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首页> 外文期刊>BMC Medical Informatics and Decision Making >Integrating data from an online diabetes prevention program into an electronic health record and clinical workflow, a design phase usability study
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Integrating data from an online diabetes prevention program into an electronic health record and clinical workflow, a design phase usability study

机译：将在线糖尿病预防计划中的数据集成到电子健康记录和临床工作流程中，进行设计阶段的可用性研究

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Background Health information is increasingly being digitally stored and exchanged. The public is regularly collecting and storing health-related data on their own electronic devices and in the cloud. Diabetes prevention is an increasingly important preventive health measure, and diet and exercise are key components of this. Patients are turning to online programs to help them lose weight. Despite primary care physicians being important in patients’ weight loss success, there is no exchange of information between the primary care provider (PCP) and these online weight loss programs. There is an emerging opportunity to integrate this data directly into the electronic health record (EHR), but little is known about what information to share or how to share it most effectively. This study aims to characterize the preferences of providers concerning the integration of externally generated lifestyle modification data into a primary care EHR workflow. Methods We performed a qualitative study using two rounds of semi-structured interviews with primary care providers. We used an iterative design process involving primary care providers, health information technology software developers and health services researchers to develop the interface. Results Using grounded-theory thematic analysis 4 themes emerged from the interviews: 1) barriers to establishing healthy lifestyles, 2) features of a lifestyle modification program, 3) reporting of outcomes to the primary care provider, and 4) integration with primary care. These themes guided the rapid-cycle agile design process of an interface of data from an online diabetes prevention program into the primary care EHR workflow. Conclusions The integration of external health-related data into the EHR must be embedded into the provider workflow in order to be useful to the provider and beneficial for the patient. Accomplishing this requires evaluation of that clinical workflow during software design. The development of this novel interface used rapid cycle iterative design, early involvement by providers, and usability testing methodology. This provides a framework for how to integrate external data into provider workflow in efficient and effective ways. There is now the potential to realize the importance of having this data available in the clinical setting for patient engagement and health outcomes.
机译：背景技术健康信息越来越以数字方式被存储和交换。公众定期在自己的电子设备和云中收集和存储与健康相关的数据。糖尿病预防是一项日益重要的预防性健康措施，饮食和运动是其中的关键组成部分。患者正在转向在线计划来帮助他们减轻体重。尽管初级保健医生对患者的减肥成功至关重要，但是初级保健提供者（PCP）与这些在线减肥计划之间并未交换信息。现在正出现将这些数据直接集成到电子健康记录（EHR）中的机会，但是对于共享哪些信息或如何最有效地共享信息知之甚少。这项研究旨在表征提供者关于将外部产生的生活方式改变数据整合到初级保健EHR工作流程中的偏好。方法我们使用与基层医疗服务提供者进行的两轮半结构式访谈进行了定性研究。我们使用了涉及初级保健提供者，健康信息技术软件开发人员和健康服务研究人员的迭代设计过程来开发界面。结果使用扎根理论的主题分析，访谈中出现了4个主题：1）建立健康生活方式的障碍，2）生活方式改变计划的特征，3）向初级保健提供者报告结果以及4）与初级保健的整合。这些主题指导了在线糖尿病预防程序到初级保健EHR工作流中数据接口的快速循环敏捷设计过程。结论必须将外部健康相关数据集成到EHR中，才能将其嵌入提供者工作流程中，以便对提供者有用并对患者有益。要做到这一点，需要在软件设计期间评估该临床工作流程。这种新颖的界面的开发使用了快速循环迭代设计，提供商的早期参与以及可用性测试方法。这提供了一个框架，该框架介绍了如何以有效的方式将外部数据集成到提供程序工作流中。现在有可能认识到在临床环境中提供此数据对于患者参与和健康结果的重要性。

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