Department of Health Behavior and Health Education, University of Michigan, Ann Arbor, MI, USA.
Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
Med Decis Making. 2019 Oct;39(7):796-804. doi: 10.1177/0272989X19873625. Epub 2019 Sep 26.
. Patient portals of electronic health record systems currently present patients with tables of laboratory test results, but visual displays can increase patient understanding and sensitivity to result variations. We sought to assess physician preferences and concerns about visual display designs as potential motivators or barriers to their implementation. . In an online survey, 327 primary care physicians (>50% patient care time) recruited through the online e-community/survey research firm SERMO compared hemoglobin A1c (HbA1c) test results presented in table format to various visual displays (number line formats) previously tested in public samples. Half of participants also compared additional visual formats displaying target goal ranges. Outcome measures included preferred display format and whether any displays were unacceptable, would change physician workload, or would induce liability concerns. . Most (85%-89%) respondents preferred visual displays over tables for result communications both to patients tested for diagnosis purposes and to diagnosed patients, with a design with color-coded categories most preferred. However, for each format (including tables), 11% to 23% rated them as unacceptable. Most respondents also preferred adding goal range information (in addition to standard ranges) for diagnosed patients. While most physicians anticipated no workload changes, 19% to 32% anticipated increased physician workload while 9% to 28% anticipated decreased workload. Between 32% and 40% had at least some liability concerns. . Most primary care physicians prefer visual displays of HbA1c test results over table formats when communicating results to patients. However, workload and liability concerns from a minority of physicians represent a barrier for adoption of such designs in clinical settings.
. 电子健康记录系统的患者门户目前向患者展示实验室检测结果的表格，但视觉显示可以提高患者对结果变化的理解和敏感度。我们旨在评估医生对视觉显示设计的偏好和关注，这些设计可能成为他们实施的潜在动机或障碍。. 在一项在线调查中，通过在线电子社区/调查研究公司 SERMO 招募的 327 名初级保健医生（> 50%的患者护理时间）将血红蛋白 A1c（HbA1c）测试结果与之前在公共样本中测试过的各种视觉显示（数字线格式）进行比较。一半的参与者还比较了显示目标靶范围的其他视觉格式。结果测量包括首选显示格式，以及任何显示是否不可接受、会改变医生的工作量或引起责任问题。. 大多数（85%-89%）受访者表示，无论是为了诊断目的还是为了诊断后的患者，他们都更喜欢视觉显示而不是表格来进行结果沟通，其中带有颜色编码类别的设计最受欢迎。然而，对于每种格式（包括表格），有 11%-23%的受访者认为它们不可接受。大多数医生也更喜欢为诊断后的患者添加目标范围信息（除了标准范围）。虽然大多数医生预计不会改变工作量，但 19%-32%的医生预计工作量会增加，而 9%-28%的医生预计工作量会减少。32%-40%的医生至少有一些责任问题。. 大多数初级保健医生在向患者传达 HbA1c 测试结果时更喜欢视觉显示而不是表格格式。然而，少数医生的工作量和责任问题代表了这些设计在临床环境中采用的障碍。
