卫生专业人员在患者门户网站推出前后的体验:一项定性研究

IF 3.4 3区 医学 Q1 HEALTH POLICY & SERVICES
Anna Janssen , Melanie Keep , Hiran Selvadurai , Tim Shaw
{"title":"卫生专业人员在患者门户网站推出前后的体验:一项定性研究","authors":"Anna Janssen ,&nbsp;Melanie Keep ,&nbsp;Hiran Selvadurai ,&nbsp;Tim Shaw","doi":"10.1016/j.hlpt.2023.100761","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><p>Digital technologies are extending existing healthcare models, and increasingly supporting delivery of new care models. One such technology are patient portals, which are digital platforms that are integrated with clinical information systems<span> like Electronic Health Records<span>. They are designed to provide patients/carers access to a range of features including communication with their healthcare team, and access to information in their health record such as test results and prescriptions. The aim of the study described in this manuscript was to compare hospital staff perceptions of a patient portal before and after implementation at a paediatric hospital.</span></span></p></div><div><h3>Method</h3><p>A qualitative methodology using semi-structured interviews was used to understand the perceptions of clinical and administrative hospital staff before and three months after the implementation of the patient portal. Interviews were undertaken with 12 participants pre-launch, and 8 participants’ post-launch.</p></div><div><h3>Results</h3><p>Post-implementation health professionals who felt there was greater uptake of the patient portal by patients/carers tended to be more positive about its benefits than those who reported lower patient/family uptake. Likewise, concerns about integrating the tool into the workflow may be overcome if the patient portal would improve management of care for patient/carers.</p></div><div><h3>Conclusions</h3><p>When health professionals are actively involved in the design and implementation of patient portals, they had more realistic and positive expectations of their benefits to patients/carers. Similarly, if benefits can be conferred to patients/carers, health professionals are less likely to have concerns about barriers to uptake such as perceived increase to workload in relation to the patient portal.</p></div>","PeriodicalId":48672,"journal":{"name":"Health Policy and Technology","volume":null,"pages":null},"PeriodicalIF":3.4000,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"Health professionals’ experiences with a patient portal pre and post launch: A qualitative study\",\"authors\":\"Anna Janssen ,&nbsp;Melanie Keep ,&nbsp;Hiran Selvadurai ,&nbsp;Tim Shaw\",\"doi\":\"10.1016/j.hlpt.2023.100761\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objectives</h3><p>Digital technologies are extending existing healthcare models, and increasingly supporting delivery of new care models. One such technology are patient portals, which are digital platforms that are integrated with clinical information systems<span> like Electronic Health Records<span>. They are designed to provide patients/carers access to a range of features including communication with their healthcare team, and access to information in their health record such as test results and prescriptions. The aim of the study described in this manuscript was to compare hospital staff perceptions of a patient portal before and after implementation at a paediatric hospital.</span></span></p></div><div><h3>Method</h3><p>A qualitative methodology using semi-structured interviews was used to understand the perceptions of clinical and administrative hospital staff before and three months after the implementation of the patient portal. Interviews were undertaken with 12 participants pre-launch, and 8 participants’ post-launch.</p></div><div><h3>Results</h3><p>Post-implementation health professionals who felt there was greater uptake of the patient portal by patients/carers tended to be more positive about its benefits than those who reported lower patient/family uptake. Likewise, concerns about integrating the tool into the workflow may be overcome if the patient portal would improve management of care for patient/carers.</p></div><div><h3>Conclusions</h3><p>When health professionals are actively involved in the design and implementation of patient portals, they had more realistic and positive expectations of their benefits to patients/carers. Similarly, if benefits can be conferred to patients/carers, health professionals are less likely to have concerns about barriers to uptake such as perceived increase to workload in relation to the patient portal.</p></div>\",\"PeriodicalId\":48672,\"journal\":{\"name\":\"Health Policy and Technology\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.4000,\"publicationDate\":\"2023-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Health Policy and Technology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2211883723000370\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"HEALTH POLICY & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Policy and Technology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2211883723000370","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}
引用次数: 1

