Ertmer A, Uckert F
Department of Medical Informatics and Biomathematics, University Hospital Münster, Germany.
Stud Health Technol Inform. 2005;116:861-6.
With akteonline.de a patient owned Electronic Health Record (EHR) has been implemented that combines both data from clinical information systems and data entered by the patient. In addition the EHR supports information exchange/communication controlled by the user. The EHR thus offers the potential to place the patient into a more empowered position. This impact on patient empowerment and the implementation of additional features is to be investigated. Additionally, the user satisfaction is to be evaluated regarding patients' acceptance and utilization of the system.
Users were divided into three groups, two of which received different training on the functionalities of akteonline.de. A quantitative study employing an online-questionnaire and considering all registered users was conducted.
Users evaluated the internet based system to be feasible and the navigation to be suitable, yet additional training for users regarding particular features seems to be required and also for hospital staff in general. The proposed add-ons were approved of. The study also showed positive effects on patient empowerment.
通过akteonline.de实施了一个患者自主的电子健康记录（EHR），它整合了临床信息系统的数据和患者输入的数据。此外，该电子健康记录支持由用户控制的信息交换/通信。因此，电子健康记录有可能让患者处于更有自主权的地位。本研究旨在调查这对患者自主权的影响以及其他功能的实施情况。此外，还将评估用户对该系统的满意度，包括患者对系统的接受程度和使用情况。
将用户分为三组，其中两组接受了关于akteonline.de功能的不同培训。采用在线问卷对所有注册用户进行了定量研究。
用户认为基于互联网的系统可行，导航也合适，但似乎需要针对特定功能对用户进行额外培训，对医院工作人员总体上也需要进行培训。提议的附加功能得到了认可。该研究还显示了对患者自主权的积极影响。
