Personal health records in the preclinical medical curriculum: modeling student responses in a simple educational environment utilizing Google Health.
Personal health records in the preclinical medical curriculum: modeling student responses in a simple educational environment utilizing Google Health.
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DOI：
10.1186/1472-6920-12-88
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发表时间：
2012-09-25
影响因子：
3.6
通讯作者：
Bamidis PD
中科院分区：
文献类型：
--
作者：
Karamanlis DA;Tzitzis PM;Bratsas CA;Bamidis PD
据报道，在日常保健实践中引入个人健康记录的各种问题与医生不熟悉以电子方式收集患者健康信息的系统手段（例如电子健康记录- EHRs）有关。这些障碍可能会进一步阻碍医生在与患者接触时所发挥的作用，以及他们在加速个人健康记录向患者社区传播和传播方面可能产生的影响。解决这些问题的一种方法是通过在本科医学课程和具体的医学信息学课程中开展电子病历活动的背景下对PHRs进行医学教育。本文报道了基于谷歌Health的教育PHR活动的开发。此外，收集并展示了学生对PHR使用和效用的反馈。然后对收集到的回答进行建模，将学生在这种情况下的满意度与他们对未来PHRs的态度的估计联系起来。本研究是通过设计一个关于PHR的教育场景来进行的，该场景包括将谷歌Health作为模范PHR的学生指导，并遵循为此目的构建的协议的指导方针。本情景应用于338名医科本科一年级学生的样本。向每个人分发了一份问卷，以获得样本对所使用的PHR的反应的Likert-like量表数据；然后对数据进行进一步的描述性分析，并根据回归分析来模拟假设的相关性。总的来说，学生们对他们使用的核心PHR功能表现出满意，他们对未来使用这些功能持乐观态度，因为他们对这些功能的实用性评价很高。他们最看重PHR作为记录保存工具的主要作用，而他们主要关注的是他们自己的意见可能对患者使用PHR产生的负面影响。最后，他们对PHR整合的未来态度的估计与他们通过经验获得的PHR满意度水平呈正相关（rho = 0.524, p <0.001）。结果表明，学生支持注册会计师作为医疗记录的帮手，并认为他们对医疗保健有益。他们还强调了在这种教育活动中取得良好教育经验以改善PHR观点的重要性。显然，需要进一步的研究来确定教育对其他方法的相对长期影响，以使未来的医生接触到phrr。
Various problems concerning the introduction of personal health records in everyday healthcare practice are reported to be associated with physicians’ unfamiliarity with systematic means of electronically collecting health information about their patients (e.g. electronic health records - EHRs). Such barriers may further prevent the role physicians have in their patient encounters and the influence they can have in accelerating and diffusing personal health records (PHRs) to the patient community. One way to address these problems is through medical education on PHRs in the context of EHR activities within the undergraduate medical curriculum and the medical informatics courses in specific. In this paper, the development of an educational PHR activity based on Google Health is reported. Moreover, student responses on PHR’s use and utility are collected and presented. The collected responses are then modelled to relate the satisfaction level of students in such a setting to the estimation about their attitude towards PHRs in the future. The study was conducted by designing an educational scenario about PHRs, which consisted of student instruction on Google Health as a model PHR and followed the guidelines of a protocol that was constructed for this purpose. This scenario was applied to a sample of 338 first-year undergraduate medical students. A questionnaire was distributed to each one of them in order to obtain Likert-like scale data on the sample’s response with respect to the PHR that was used; the data were then further analysed descriptively and in terms of a regression analysis to model hypothesised correlations. Students displayed, in general, satisfaction about the core PHR functions they used and they were optimistic about using them in the future, as they evaluated quite high up the level of their utility. The aspect they valued most in the PHR was its main role as a record-keeping tool, while their main concern was related to the negative effect their own opinion might have on the use of PHRs by patients. Finally, the estimate of their future attitudes towards PHR integration was found positively dependent of the level of PHR satisfaction that they gained through their experience (rho = 0.524, p <0.001). The results indicate that students support PHRs as medical record keeping helpers and perceive them as beneficial to healthcare. They also underline the importance of achieving good educational experiences in improving PHR perspectives inside such educational activities. Further research is obviously needed to establish the relative long-term effect of education to other methods of exposing future physicians to PHRs.
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影响因子：
7.4
作者：
Bonander J;Gates S
通讯作者：
Gates S
影响因子：
7.4
作者：
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作者：
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影响因子：
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作者：
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通讯作者：
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3.5
作者：
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通讯作者：
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