Nabiolahi Abdolahad, Sedghi Shahram, Aghili Rokhsareh, Nemati-Anaraki Leila
Department of Medical Library and Information Sciences, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Health Management and Economics Research Center, Iran University of Medical Sciences, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
J Educ Health Promot. 2021 Mar 31;10:103. doi: 10.4103/jehp.jehp_688_20. eCollection 2021.
The prevalence of diabetes makes considerable costs for health-care organizations. The increase of patient's self-care abilities by use of personalizing health information prescription can reduce these costs. This study was conducted to explore the benefits and challenges related to personalizing health information prescription in diabetes clinical settings.
The samples included diabetes education officials working in specialized diabetes clinics and Diabetes Research Centre managers of Iran and Tehran Universities of Medical Sciences. They were 21 cases and selected through purposeful sampling method. Semi-structured interview and focus discussion groups were used to collect the viewpoints of specialists. Interview guide, based on literature review and the documents of diabetes, was used in interviews and focus groups. Their validity was affirmed by specialists. The interview texts were coded in MAXQDA10 software and analyzed through content analysis method.
The most important benefits of personalizing health information prescription were classified into five themes as follows: medical services improvement, facilitation of consumers to information resources, improvement in patients' knowledge and awareness, increase in self-care ability and disease management, reinforcing the relation between physician and patient and keeping physician in the information prescription cycle. The challenges of personalizing of health information prescription were revealed as follows: Recognition of patients' personal characteristics at the turn of entering the system, systems' functional modifiers especially bilateral interaction and relation to patient's health file, content recognition, and creating suitable protocol.
This study showed that diabetes clinical settings face different organizational and process challenges for establishing the personalization of health information prescription. The most important challenges which should be considered in designing information prescription in diabetes clinical environments are as follows: reinforcing physicians' recognition of information prescription benefits, lack of integrative electronic health information system, and patient primary assessment in the first stage of entering the patient into the system in respect of clinical and personal aspects in information needs of consumer.
糖尿病的流行给医疗机构带来了相当大的成本。通过使用个性化健康信息处方提高患者的自我护理能力可以降低这些成本。本研究旨在探讨糖尿病临床环境中个性化健康信息处方的益处和挑战。
样本包括在伊朗和德黑兰医科大学专门糖尿病诊所工作的糖尿病教育官员以及糖尿病研究中心经理。共21例，采用目的抽样法选取。采用半结构化访谈和焦点讨论小组收集专家观点。基于文献综述和糖尿病相关文件编制的访谈指南用于访谈和焦点小组。其有效性得到专家认可。访谈文本在MAXQDA10软件中编码，并通过内容分析法进行分析。
个性化健康信息处方的最重要益处分为以下五个主题：改善医疗服务、方便消费者获取信息资源、提高患者知识和意识、增强自我护理能力和疾病管理、加强医患关系以及使医生参与信息处方循环。个性化健康信息处方的挑战如下：在患者进入系统时识别其个人特征、系统功能调整，尤其是双边互动以及与患者健康档案的关系、内容识别以及制定合适的方案。
本研究表明，糖尿病临床环境在建立健康信息处方个性化方面面临不同的组织和流程挑战。在糖尿病临床环境中设计信息处方时应考虑的最重要挑战如下：加强医生对信息处方益处的认识、缺乏综合电子健康信息系统以及在患者进入系统的第一阶段就患者临床和个人方面的信息需求进行初步评估。
