自闭症患者个人健康档案的概念模型

F. Moghbeli, Tina Adel, M. Langarizadeh, Mitra Hakim Shoushtari
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引用次数: 1

摘要

简介:自闭症患者的个人健康记录还没有得到充分的解决。同时,这些记录在如何诊断自闭症、协商、协调和设计服务以及家庭和医生在提供多种服务期间的干预措施方面发挥着重要作用。本研究旨在提出自闭症患者电子个人健康档案的概念模型。材料和方法:本研究对来自Raoul-e-Akram医院和Ali Asghar医院的6名精神病医生和6名儿科医生进行了有目的的抽样研究。已使用调查表收集数据和确定信息需要。内容效度采用专家小组法,信度检验采用重测法(r=0.79)。结果:结果表明,从医生角度出发,自闭症患者个人健康档案概念模型最重要的数据要素分为两个人口统计数据段,包括姓名、父亲姓名、国家代码、年龄、性别、婚姻状况、地址和电话,以及临床数据段,包括母亲胎龄、家族史、父母关系、发育迟滞史、患者姓名、药物使用情况、检查结果、医疗服务和医疗服务。首次诊断自闭症的年龄、癫痫发作、智力低下、早期诊断、治疗史及个体功能水平(依据有效临床量表)等一般临床指标。由于电子病历系统中记录的自闭症患者长期临床信息对患者临床问题的诊断和管理具有重要作用,因此自闭症患者个人健康档案概念模型在管理和整合患者临床信息、提高护理质量、降低治疗和诊断成本方面具有重要作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Conceptual Model of Personal Health Record for Autistic Patients
Introduction: The personal health record of patient with autism has not been adequately addressed. While, these records play an important role to provide a good perspective on how to diagnose autism, negotiating, coordinating and designing services and interventions by families and physicians during delivery of multiple services. The present study is aimed to present a conceptual model of electronic personal health record for patients with autism.Material and Methods: This study was conducted on six psychiatric practitioners and six pediatricians from Raoul-e-Akram Hospital and Ali Asghar Hospital with purposeful sampling. A questionnaire has been used for data gathering and identifying information needs. The content validity was measured using expert panel method and test-retest method (r=0.79) was used to perform the reliability test.Results: According to the findings, the most important data elements of the conceptual model of the personal health record for patients with autism from the viewpoint of physicians are divided into two demographic data segments including first name, father's name, national code, Age, gender, marital status, address and telephone, and clinical data including maternal gestational age, family history, parental relationship, history of developmental delay, name of patient's drug use, test results, age of the first diagnosis of autism , seizure, mental retardation, early diagnosis, treatment history and individual function level (based on valid clinical scales) such as a general clinical measure .Conclusion: Since autism patients’ long life clinical information that recorded in their electronic health records system plays an important role in diagnosis and management of patients' clinical problems, the conceptual model of personal health record for patients with autism could have a significant effect in managing and integrating patient clinical information, increasing the quality of care, and reducing the cost of treatment and diagnosis.
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