11
影响因子：
3.5
通讯作者：
Wright A
中科院分区：
文献类型：
--
作者：
Holmes C;Brown M;Hilaire DS;Wright A
问题列表是电子健康记录（EHR）的关键部分，它允许医生查看患者的诊断和健康问题。然而，由于问题列表的内容在很大程度上代表了编辑它的人的主观决定，当医生之间共享时，患者的问题列表通常是不可靠的。缺乏关于如何在EHR中编制问题列表的标准限制了其在改善患者护理方面的有效性，特别是作为临床决策支持和人口管理工具的资源。本研究的目的是发现医生的意见，对问题清单和逻辑背后的决定，在临床情况。在波士顿两所主要的教学医院进行了一项观察性横断面研究。从业人员对问题清单的意见是通过面对面访谈和在线问卷收集的。使用临床场景的小插曲来构建问题，询问从业者他们对问题列表的首选行动。这些数据证实了之前的研究，即从业者对管理问题列表的看法不同，但在大多数问卷调查中，相对大多数受访者都有一种共同的方法。此外，提供者的基本人口统计特征（年龄、医疗经验等）似乎并没有强烈影响对问题清单的态度。结果支持的前提下，政策和EHR工具，需要带来一个共同的方法。此外，调查结果有助于确定哪些问题可能从已定义的政策中受益最大，以及问题清单政策对添加不同类型信息的限制程度。
The problem list is a key part of the electronic health record (EHR) that allows practitioners to see a patient’s diagnoses and health issues. Yet, as the content of the problem list largely represents the subjective decisions of those who edit it, patients’ problem lists are often unreliable when shared across practitioners. The lack of standards for how the problem list is compiled in the EHR limits its effectiveness in improving patient care, particularly as a resource for clinical decision support and population management tools. The purpose of this study is to discover practitioner opinions towards the problem list and the logic behind their decisions during clinical situations. An observational cross-sectional study was conducted at two major Boston teaching hospitals. Practitioners’ opinions about the problem list were collected through both in-person interviews and an online questionnaire. Questions were framed using vignettes of clinical scenarios asking practitioners about their preferred actions towards the problem list. These data confirmed prior research that practitioners differ in their opinions over managing the problem list, but in most responses to a questionnaire, there was a common approach among the relative majority of respondents. Further, basic demographic characteristics of providers (age, medical experience, etc.) did not appear to strongly affect attitudes towards the problem list. The results supported the premise that policies and EHR tools are needed to bring about a common approach. Further, the findings helped identify what issues might benefit the most from a defined policy and the level of restriction a problem list policy should place on the addition of different types of information.
登录
查看更多内容
影响因子：
158.5
作者：
WEED, LL
通讯作者：
WEED, LL
影响因子：
5.7
作者：
Hartung, DM;Hunt, J;Touchette, DR
通讯作者：
Touchette, DR
影响因子：
4.5
作者：
Harris PA;Taylor R;Thielke R;Payne J;Gonzalez N;Conde JG
通讯作者：
Conde JG
DOI：
10.1197/jamia.m2364
发表时间：
2007-07-01
影响因子：
6.4
作者：
Wright, Adam;Goldberg, Howard;Middleton, Blackford
通讯作者：
Middleton, Blackford
影响因子：
3.5
作者：
Wright A;Maloney FL;Feblowitz JC
通讯作者：
Feblowitz JC