The impact of data entry structures on perceptions of individuals with chronic mental disorders and physical diseases towards health information sharing
The impact of data entry structures on perceptions of individuals with chronic mental disorders and physical diseases towards health information sharing
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DOI：
10.1016/j.ijmedinf.2020.104157
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发表时间：
2020-09-01
影响因子：
4.9
通讯作者：
Dharanikota, Spurthy
中科院分区：
文献类型：
--
作者：
Esmaeilzadeh, Pouyan;Mirzaei, Tala;Dharanikota, Spurthy
背景和目的：收集、整合和共享精神和身体健康信息可以增强患者的护理过程，并提高健康信息交换（HIE）网络中患者数据库的完整性。有必要鼓励身心障碍患者与医疗服务提供者分享他们的健康信息。数据输入接口被认为是影响信息质量的一个重要因素。然而，对于患有不同疾病的个体是否（精神和身体）护理的数据输入结构共享个人健康信息（PHI）。材料和方法：我们进行了四个实验来研究不同健康问题的影响（心理与物理）和数据输入界面的类型（结构化与非结构化）对个人对信息质量的看法以及他们分享健康信息的意愿的影响。研究结果表明，疾病的类型和数据输入结构的程度显着影响个人的看法有用性，可访问性，简洁的介绍，可理解性，心理风险，隐私问题，耻辱，并愿意分享健康信息。精神障碍患者更喜欢结构化数据接口，因为他们认为高度的数据输入结构可以保护他们的隐私，并比非结构化接口更能减轻耻辱和心理风险。患有身体疾病的人喜欢结构化界面的格式，这种格式简短、全面、易于访问、有用且易于理解。当使用高度结构化的数据输入界面时，患有身体疾病的人更有可能分享他们的信息。此外，精神障碍的个人不太可能透露他们的信息时，供应商收集的健康记录使用非结构化的数据输入interfaces.Conclusions：这项研究表明，最好的数据输入接口的结构水平可以设计在护理点与患者的健康状况和他们的疾病类型相一致，以提高HIE网络的成功。
Background and objective: Collecting, integrating, and sharing mental and physical health information can enhance the care process of patients and improve the completeness of patient databases in the health information exchange (HIE) networks. There is a need to encourage patients with physical and mental disorders to share their health information with providers. Data entry interfaces are suggested as an important factor affecting the quality of information. However, little is known about whether individuals with different diseases (mental and physical) care for the data entry structure in sharing personal health information (PHI).Materials and methods: We conduct four experiments to examine the impact of different health problems (mental vs. physical) and types of data entry interfaces (structured vs. unstructured) on individuals' perceptions of information quality and their willingness to share their health information.Results: Findings demonstrate that the type of disease and degree of data entry structure significantly influence individuals' perceptions of usefulness, accessibility, concise presentation, understandability, psychological risk, privacy concern, stigma, and willingness to share health information.Discussion: People with mental disorders prefer structured data interfaces as they perceive that a high degree of data entry structure can protect their privacy and mitigate stigma and psychological risk more than unstructured interfaces. Individuals with physical illnesses favor structured interfaces for their format, which is brief, comprehensive, accessible, useful, and understandable. People suffering from physical diseases are more likely to share their information when a highly-structured data entry interface is used. Moreover, individuals with mental disorders are less likely to disclose their information when providers collect health records using an unstructured data entry interface.Conclusions: This study suggests that the best level of structure for data entry interfaces could be designed at the point of care consistent with patients' health status and their type of diseases to improve the success of HIE networks.