Zayas-Cabán Teresa, Dixon Brian E
Agency for Healthcare Research and Quality, Rockville, Maryland 20850, USA.
Qual Saf Health Care. 2010 Oct;19 Suppl 3:i61-7. doi: 10.1136/qshc.2010.041897.
Consumer health IT applications have the potential to improve quality, safety and efficiency of consumers' interactions with the healthcare system. Yet little attention has been paid to human factors and ergonomics in the design of consumer health IT, potentially limiting the ability of health IT to achieve these goals. This paper presents the results of an analysis of human factors and ergonomics issues encountered by five projects during the design and implementation of home-based consumer health IT applications.
Agency for Healthcare Research and Quality-funded consumer health IT research projects, where patients used the IT applications in their homes, were reviewed. Project documents and discussions with project teams were analysed to identify human factors and ergonomic issues considered or addressed by project teams. The analysis focused on system design and design processes used as well as training, implementation and use of the IT intervention.
A broad range of consumer health IT applications and diverse set of human factors and ergonomics issues were identified. The design and implementation processes used resulted in poor fit with some patients' healthcare tasks and the home environment and, in some cases, resulted in lack of use. Clinician interaction with patients and the information provided through health IT applications appeared to positively influence adoption and use.
Consumer health IT application design would benefit from the use of human factors and ergonomics design and evaluation methods. Considering the context in which home-based consumer health IT applications are used will likely affect the ability of these applications to positively impact the quality, safety and efficiency of patient care.
消费者健康信息技术应用有潜力提高消费者与医疗保健系统互动的质量、安全性和效率。然而，在消费者健康信息技术的设计中，人们对人因工程学关注甚少，这可能会限制健康信息技术实现这些目标的能力。本文介绍了对五个项目在设计和实施基于家庭的消费者健康信息技术应用过程中遇到的人因工程学问题的分析结果。
对由医疗保健研究与质量局资助的消费者健康信息技术研究项目进行了审查，这些项目中患者在家中使用信息技术应用。分析了项目文档以及与项目团队的讨论，以确定项目团队考虑或解决的人因工程学问题。分析重点在于所使用的系统设计和设计流程，以及信息技术干预措施的培训、实施和使用情况。
识别出了广泛的消费者健康信息技术应用以及各种各样的人因工程学问题。所采用的设计和实施流程与一些患者的医疗保健任务及家庭环境不太匹配，在某些情况下还导致了应用未被使用。临床医生与患者的互动以及通过健康信息技术应用提供的信息似乎对采用和使用产生了积极影响。
消费者健康信息技术应用设计将受益于人因工程学设计和评估方法的运用。考虑基于家庭的消费者健康信息技术应用的使用背景，可能会影响这些应用对患者护理质量、安全性和效率产生积极影响的能力。
