AMIA Annu Symp Proc - Examining the Multi-level Fit between Work and Technology in a Secure Messaging Implementation.

Tópicos

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{ ehr(2073) health(1662) electron(1139) }
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Resumo

Secure messaging (SM) allows patients to communicate with their providers for non-urgent health issues. Like other health information technologies, the design and implementation of SM should account for workflow to avoid suboptimal outcomes. SM may present unique workflow challenges because patients add a layer of complexity, as they are also direct users of the system. This study explores SM implementation at two Veterans Health Administration facilities. We interviewed twenty-nine members of eight primary care teams using semi-structured interviews. Questions addressed staff opinions about the integration of SM with daily practice, and team members' attitudes and experiences with SM. We describe the clinical workflow for SM, examining complexity and variability. We identified eight workflow issues directly related to efficiency and patient satisfaction, based on an exploration of the technology fit with multilevel factors. These findings inform organizational interventions that will accommodate SM implementation and lead to more patient-centered care.

Resumo Limpo

secur messag sm allow patient communic provid nonurg health issu like health inform technolog design implement sm account workflow avoid suboptim outcom sm may present uniqu workflow challeng patient add layer complex also direct user system studi explor sm implement two veteran health administr facil interview twentynin member eight primari care team use semistructur interview question address staff opinion integr sm daili practic team member attitud experi sm describ clinic workflow sm examin complex variabl identifi eight workflow issu direct relat effici patient satisfact base explor technolog fit multilevel factor find inform organiz intervent will accommod sm implement lead patientcent care

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