Understanding the EMR-Related Experiences of Pregnant Japanese Women to Redesign Antenatal Care EMR Systems

被引：3

作者：

Helou, Samar ^{[1
]}

Abou-Khalil, Victoria ^{[1
]}

Yamamoto, Goshiro ^{[2
]}

Kondoh, Eiji ^{[3
]}

Tamura, Hiroshi ^{[4
]}

Hiragi, Shusuke ^{[2
]}

Sugiyama, Osamu ^{[5
]}

Okamoto, Kazuya ^{[2
]}

Nambu, Masayuki ^{[5
]}

Kuroda, Tomohiro ^{[2
]}

机构：

[1] Kyoto Univ, Grad Sch Informat, Dept Social Informat, Kyoto 6068501, Japan

[2] Kyoto Univ Hosp, Div Med Informat Technol & Adm Planning, Kyoto 6068507, Japan

[3] Kyoto Univ, Grad Sch Med, Dept Gynecol & Obstet, Kyoto 6068507, Japan

[4] Kyoto Univ, Ctr Innovat Res & Educ Data Sci, Kyoto 6068501, Japan

[5] Kyoto Univ, Preempt Med & Lifestyle Related Dis Res Ctr, Kyoto 6068507, Japan

来源：

INFORMATICS-BASEL | 2019年 / 6卷 / 02期

关键词：

Electronic Medical Record system; user experience; antenatal care; Japan; observational study; survey; pregnancy; women; attitudes; person-centered care; HEALTH INFORMATION-TECHNOLOGY; MEDICAL-RECORDS; PATIENT; COMPUTER; DOCTOR; PAPER; COMMUNICATION; PERCEPTIONS; ATTITUDES; VIOLENCE;

D O I：

10.3390/informatics6020015

中图分类号：

TP39 [计算机的应用];

学科分类号：

081203 ; 0835 ;

摘要：

Woman-centered antenatal care necessitates Electronic Medical Record (EMR) systems that respect women's preferences. However, women's preferences regarding EMR systems in antenatal care remain unknown. This work aims to understand the EMR-related experiences that pregnant Japanese women want. First, we conducted a field-based observational study at an antenatal care clinic at a Japanese university hospital. We analyzed the data following a thematic analysis approach and found multiple EMR-related experiences that pregnant women encounter during antenatal care. Based on the observations' findings, we administered a web survey to 413 recently pregnant Japanese women to understand their attitudes regarding the EMR-related experiences. Our results show that pregnant Japanese women want accessible, exchangeable, and biopsychosocial EMRs. They also want EMR-enabled explanations and summaries. Interestingly, differences in their demographics and stages of pregnancy affected their attitudes towards some EMR-related experiences. To respect their preferences, we propose amplifying the roles of EMR systems as tools that promote communication and woman-centeredness in antenatal care. We also propose expanding the EMR design mindset from a biomedical to a biopsychosocial-oriented one. Finally, to accommodate the differences in individual needs and preferences, we propose the design of adaptable person-centered EMR systems.

引用

页数：22

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