跨学科系统可以在电子卫生系统中恢复医疗保健专业人员与患者的关系。

IF 4.7 2区 医学 Q1 COMPUTER SCIENCE, INFORMATION SYSTEMS Journal of the American Medical Informatics Association Pub Date : 2025-01-17 DOI:10.1093/jamia/ocaf001
Michael R Cauley, Richard J Boland, S Trent Rosenbloom
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引用次数: 0

摘要

目的:开发一个框架,模拟电子健康记录(EHR)系统对医疗保健专业人员的福祉及其与患者的关系的影响,使用跨学科的见解来指导机器学习识别电子健康记录系统中对医疗保健专业人员重要的价值模式。材料和方法:利用来自医疗保健、信息系统和管理科学的跨学科文献,开发了EHR系统实施的理论框架,重点关注系统方法、临床决策和接口术语。观察:医疗保健专业人员通过将详细的患者故事与结构化数据相结合,在电子病历的知识创造中平衡个人叙述规范和数据驱动的沟通。这种整合形成了两个学习循环,在医疗保健专业人员与患者的关系中产生紧张关系,塑造了医疗保健专业人员如何在医疗服务中应用他们的价值观。这种价值张力在电子病历中的表现直接影响到医疗保健专业人员的福祉。讨论:理解结构化数据和叙事形式之间的价值张力学习循环,为医疗保健专业人员如何使用电子病历提供护理的未来研究奠定基础,通过社会技术视角强调他们的福祉和患者关系。结论:电子健康档案系统通过将规范和价值观融入叙事和数据沟通形式的模式识别中,可以改善医患关系和医护人员幸福感。
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Interdisciplinary systems may restore the healthcare professional-patient relationship in electronic health systems.

Objective: To develop a framework that models the impact of electronic health record (EHR) systems on healthcare professionals' well-being and their relationships with patients, using interdisciplinary insights to guide machine learning in identifying value patterns important to healthcare professionals in EHR systems.

Materials and methods: A theoretical framework of EHR systems' implementation was developed using interdisciplinary literature from healthcare, information systems, and management science focusing on the systems approach, clinical decision-making, and interface terminologies.

Observations: Healthcare professionals balance personal norms of narrative and data-driven communication in knowledge creation for EHRs by integrating detailed patient stories with structured data. This integration forms 2 learning loops that create tension in the healthcare professional-patient relationship, shaping how healthcare professionals apply their values in care delivery. The manifestation of this value tension in EHRs directly affects the well-being of healthcare professionals.

Discussion: Understanding the value tension learning loop between structured data and narrative forms lays the groundwork for future studies of how healthcare professionals use EHRs to deliver care, emphasizing their well-being and patient relationships through a sociotechnical lens.

Conclusion: EHR systems can improve the healthcare professional-patient relationship and healthcare professional well-being by integrating norms and values into pattern recognition of narrative and data communication forms.

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来源期刊
Journal of the American Medical Informatics Association
Journal of the American Medical Informatics Association 医学-计算机:跨学科应用
CiteScore
14.50
自引率
7.80%
发文量
230
审稿时长
3-8 weeks
期刊介绍: JAMIA is AMIA''s premier peer-reviewed journal for biomedical and health informatics. Covering the full spectrum of activities in the field, JAMIA includes informatics articles in the areas of clinical care, clinical research, translational science, implementation science, imaging, education, consumer health, public health, and policy. JAMIA''s articles describe innovative informatics research and systems that help to advance biomedical science and to promote health. Case reports, perspectives and reviews also help readers stay connected with the most important informatics developments in implementation, policy and education.
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