%0期刊文章@ 1438- 8871% I Gunther Eysenbach V 15% N 2% P e 36% T电子健康记录供应商对他们的产品透露了什么:供应商网站分析%A Yeung,Natalie K %A Jadad,Alejandro R %A Shachak,Aviv +多伦多大学,卫生政策、管理和评估研究所,155学院街,多伦多,ON, M5T 3M6,加拿大,1 416 978 0998,aviv.shachak@utoronto.ca %K电子健康记录%K供应商%K创新传播%K网站%D 2013 %7 19.02.2013 %9原创论文%J J医学互联网Res %G英文%X背景:购买电子健康记录(EHRs)通常遵循一个过程,在这个过程中,潜在的采用率积极寻求信息,比较替代品,并形成对产品的态度。在此过程中可以使用的关于电子病历的潜在信息来源是供应商网站。目前尚不清楚电子病历供应商网站上有多少产品信息,也不清楚这些信息在电子病历购买决策过程中的价值有多大。目的:探讨加拿大安大略省的供应商在其网站上展示的电子病历系统的特征,以及他们用于营销此类系统的说服性手段;将初级保健电子病历系统的在线信息与医院电子病历系统的在线信息进行比较,并与安大略认证机构(ontario omd)编制的数据进行比较。方法:创建了安大略省可用的电子病历系统列表。对供应商网站内容进行分析。开发了用于数据收集和组织的模板,并用于收集和组织关于供应商、网站内容和EHR功能的信息。 First, we mapped information on system features to categories based on a framework from the Institute of Medicine (IOM). Second, we used a grounded theory–like approach to explore information for building consumer confidence in the vendor and product, and the various persuasive strategies employed on vendor websites. All data were first coded by one researcher. A peer reviewer independently analyzed a randomly chosen subset of the websites (10 of 21; 48%) and provided feedback towards a unified coding scheme. All data were then re-coded and categorized into themes. Finally, we compared information from vendor websites and data gathered by OntarioMD. Results: Vendors provided little specific product information on their websites. Only two of five acute care EHR websites (40%) and nine of 16 websites for primary care systems (56%) featured seven or all eight of the IOM components. Several vendor websites included system interface demonstrations: screenshots (six websites), public videos or slideshows (four websites), or for registered viewers only (three websites). Persuasive means used by vendors included testimonials on 14/21 (67%) websites, and directional language. Except for one free system, trial EHR versions were not available. OntarioMD provided more comprehensive information about primary care systems than the vendors’ websites. Of 14 points of comparison, only the inclusion of templates and bilingual interfaces were fully represented in both data sources. For all other categories, the vendor websites were less complete than the OntarioMD site. Conclusions: EHR vendor websites employ various persuasive means, but lack product-specific information and do not provide options for trying systems on a limited basis. This may impede the ability of potential adopters to form perceptions and compare various offerings. Both vendors and clients could benefit from greater transparency and more specific product information on the Web. Trial Registration: N/A %M 23422722 %R 10.2196/jmir.2312 %U //www.mybigtv.com/2013/2/e36/ %U https://doi.org/10.2196/jmir.2312 %U http://www.ncbi.nlm.nih.gov/pubmed/23422722
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