Helping patients navigate the immediate release of medical records: MedEd, a novel patient engagement technology.

IF 2.7 3区医学 Q1 SURGERY American journal of surgery Pub Date : 2024-09-18 DOI:10.1016/j.amjsurg.2024.115977

Bridget Foy, Abigail Ludwigson, Nicole M Mott, Monica Adams, Madeline G Higgins, Sudheer Vemuru, Dulcy Wolverton, Jeniann Yi, Sharon Sams, Chen-Tan Lin, Randy Miles, Nancy Taft, Erin Baurle, Ethan Cumbler, Sarah Tevis

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Abstract

Background: Through online health portals, patients receive complex medical reports without interpretation from their healthcare provider. This study evaluated the usability of MedEd, a patient engagement tool providing definitions of medical terminology in breast pathology and radiology reports.

Methods: Individuals who underwent a normal screening mammogram were invited to complete semi-structured interviews where they downloaded MedEd and discussed their download experience. Acceptability, appropriateness, and feasibility of MedEd were evaluated.

Results: 143 individuals were invited to participate, and 14 semi-structured interviews were completed. Participants reported ease of downloading and navigating MedEd with concerns about privacy and others' abilities to download. Participants demonstrated high acceptability (mean 4.48/5, SD 0.95), appropriateness (mean 4.66/5, SD 0.83), and feasibility (mean 4.48/5, SD 1.04) scores.

Conclusion: Participants expressed excitement for future use of MedEd and provided suggestions for improvements. Next steps include evaluating comprehension of real breast reports while using MedEd and expanding patient access.

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帮助患者了解医疗记录的即时发布：MedEd，一种新颖的患者参与技术。

背景：通过在线健康门户网站，患者可以收到复杂的医疗报告，而无需医疗服务提供者提供解释。MedEd是一款患者参与工具，提供乳腺病理学和放射学报告中医学术语的定义，本研究对MedEd的可用性进行了评估：方法：邀请接受过正常乳房 X 光筛查的个人完成半结构式访谈，在访谈中他们下载了 MedEd 并讨论了他们的下载体验。对 MedEd 的可接受性、适宜性和可行性进行评估：结果：共邀请了 143 人参加，完成了 14 次半结构式访谈。参与者表示下载和浏览 MedEd 很容易，但对隐私和他人下载能力表示担忧。参与者在可接受性（平均 4.48/5，SD 0.95）、适宜性（平均 4.66/5，SD 0.83）和可行性（平均 4.48/5，SD 1.04）方面都获得了很高的分数：参与者对未来使用 MedEd 表示兴奋，并提出了改进建议。下一步工作包括评估使用 MedEd 时对真实乳腺报告的理解能力以及扩大患者的使用范围。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.