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用联合分析法考察醫護人員對電子健康档案系统界面的偏好

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發表於 2024-8-24 14:13:08 | 只看該作者 回帖獎勵 |倒序瀏覽 |閱讀模式
本钻研在全部查询拜访進程中采纳了“均衡不彻底块設計”(BIBD)[5]。数据收集请求受試者先签订知情赞成书,然後再對钻研细节举行遍及的會商。每张规划卡交给受访者以前都要举行具體的阐明,规划卡总计20张,從1到20举行排序,此中1為“最受接待”,20為最不受接待的。為鼓動勉励受访者,本次数据收集将给受访者發放“代币”(應當是代金券)。

3.5.数据阐發

Sawtothe软件V.18用于經由過程估量對属性和属性程度的偏好强度,對介入者的(数据举行)结合阐發并举行统计處置[11]。

04结论

社區醫護职員對抱负的電子康健档案偏好数据,經過结合模子(表2)阐發後,其差别性大于0.8。這表白,在電子康健档案的各(评價)属性中,從首要性来看,配色方案被認為是最首要的(28.62%),其次是平台(27.75%)和结構(21.08%)。設計(11.28%)和菜单(11.26%)的首要性较低(表2)。

有趣的是,平台属性的成份功效值(partworth)阐發(图3)显示,受访者偏心小型东西,即平台越小,成份功效值(partworth)越高。在視觉属性方面,采纳分块(r=0.133)结構的三元色配色方案(r=0.296)的极简設計(r=0.075),具備最高的成份功效值(partworth)值。至于菜单,受访者更喜好图標(r=0.121),而不是文字块(r=-0.121)。查询拜访成果表白,社區醫護职員偏心以图標為主的、结構简略的、色调更光鲜的挪動電子康健档案體系。

05會商

5.1结合模子

结合模子表白,醫護职員较為存眷電子康健記實(EHR)的两個根基属性,一個是配色方案,一個是(其所支撑的)平台装備。多年来,很多學者都認為色彩是影响按摩精油,消费者感知和举動的重要視觉特性[4,8,75,83]。一样,對電子病历装備平台的高度偏好(存眷),是由于體系所支撑的平台直接瓜葛到其在事情場合举行事情的便當性——這一點對活泼、忙碌和活動辦公情况特别首要。在這一范畴的發明表白,软件開辟职員和設計职員须斟酌用户視觉乐趣及@體%938e7%系對挪%uFr67%動@平台的支撑。

颠末阐發,咱們發明受访者偏心小型东西或平台——即平台越小——越受醫護职員偏心。在視觉元素方面,采纳分块(r=0.133)结構,三德配色方案(r=0.296)的极简設計(r=0.075),最受青睐。至于菜单,受访者更喜好图標(r=0.121)式菜单,而不是文字(r=-0.121)型菜单的。钻研成果表白,社區醫護职員更喜好在挪動平台利用電子康健档案,简略结構、以图標菜单為主、色调明显的設計气概更受青睐。

5.2元素價值阐發

钻研数据显示,用户更加偏心支撑挪動装備(如手機、平板電脑和条記本電脑)的電子康健档案體系。這是由于较小的装備除具備“高度挪動性”以外,還具備與较大装備(台式機)至關的计较和連通能力。現有文献夸大,便携性和便當性是醫護职員選擇醫療康健體系時所斟酌的關頭身分。比方,患者挪動性的增长[16]可能會進一步晋升市場對支撑便携平台的EHR的需求。

在這项钻研中,還發明醫護职員偏心的几種(EHR體系界面的)色彩。该發明可能與人類色觉的三色论有關,该理论诠释了視网膜皮层色彩處置法子[96]。一般来讲,特定人群對色彩的偏心源于该人群對该色彩(物體)踊跃反响的均匀值[110]。是以,咱們可以简略地揣度,结合卡中的蓝色、黄色和橙色,因其雷同蓝天、晨曦及柑桔的視觉结果,而得到受访者的青睐[110]。别的,人類常常将多種感官線索連系起来以提高感知能力[80],這與Michalsky和Grobeln[111]以前的钻研一致,该钻研證實,利用“彩色”面板而非“平均灰色”面板,将會晋升與计较機的交互效力[63]。涵蓄的說,EHR的開辟者應斟酌人類色觉心理學,并尽量在他們的設計事情中利用三元色。

别的,极简主义設計比skeomorphic設計更受接待。這類偏向創建在一個被遍及接管的究竟上:即EHR的用户界面(UI),极简設計可以减罕用户的“信息過载”,一样,极简設計也會削减體系對用户認知(能力和速率)的请求,并在某種水平上會晋升数据的正确性[16]、可理解性和可追溯性[2]。是以,EHR設計者應當细心斟酌(削减設計元素),以防止在設計繁杂软件利用步伐進程中呈現視觉拥堵,和對感官的過分刺激。

值得注重的是,醫護职員最偏心分块结構(行将大量EHR內容拆分為带題目的部門)。這可能归因于“受访者‘模式导航’(pattern navigation)的性子”(其意或為“必要對內容举行快速查阅”的需求)。Thyvalikakath及其同事(2014)發明,醫護职員常常以“線性序列”查阅EHR體系的信息,同時必要在信息源之間快速切换,而分块结構更加支撑這類需求[89]。這一范畴的其他钻研成果(Shneiderman et al.,2017)也證明了用户界面临體系交互的首要性,及這類交互性對潜伏用户發生的影响[57]。在這類環境下,認知使命阐發(cognitive task analysis,CTA)[93]應被視為對EHR举行测試的通例勾當,而有關屏幕信息辦理的其他學科也利用于對EHR體系举行测試。

在這项钻研中,受访者更加偏心“以图象為中間”而非“以文字為中間”的電子病历體系。發生這類偏好的缘由多是:图標可以更好地捕获主體的視觉乐趣。已有权势巨子文献提出,比拟之下,采纳图標的體系,遭到更多计较機用户的青睐,由于它晋升了辨認度,對用户来讲,它比文本更容易被認知[31,70]。在常識檢索(體系)中,利用文本作為查抄条款常常更加有益,但在人機交互中,此条履历可能失效[56],相反的,图形界面設計方案更加可取[44]。此外,利用图標替换文本,也能够晋升用户的浏览效力。

此外必要注重的是,图標應當“具備可辨認的意义”,應利用通用符号来避免因體系問題致使的菜单误選[9,17,82]。從這個角度上說,有需要请醫護职員介入图標設計[82]。

06结论

EHR可以晋升醫療康健辦事程度,此钻研試图诠释菲律宾醫護职員對EHR界面的偏好。經由過程结合阐發法,本钻研揭露了受访者對EHR配色方案和装備平台的偏向性。成果显示:利用三德配色、分块瑪卡保健食品,结構、简便設計、图象菜单,和支撑挪動装備的EHR體系具備最高的适用性。

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