Improving maternity care using a personal health record: study protocol for a stepped-wedge, randomised, controlled trial
Improving maternity care using a personal health record: study protocol for a stepped-wedge, randomised, controlled trial
复制标题
DOI：
10.1186/s13063-016-1326-0
复制
发表时间：
2016-04-16
期刊：
影响因子：
2.5
通讯作者：
van Duijnhoven, Noortje T. L.
中科院分区：
文献类型：
--
作者：
Groenen, Carola J. M.;Faber, Marjan J.;van Duijnhoven, Noortje T. L.
背景：个人健康记录(Personal Health Record，PHR)是一种在线应用，通过它，个人可以在私人、安全和保密的环境中访问、管理和共享他们的健康信息。个人健康记录增强了患者的能力，促进了医疗专业人员之间的合作，并改善了健康结果。鉴于这些预期的积极影响，我们希望在荷兰的产妇护理环境中实施名为MyPregn@ncy的PHR，并评估其在常规护理中的效果。本文介绍了研究方案。方法/设计：在产科护理中实施PHR对患者和专业人员的影响将通过阶梯楔形、整群随机、对照试验来确定。这项研究将在奈梅亨地区进行，奈梅亨是荷兰的一个地区，平均每年有4500名新生儿出生，230多名医疗保健专业人员参与了产妇护理。数据分析将描述MyPregn@Ncy对产妇护理中的健康结果、从患者角度的护理质量以及保健专业人员之间的合作的影响。此外，还将对MyPregn@ncy的执行情况进行程序评价。数据将使用荷兰围产期登记处的数据、问卷调查、访谈和日志数据来收集。讨论：这项研究有望获得关于在常规产妇护理环境中实施和使用PHR的影响、优势、可能性和挑战的新信息。结果可能导致对孕产妇和围产期护理质量的新见解和改进。
Background: A personal health record (PHR) is an online application through which individuals can access, manage, and share their health information in a private, secure, and confidential environment. Personal health records empower patients, facilitate collaboration among healthcare professionals, and improve health outcomes. Given these anticipated positive effects, we want to implement a PHR, named MyPregn@ncy, in a Dutch maternity care setting and to evaluate its effects in routine care. This paper presents the study protocol.Methods/design: The effects of implementing a PHR in maternity care on patients and professionals will be identified in a stepped-wedge, cluster-randomised, controlled trial. The study will be performed in the region of Nijmegen, a Dutch area with an average of 4,500 births a year and more than 230 healthcare professionals involved in maternity care. Data analyses will describe the effects of MyPregn@ncy on health outcomes in maternity care, quality of care from the patients' perspectives, and collaboration among healthcare professionals. Additionally, a process evaluation of the implementation of MyPregn@ncy will be performed. Data will be collected using data from the Dutch perinatal registry, questionnaires, interviews, and log data.Discussion: The study is expected to yield new information about the effects, strengths, possibilities, and challenges to the implementation and usage of a PHR in routine maternal care settings. Results may lead to new insights and improvements in the quality of maternal and perinatal care.