从牙医视角看面向牙科的电子健康记录的信息需求
Informational Needs for Dental-Oriented Electronic Health Records from Dentists' Perspectives.
作者信息
Alanazi Abdullah, Alghamdi Ghada, Aldosari Bakheet
机构信息
Health Informatics Department, King Saud Ibn Abdulaziz University for Health Sciences, Riyadh 11481, Saudi Arabia.
King Abdullah International Medical Research Center, Riyadh 14611, Saudi Arabia.
出版信息
Healthcare (Basel). 2023 Jan 14;11(2):266. doi: 10.3390/healthcare11020266.
INTRODUCTION
Information technology is vital to support dental care services and is yet to be thoroughly investigated. This study aims to assess the dentists' needs and requirements for health records from dental care providers' perspectives.
METHODS
In-depth interviews were conducted with dentists during clinic practices. This qualitative research method involves exploring the information and functions dentists use to obtain information from EHR. The target population is the dental staff interacting with the patients and accessing the electronic health records in the government and private sectors.
RESULTS
Thirty-five dentists were interviewed directly after the treatment session and asked four pre-defined questions, the dentists' needs were collected, and the met and unmet needs were presented. The interview results revealed 42 needs (15 were met and 27 were unmet), with an average of 1.17 needs per session. The information needs were categorized into foreground and background information needs and reported in nine main themes.
DISCUSSION
The interviews were analyzed, and as a result, nine themes were generated: chief complaints and symptoms, medical and health history, medications, visual representations of the problem, treatment procedures, X-ray services, needs related to advanced features, needs related to insurance coverage, and finally, information needs related to the treatment environment. The required information and functions mentioned by dentists in the study emphasize the need for integrated modules for oral and medical care services. Generally, it is evident that dentists have substantial unmet needs, and the desired EHR should have functions that cover all dentists' needs.
CONCLUSION
The study's findings demonstrate gaps between current and desired EHR to serve dentists' needs. Dentists need better access to patient history and medical information, progress notes, and X-rays to provide visualization tools for problems and patient charts. Moreover, essential needs were related to messaging capability, educational tools, availability of tutorial videos, and accessing external resources. Information needs were described and should be considered when designing EHR to meet all dentists' needs.
引言
信息技术对支持牙科护理服务至关重要，但尚未得到充分研究。本研究旨在从牙科护理提供者的角度评估牙医对健康记录的需求。
方法
在临床实践期间对牙医进行了深入访谈。这种定性研究方法涉及探索牙医用于从电子健康记录中获取信息的信息和功能。目标人群是在政府和私营部门与患者互动并访问电子健康记录的牙科工作人员。
结果
在治疗 session 后直接对 35 名牙医进行了访谈，并询问了四个预先定义的问题，收集了牙医的需求，并呈现了已满足和未满足的需求。访谈结果揭示了 42 项需求（15 项已满足，27 项未满足），平均每次 session 有 1.17 项需求。信息需求被分为前景和背景信息需求，并在九个主要主题中报告。
讨论
对访谈进行了分析，结果产生了九个主题：主要投诉和症状、医疗和健康史、药物、问题的视觉呈现、治疗程序、X 光服务、与高级功能相关的需求、与保险覆盖相关的需求，最后是与治疗环境相关的信息需求。研究中牙医提到的所需信息和功能强调了口腔和医疗护理服务集成模块的必要性。一般来说，很明显牙医有大量未满足的需求，理想的电子健康记录应具有涵盖所有牙医需求的功能。
结论
该研究的结果表明，当前电子健康记录与满足牙医需求的理想电子健康记录之间存在差距。牙医需要更好地获取患者病史和医疗信息、病程记录以及 X 光片，以提供问题可视化工具和患者图表。此外，基本需求与消息传递功能、教育工具、教程视频的可用性以及访问外部资源有关。描述了信息需求，在设计电子健康记录以满足所有牙医需求时应予以考虑。
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