Kujala Sari, Hörhammer Iiris, Hänninen-Ervasti Riitta, Heponiemi Tarja
Aalto University, Finland.
University of Oulu, Finland.
Stud Health Technol Inform. 2020 Jun 16;270:966-970. doi: 10.3233/SHTI200305.
Online symptom checkers and assessment services are used by patients seeking guidance on health problems. In this study, the goal was to identify health professionals' experiences of the benefits and challenges of new symptom checkers providing triage advice. Data was collected through an online survey of 61 health professionals who were target users of the online symptom checkers implemented in six public health organizations and one private occupational health clinic. Most of the health professionals supported the use of online symptom checkers and found services useful to patients because they provided patients quick contact with health professionals and referral to care or self-management instructions regardless of time and place. Health professionals were less confident that most of the patients were capable and willing to use the symptom checkers. Health professionals were satisfied with symptom checkers providing them with more useful information before meeting patients. By contrast, symptom checkers were seen as disrupting clinical work and time-consuming. The results imply that the clinical work processes should be redesigned to guide patients in an efficient manner, avoid work overlap, and provide work motivation for professionals.
寻求健康问题指导的患者会使用在线症状检查和评估服务。在本研究中，目标是确定卫生专业人员对于提供分诊建议的新型症状检查器的益处和挑战的体验。通过对61名卫生专业人员进行在线调查收集数据，这些人员是六个公共卫生组织和一家私人职业健康诊所实施的在线症状检查器的目标用户。大多数卫生专业人员支持使用在线症状检查器，并认为这些服务对患者有用，因为它们使患者能够随时随地快速联系卫生专业人员，并获得转诊护理或自我管理指导。卫生专业人员对大多数患者有能力且愿意使用症状检查器的信心较低。卫生专业人员对症状检查器在与患者会面之前为他们提供更多有用信息感到满意。相比之下，症状检查器被视为会干扰临床工作且耗时。结果表明，应重新设计临床工作流程，以有效地指导患者，避免工作重叠，并为专业人员提供工作动力。
