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设计一个实时药物摄入与依从性仪表盘:满足患者、护理伙伴及医疗服务提供者需求的功能、特性及数据显示

Designing a Real-Time Medication Intake and Adherence Dashboard: Features, Functionality, and Data Display to Meet the Needs of Patients, Care Partners and Healthcare Providers.

作者信息

Faisal Sadaf, Baby Bincy, Samoth Devine, Ghaffar Faisal, Aslam Yusra, Stavropoulos Alexander, McCready-Branch Brent, Elba Ghada, Gill Jasdeep Kaur, Choudhuri Prapti, Patel Tejal

机构信息

School of Pharmacy, University of Waterloo, Kitchener, ON, Canada.

Canadian Pharmacists Association, Toronto, ON, Canada.

出版信息

J Med Syst. 2025 May 6;49(1):58. doi: 10.1007/s10916-025-02189-w.

Abstract

To determine the key features, utilities, and functionalities of an adherence dashboard so that patients, care partners, and healthcare providers can effectively use it to identify and improve medication nonadherence. A qualitative study was conducted in four stages. In Stage 1, semi-structured interviews and focus groups were conducted with patients, care partners, and healthcare providers after showing existing dashboards to gain feedback and determine their needs and preferences for the dashboard. In Stage 2, data gathered from Stage 1 were used to develop paper prototypes. In Stage 3, these prototypes were evaluated by participants to refine the design. Finally, in Stage 4, a framework for the key components of the adherence dashboard was developed based on user feedback. Some of the key features identified include individualized medication adherence, overall adherence summaries, customizable notifications, real-time data visualization, and integration with existing healthcare systems such as electronic health records (EHR). Participants also highlighted the importance of intuitive design, ease of navigation, secure data handling, and the ability to customize the dashboard according to user preferences. This study identifies key features and functionalities and provides a user-centered framework for designing a real-time medication adherence dashboard tailored to the needs of patients, caregivers, and healthcare providers. Future work will focus on developing a fully functional dashboard, integrating it into clinical practice, and evaluating its effectiveness in improving medication adherence.

摘要

确定依从性仪表盘的关键特性、用途和功能,以便患者、护理伙伴和医疗保健提供者能够有效地利用它来识别和改善用药依从性不佳的情况。开展了一项分四个阶段进行的定性研究。在第一阶段,向患者、护理伙伴和医疗保健提供者展示现有仪表盘后,进行了半结构化访谈和焦点小组讨论,以获取反馈并确定他们对仪表盘的需求和偏好。在第二阶段,利用从第一阶段收集的数据开发纸质原型。在第三阶段,参与者对这些原型进行评估以完善设计。最后,在第四阶段,根据用户反馈开发了依从性仪表盘关键组件的框架。确定的一些关键特性包括个性化用药依从性、总体依从性总结、可定制通知、实时数据可视化以及与现有医疗保健系统(如电子健康记录(EHR))集成。参与者还强调了直观设计、易于导航、安全的数据处理以及根据用户偏好定制仪表盘的能力的重要性。本研究确定了关键特性和功能,并提供了一个以用户为中心的框架,用于设计满足患者、护理人员和医疗保健提供者需求的实时用药依从性仪表盘。未来的工作将集中在开发一个功能齐全的仪表盘,将其整合到临床实践中,并评估其在改善用药依从性方面的有效性。

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