关键词: Digital health electronic general health mHealth medicine mental health mixed methods online outcomes paediatrics personalised medicine psychology studies wellbeing

来  源:   DOI:10.1177/20552076231211551   PDF(Pubmed)

Abstract:
UNASSIGNED: This paper aims to report our experience of developing, implementing, and evaluating myHealthE (MHE), a digital innovation for Child and Adolescents Mental Health Services (CAMHS), which automates the remote collection and reporting of Patient-Reported Outcome Measures (PROMs) into National Health Services (NHS) electronic healthcare records.
UNASSIGNED: We describe the logistical and governance issues encountered in developing the MHE interface with patient-identifiable information, and the steps taken to overcome these development barriers. We describe the application\'s architecture and hosting environment to enable its operability within the NHS, as well as the capabilities needed within the technical team to bridge the gap between academic development and NHS operational teams.
UNASSIGNED: We present evidence on the feasibility and acceptability of this system within clinical services and the process of iterative development, highlighting additional functions that were incorporated to increase system utility.
UNASSIGNED: This article provides a framework with which to plan, develop, and implement automated PROM collection from remote devices back to NHS infrastructure. The challenges and solutions described in this paper will be pertinent to other digital health innovation researchers aspiring to deploy interoperable systems within NHS clinical systems.
摘要:
本文旨在报告我们的发展经验,实施,并评估MyHealthE(MHE),儿童和青少年心理健康服务(CAMHS)的数字创新,它将患者报告的结果措施(PROM)的远程收集和报告自动化到国家卫生服务(NHS)电子医疗记录中。
我们描述了在开发具有患者可识别信息的MHE接口时遇到的后勤和治理问题,以及为克服这些发展障碍而采取的步骤。我们描述了应用程序的体系结构和托管环境,以使其在NHS中的可操作性,以及技术团队内部弥合学术发展与NHS运营团队之间差距所需的能力。
我们提供了有关该系统在临床服务和迭代开发过程中的可行性和可接受性的证据,突出了为增加系统实用性而合并的其他功能。
本文提供了一个框架,发展,并实现从远程设备到NHS基础设施的自动化PROM收集。本文描述的挑战和解决方案将与其他希望在NHS临床系统中部署可互操作系统的数字健康创新研究人员有关。
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