Schreiweis Björn, Bergh Björn
Center for Information Technology and Medical Engineering, University Hospital Heidelberg, Germany.
Stud Health Technol Inform. 2015;210:521-5.
Computerization and increasing need for evidence based medicine are not stopping at biomedical research. Clinical trials need participants and the problem of matching patients with eligibility criteria to support clinical trials has many different solutions. A detailed analysis of stakeholders' requirements would help implementing better patient recruitment systems (PRSs) in the future. Thus we decided to analyse the requirements in literature and talk to stakeholders what they feel the features of PRSs should be. Including patients and data privacy officers as stakeholders gives a holistic overview. Requirements are overlapping between different stakeholders with each stakeholder adding a different view on PRSs. Requirements implemented in current PRSs overlap mostly with requirements expressed by physicians and researchers. Especially patients' requirements (e.g. not having to enter medical data themselves) on PRSs give the impression that PRSs need to integrate with EHR systems or even PEHRs.
计算机化以及对循证医学日益增长的需求并不局限于生物医学研究。临床试验需要参与者,而将符合资格标准的患者与临床试验进行匹配的问题有许多不同的解决方案。对利益相关者需求进行详细分析将有助于未来实施更好的患者招募系统(PRS)。因此,我们决定分析文献中的需求,并与利益相关者交谈,了解他们认为PRS应具备哪些功能。将患者和数据隐私官员纳入利益相关者范畴能提供全面的概述。不同利益相关者的需求存在重叠,每个利益相关者对PRS都有不同的看法。当前PRS中实施的需求大多与医生和研究人员表达的需求重叠。特别是患者对PRS的需求(例如无需自己输入医疗数据)给人的印象是,PRS需要与电子健康记录(EHR)系统甚至个人电子健康记录(PEHR)集成。