Norwegian University of Science and Technology, Trondheim, Norway.
Center for Health Services Research, Brandenburg Medical School Theodor Fontane, Rüdersdorf, Germany.
Stud Health Technol Inform. 2022 May 25;294:583-584. doi: 10.3233/SHTI220534.
Patient accessible Electronic Health Records (PAEHRs) are increasingly implemented internationally. However, studies carried out in the mental health care setting report several practical and ethical challenges when introducing PAEHRs. In this paper we aim to explore the requirements of a PAEHR system in mental health. As part of a participatory design process, we collected qualitative data from service users and staff in a rural mental health day clinic setting, which can be summarized in the following themes: I) Function and way of the documentation; II) Impact on Treatment; III) Concerns about PAEHRs; IV) time of access to PAEHRs; V) Different views on what to share; VI) Access, Data Privacy and Special Features. Our study uncovered the complexity and special requirements and barriers to the design of PAEHR in mental health. While we are in an early stage of our study, we will continue this iterative process and adapt the PAEHR system to the specific needs of the users and domains.
患者可访问的电子健康记录 (PAEHRs) 在国际上的应用越来越广泛。然而，在精神卫生保健环境中开展的研究报告指出，在引入 PAEHRs 时存在一些实际和伦理方面的挑战。本文旨在探讨精神卫生领域中 PAEHR 系统的要求。作为参与式设计过程的一部分，我们从农村精神卫生日间诊所的服务使用者和工作人员那里收集了定性数据，这些数据可以总结为以下主题：I）文档的功能和方式；II）对治疗的影响；III）对 PAEHR 的担忧；IV）访问 PAEHR 的时间；V）对分享内容的不同看法；VI）访问、数据隐私和特殊功能。我们的研究揭示了精神卫生中 PAEHR 设计的复杂性和特殊要求以及障碍。虽然我们还处于研究的早期阶段，但我们将继续这一迭代过程，并根据用户和领域的具体需求调整 PAEHR 系统。
