A Shared e-Decision Support Portal for Pediatric Asthma

被引:35
作者
Fiks, Alexander G. [1 ,2 ,3 ,4 ,5 ,6 ]
Mayne, Stephanie [3 ,4 ]
Karavite, Dean J. [2 ]
DeBartolo, Elena [3 ,4 ]
Grundmeier, Robert W. [1 ,2 ,5 ,6 ]
机构
[1] Pediat Res Consortium PeRC, Philadelphia, PA USA
[2] Ctr Biomed Informat, Philadelphia, PA USA
[3] PolicyLab, Philadelphia, PA USA
[4] Ctr Pediat Clin Effectiveness, Philadelphia, PA USA
[5] Childrens Hosp Philadelphia, 3535 Market Ste,Room 1546, Philadelphia, PA 19104 USA
[6] Univ Penn, Perelman Sch Med, Dept Pediat, Philadelphia, PA 19104 USA
关键词
asthma; patient portals; shared decision making;
D O I
10.1097/JAC.0000000000000025
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
We describe the user-centered development of an electronic medical record-based portal, "MyAsthma," designed to facilitate shared decision making in pediatric asthma. Interviews and focus groups with 7 parents of children with asthma and 51 clinical team members elicited 2 overarching requirements: that the portal should support sustained communication and ensure patient safety. Parents and clinicians prioritized features including collecting parent and child concerns and goals; symptom, side effect, and medication adherence tracking with decision support; and accessible educational materials. Iterative usability testing refined the system. MyAsthma provides a model for using technology to foster shared decision making in ambulatory care settings.
引用
收藏
页码:120 / 126
页数:7
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