Implementation of a patient-centered mobile shared decision making platform and healthcare workers' evaluation: a case in a medical center.

Autor: Tsai CC; Department of Emergency Medicine, Chi Mei Medical Center, Tainan, Taiwan., Liu CF; Department of Medical Research, Chi Mei Medical Center, Tainan, Taiwan., Lin HJ; Department of Emergency Medicine, Chi Mei Medical Center, Tainan, Taiwan., Lin TC; Department of Nursing, Chi Mei Medical Center, Liouying, Taiwan., Kuo KM; Department of Business Management, National United University, Miaoli, Taiwan., Lin JJ; Department of Information Systems, Chi Mei Medical Center, Tainan, Taiwan., Chen CJ; Department of Information Systems, Chi Mei Medical Center, Tainan, Taiwan., Lee MC; Department of Pharmacy, Chi Mei Medical Center, Tainan, Taiwan.; Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Jazyk: angličtina
Zdroj: Informatics for health & social care [Inform Health Soc Care] 2023 Jan 02; Vol. 48 (1), pp. 68-79. Date of Electronic Publication: 2022 Mar 29.
DOI: 10.1080/17538157.2022.2054344
Abstrakt: Shared decision making is a patient-centered clinical decision-making process that allows healthcare workers to share the existing empirical medical outcomes with patients before making critical decisions. This study aims to explore a project in a medical center of developing a mobile SDM in Taiwan. Chi Mei Medical Center developed the mobile SDM platform and conducted a survey of evaluation from healthcare workers. A three-tier platform that based on cloud infrastructure with seven functionalities was developed. The survey revealed that healthcare workers with sufficient SDM knowledge have an antecedent effect on the three perceptive factors of acceptance of mobile SDM. Resistance to change and perceived ease of use show significant effect on behavioral intention. We provided a comprehensive architecture of mobile SDM and observed the implementation in a medical center. The majority of healthcare workers expressed their acceptancem; however, resistance to change still present. It is, therefore, necessary to be eliminated by continuously promoting activities that highlight the advantages of the Mobile SDM platform. In clinical practice, we validated that the mobile SDM provides patients and their families with an easy way to express their concerns to healthcare workers improving significantly their relationship with each other.
Databáze: MEDLINE
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