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首页> 外文期刊>Communications of the Association for Information Systems >Design and Development of a Patient-Centered E-Health System to Improve Patient Understanding at Discharge
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Design and Development of a Patient-Centered E-Health System to Improve Patient Understanding at Discharge

机译：以患者为中心的电子医疗系统的设计和开发，以提高患者对出院的了解

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摘要

E-health systems are often designed without considering user-centered design principles. Past research on the topic of patient-centered e-health (PCEH) has lacked focus on the design and development of a PCEH artifact and the process for its development. In this study, information systems design theory (ISDT) is applied to design, develop, and evaluate an e-health system based on PCEH principles. The goal of the artifact in this study is to improve patient understanding of diagnoses, procedures, medications, and post-discharge instructions and empower patients with the information needed pre- and post-discharge to make informed healthcare decisions. The artifact justification, meta-requirements, meta-design, development, and evaluation are presented in multiple iterations—beginning with a simple picture book, and ending with a Web-based, mobile, multimedia system. Findings indicate that a PCEH approach can be useful for achieving multiple design goals. The artifact illustrates achievement of an important organizational quality improvement goal for the case study organization involved, a key physician goal to improve patient-physician engagement, and an important patient goal—to improve understanding about patient-specific diagnoses and health conditions prior to discharge from a hospital visit and initiation of home health care.
机译：电子保健系统的设计通常不考虑以用户为中心的设计原则。过去有关以患者为中心的电子医疗（PCEH）主题的研究缺乏对PCEH人工制品的设计和开发及其开发过程的关注。在这项研究中，信息系统设计理论（ISDT）被用于设计，开发和评估基于PCEH原理的电子医疗系统。本研究中的人工制品的目的是提高患者对诊断，程序，药物和出院后说明的理解，并为患者提供出院前和出院后所需的信息，以制定明智的医疗保健决策。工件的合理性，元需求，元设计，开发和评估以多次迭代的形式呈现-从一本简单的图画书开始，到以基于Web的移动多媒体系统结束。研究结果表明，PCEH方法对于实现多个设计目标可能很有用。该工件说明了所涉及的案例研究组织的重要组织质量改进目标的实现，改善患者与医师互动的关键医师目标以及重要的患者目标（在出院前对患者特定的诊断和健康状况的了解）医院就诊和开始家庭保健。

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