Implementing Health Information Technology in a Patient-Centered Manner: Patient Experiences With an Online Evidence-Based Lifestyle Intervention
Implementing Health Information Technology in a Patient-Centered Manner: Patient Experiences With an Online Evidence-Based Lifestyle Intervention
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DOI：
10.1111/jhq.12026
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发表时间：
2013-09-01
影响因子：
1.3
通讯作者：
McTigue, Kathleen M.
中科院分区：
文献类型：
--
作者：
Lyden, Jennifer R.;Zickmund, Susan L.;McTigue, Kathleen M.
以病人为中心的护理（PCC）模式和健康信息技术（HIT）的使用是改善美国医疗质量和提供的主要举措。由于缺乏关于患者对基于互联网的护理的看法的公开数据，以患者为中心的HIT实施具有挑战性。为了帮助确定患者对在线干预的看法，要求完成1年基于网络的生活方式干预的患者完成半结构化访谈。我们使用定性方法来确定访谈回答的频率和类型。对程序功能的总体满意度采用Likert类型量表进行编码。对在线生活方式辅导（80%），自我监控工具（57%）和结构化课程功能（54%）的满意度很高。很少使用有节制的聊天会话和在线资源。经常发现的有益方面是那些允许定制的护理和共同决策符合PCC的宗旨。报告的无益程序方面较少。研究结果表明，尽管在网上论坛有效沟通的挑战，个性化的支持，高科技的数据管理能力，以及易于遵循的证据为基础的课程提供HIT可能是一种手段，提供PCC和改善医疗服务和质量。
The patient-centered care (PCC) model and the use of health information technology (HIT) are major initiatives for improving U.S. healthcare quality and delivery. A lack of published data on patient perceptions of Internet-based care makes patient-centered implementation of HIT challenging. To help ascertain patients' perceptions of an online intervention, patients completing a 1-year web-based lifestyle intervention were asked to complete a semistructured interview. We used qualitative methodology to determine frequency and types of interview responses. Overall satisfaction with program features was coded on a Likert-type scale. High levels of satisfaction were seen with the online lifestyle coaching (80%), self-monitoring tools (57%), and structured lesson features (54%). Moderated chat sessions and online resources were rarely used. Frequently identified helpful aspects were those that allowed for customized care and shared decision-making consistent with the tenets of PCC. Unhelpful program aspects were reported less often. Findings suggest that despite challenges for communicating effectively in an online forum, the personalized support, high-tech data management capabilities, and easily followed evidence-based curricula afforded by HIT may be a means of providing PCC and improving healthcare delivery and quality.