摘要

目标数字技术正在扩展现有的医疗模式,并越来越多地支持新的医疗模式的提供。其中一项技术是患者门户,这是一种与电子健康记录等临床信息系统集成的数字平台。它们旨在为患者/护理人员提供一系列功能,包括与医疗团队的沟通,以及访问健康记录中的信息,如检测结果和处方。本文中描述的研究目的是比较儿科医院实施前后医院工作人员对患者门户的看法。方法采用半结构化访谈的定性方法,了解患者门户网站实施前和实施后三个月临床和管理医院工作人员的看法。在启动前和启动后分别对12名参与者和8名参与者进行了访谈。结果实施后的卫生专业人员认为患者/护理人员对患者门户网站的接受程度更高,他们往往比那些报告患者/家庭接受程度较低的人更积极地评价其益处。同样,如果患者门户网站能够改善对患者/护理人员的护理管理,那么将该工具集成到工作流程中的担忧可能会得到克服。结论当卫生专业人员积极参与患者门户网站的设计和实施时,他们对其对患者/医护人员的益处有着更现实和积极的期望。同样,如果可以为患者/护理人员提供福利,卫生专业人员就不太可能担心吸收障碍,例如与患者门户相关的工作量增加。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Health professionals’ experiences with a patient portal pre and post launch: A qualitative study

Objectives

Digital technologies are extending existing healthcare models, and increasingly supporting delivery of new care models. One such technology are patient portals, which are digital platforms that are integrated with clinical information systems like Electronic Health Records. They are designed to provide patients/carers access to a range of features including communication with their healthcare team, and access to information in their health record such as test results and prescriptions. The aim of the study described in this manuscript was to compare hospital staff perceptions of a patient portal before and after implementation at a paediatric hospital.

Method

A qualitative methodology using semi-structured interviews was used to understand the perceptions of clinical and administrative hospital staff before and three months after the implementation of the patient portal. Interviews were undertaken with 12 participants pre-launch, and 8 participants’ post-launch.

Results

Post-implementation health professionals who felt there was greater uptake of the patient portal by patients/carers tended to be more positive about its benefits than those who reported lower patient/family uptake. Likewise, concerns about integrating the tool into the workflow may be overcome if the patient portal would improve management of care for patient/carers.

Conclusions

When health professionals are actively involved in the design and implementation of patient portals, they had more realistic and positive expectations of their benefits to patients/carers. Similarly, if benefits can be conferred to patients/carers, health professionals are less likely to have concerns about barriers to uptake such as perceived increase to workload in relation to the patient portal.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Health Policy and Technology
Health Policy and Technology Medicine-Health Policy
CiteScore
9.20
自引率
3.30%
发文量
78
审稿时长
88 days
期刊介绍: Health Policy and Technology (HPT), is the official journal of the Fellowship of Postgraduate Medicine (FPM), a cross-disciplinary journal, which focuses on past, present and future health policy and the role of technology in clinical and non-clinical national and international health environments. HPT provides a further excellent way for the FPM to continue to make important national and international contributions to development of policy and practice within medicine and related disciplines. The aim of HPT is to publish relevant, timely and accessible articles and commentaries to support policy-makers, health professionals, health technology providers, patient groups and academia interested in health policy and technology. Topics covered by HPT will include: - Health technology, including drug discovery, diagnostics, medicines, devices, therapeutic delivery and eHealth systems - Cross-national comparisons on health policy using evidence-based approaches - National studies on health policy to determine the outcomes of technology-driven initiatives - Cross-border eHealth including health tourism - The digital divide in mobility, access and affordability of healthcare - Health technology assessment (HTA) methods and tools for evaluating the effectiveness of clinical and non-clinical health technologies - Health and eHealth indicators and benchmarks (measure/metrics) for understanding the adoption and diffusion of health technologies - Health and eHealth models and frameworks to support policy-makers and other stakeholders in decision-making - Stakeholder engagement with health technologies (clinical and patient/citizen buy-in) - Regulation and health economics
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信