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Multilanguage health record database focused on the active follow-up of patients and adaptable for patient-reported outcomes and clinical research design.
International Journal of Medical Informatics ( IF 4.9 ) Pub Date : 2019-12-24 , DOI: 10.1016/j.ijmedinf.2019.104065
Leonardo Pellizzoni 1 , Scheila de Avila E Silva 2 , Asdrubal Falavigna 3
Affiliation  

INTRODUCTION A dataset with patient information allows a comparison between different clinical treatments in many fields of medicine as well as the effective use of medical resources. Patient-reported outcome measures (PROMs) collect data directly from patients for use in clinical practice by helping decision making and tailoring treatments according to the patients' needs. The authors present a novel database to overcome data collection related barriers, calculating automatically the questionnaire results, displayed in graphics on the patients' dashboard in real time, and focused on the active follow of the patients. OBJECTIVE To present electronic health record database for monitoring clinical or surgical interventions and assess the usability. METHODOLOGY Process modeling and specification of system requirements were performed using the Iconix methodology along with the Post-Study System Usability Questionnaire (PSSUQ) to validate the usability and usefulness of the proposed system. The system and the questionnaires were performed in three languages: Brazilian Portuguese, Spanish, and English. RESULTS The database enables researchers to use the questionnaires defining the time of data collection according to the needs of each clinical study. The system facilitates the patient answers without any personal interference from smartphones, tablets or computers. The questionnaire scores were calculated automatically in real time and displayed in graphics on the patients' dashboard. The evaluation of the usability and usefulness of the developed database used 8 people divided into two equal groups (4 physicians and 4 medical students). CONCLUSION The proposed electronic health record database allows a friendly and flexible use of PROMs according to the population, needs in practice and clinical settings. The platform promotes active and direct data collection from patients and physicians in English, Portuguese and Spanish.

中文翻译:

多语言健康记录数据库专注于患者的积极随访,并适合患者报告的结果和临床研究设计。

引言带有患者信息的数据集可以比较许多医学领域的不同临床治疗方法以及有效利用医学资源的情况。患者报告的结局指标(PROM)可根据患者的需求帮助决策和量身定制治疗方法,直接从患者那里收集数据以用于临床实践。作者提出了一个新颖的数据库来克服与数据收集相关的障碍,自动计算调查问卷结果,实时显示在患者仪表板上的图形中,并关注患者的积极关注。目的提供电子健康记录数据库,以监测临床或外科手术干预并评估可用性。方法论使用Iconix方法论和研究后系统可用性问卷(PSSUQ)进行了过程建模和系统需求说明,以验证所提出系统的可用性和实用性。系统和问卷以三种语言执行:巴西葡萄牙语,西班牙语和英语。结果该数据库使研究人员能够根据每个临床研究的需要,使用调查表来定义数据收集的时间。该系统有助于患者回答,而不会受到智能手机,平板电脑或计算机的任何人为干扰。问卷评分是自动实时计算的,并显示在患者仪表板上的图形中。对已开发数据库的可用性和有用性进行的评估使用了8个人,分为两组,分别为4个人(4位医生和4位医学生)。结论拟议中的电子健康记录数据库可根据人群,实践需求和临床环境友好而灵活地使用PROM。该平台促进以英语,葡萄牙语和西班牙语从患者和医生那里收集主动和直接的数据。
更新日期:2020-01-04
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