University of Washington, Seattle, WA.
Northwestern University, Evanston, IL.
AMIA Annu Symp Proc. 2021 Jan 25;2020:524-533. eCollection 2020.
Inpatient portals could help patients engage in their hospital care, yet several design, usability, and adoption issues prevent this technology from fulfilling its potential. Despite patients having needs that extend beyond the scope of existing inpatient portals, we know less about how to design such portals that support them. To learn about effective designs, we created three mid-fidelity prototypes representing novel approaches for inpatient portal design. Then, we conducted interviews with 21 pediatric and adult inpatients to gather their feedback on these prototypes. Participants shared how the prototypes addressed the following needs: forming active partnerships, navigating relationships and power dynamics with clinicians, understanding complexity of care, contextualizing health information, increasing efficiency of communication, and preventing lost information. We discuss two key implications-supporting patients' agency and dynamic needs throughout their hospital care-for the future of inpatient portal designs.
住院患者门户可以帮助患者参与他们的医院护理，但一些设计、可用性和采用问题阻碍了这项技术发挥其潜力。尽管患者的需求超出了现有住院患者门户的范围，但我们对于如何设计支持这些需求的门户知之甚少。为了了解有效的设计，我们创建了三个中保真原型，代表了住院患者门户设计的新方法。然后，我们对 21 名儿科和成年住院患者进行了访谈，收集他们对这些原型的反馈。参与者分享了这些原型如何满足以下需求：形成积极的合作关系，与临床医生建立关系并驾驭权力动态，理解护理的复杂性，使健康信息背景化，提高沟通效率，防止信息丢失。我们讨论了支持患者代理和动态需求的两个关键影响因素，这对于未来的住院患者门户设计至关重要。
