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首页> 外文期刊>JMIR Medical Informatics >Design, Implementation, and Evaluation of Self-Describing Diabetes Medical Records: A Pilot Study
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Design, Implementation, and Evaluation of Self-Describing Diabetes Medical Records: A Pilot Study

机译：自我描述型糖尿病病历的设计，实施和评估：一项初步研究

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Background Each patient’s medical record consists of data specific to that patient and is therefore an appropriate source to adapt educational information content. Objectives This study aimed to design and implement an information provision system based on the medical records of diabetic patients and to investigate the attitudes of users toward using this product. Methods The study was organized into three phases: need analysis, design and implementation, and final evaluation. The aim of the need analysis phase was to investigate the questioning behavior of the patient in the real-world context. The design and implementation phase consisted of four stages: determining the minimum dataset for diabetes medical records, collecting and validating content, designing and implementing a diabetes electronic medical record system, and data entry. Evaluating the final system was done based on the constructs of the technology acceptance model in the two dimensions of perceived usefulness and perceived ease of use. A semistructured interview was used for this purpose. Results Three main categories were extracted for the patient’s perceived usefulness of the system: raising the self-awareness and knowledge of patients, improving their self-care, and improving doctor-patient interaction. Both patients and physicians perceived the personalized sense of information as a unique feature of the application and believed that this feature could have a positive effect on the patient’s motivation for learning and using information in practice. Specialists believed that providing personal feedback on the patient’s lab test results along with general explanations encourages the patients to read the content more precisely. Moreover, accessing medical records and helpful notes was a new and useful experience for the patients. Conclusions One of the key perceived benefits of providing tailored information in the context of medical records was raising patient awareness and knowledge. The results obtained from field observations and interviews have shown that patients were ready to accept the system and had a positive attitude when it was put into practice. The findings related to user attitude can be used as a guideline to design the next phase of the research (ie, investigation of system effectiveness on patient outcomes).
机译：背景技术每个患者的病历都包含特定于该患者的数据，因此是适应教育信息内容的适当来源。目的本研究旨在基于糖尿病患者的病历设计和实施信息提供系统，并调查用户对使用该产品的态度。方法研究分为三个阶段：需求分析，设计和实施以及最终评估。需求分析阶段的目的是调查现实世界中患者的质疑行为。设计和实施阶段包括四个阶段：确定糖尿病病历的最小数据集，收集和验证内容，设计和实施糖尿病电子病历系统以及数据输入。基于技术接受模型在感知的有用性和易用性两个维度上的构建，对最终系统进行了评估。为此，使用了半结构化访谈。结果从患者对系统的感知有用性中提取了三个主要类别：提高患者的自我意识和知识，改善患者的自我保健以及改善医患互动。患者和医生都将个性化的信息意识视为该应用程序的独特功能，并认为此功能可能会对患者在实践中学习和使用信息的动机产生积极影响。专家认为，提供有关患者实验室测试结果的个人反馈以及一般性解释，可以鼓励患者更准确地阅读内容。此外，对患者来说，访问病历和有用的笔记是一种新的有用的经验。结论在病历中提供定制信息的主要好处之一是提高了患者的认识和知识。从现场观察和访谈获得的结果表明，患者已准备好接受该系统，并在实施该系统时持积极态度。与用户态度有关的发现可以用作设计下一阶段研究的指南（即，对患者预后的系统有效性进行调查）。

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