Understanding the EMR-Related Experiences of Pregnant Japanese Women to Redesign Antenatal Care EMR Systems
Woman-centered antenatal care necessitates Electronic Medical Record (EMR) systems that respect women’s preferences. However, women’s preferences regarding EMR systems in antenatal care remain unknown. This work aims to understand the EMR-related experiences that pregnant Japanes...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2019-04-01
|
| Series: | Informatics |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9709/6/2/15 |
| _version_ | 1828379761877975040 |
|---|---|
| author | Samar Helou Victoria Abou-Khalil Goshiro Yamamoto Eiji Kondoh Hiroshi Tamura Shusuke Hiragi Osamu Sugiyama Kazuya Okamoto Masayuki Nambu Tomohiro Kuroda |
| author_facet | Samar Helou Victoria Abou-Khalil Goshiro Yamamoto Eiji Kondoh Hiroshi Tamura Shusuke Hiragi Osamu Sugiyama Kazuya Okamoto Masayuki Nambu Tomohiro Kuroda |
| author_sort | Samar Helou |
| collection | DOAJ |
| description | Woman-centered antenatal care necessitates Electronic Medical Record (EMR) systems that respect women’s preferences. However, women’s preferences regarding EMR systems in antenatal care remain unknown. This work aims to understand the EMR-related experiences that pregnant Japanese women want. First, we conducted a field-based observational study at an antenatal care clinic at a Japanese university hospital. We analyzed the data following a thematic analysis approach and found multiple EMR-related experiences that pregnant women encounter during antenatal care. Based on the observations’ findings, we administered a web survey to 413 recently pregnant Japanese women to understand their attitudes regarding the EMR-related experiences. Our results show that pregnant Japanese women want accessible, exchangeable, and biopsychosocial EMRs. They also want EMR-enabled explanations and summaries. Interestingly, differences in their demographics and stages of pregnancy affected their attitudes towards some EMR-related experiences. To respect their preferences, we propose amplifying the roles of EMR systems as tools that promote communication and woman-centeredness in antenatal care. We also propose expanding the EMR design mindset from a biomedical to a biopsychosocial-oriented one. Finally, to accommodate the differences in individual needs and preferences, we propose the design of adaptable person-centered EMR systems. |
| first_indexed | 2024-12-10T03:45:37Z |
| format | Article |
| id | doaj.art-7a4c0229be814a8db59d69d91ecd7ee0 |
| institution | Directory Open Access Journal |
| issn | 2227-9709 |
| language | English |
| last_indexed | 2024-12-10T03:45:37Z |
| publishDate | 2019-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Informatics |
| spelling | doaj.art-7a4c0229be814a8db59d69d91ecd7ee02022-12-22T02:03:26ZengMDPI AGInformatics2227-97092019-04-01621510.3390/informatics6020015informatics6020015Understanding the EMR-Related Experiences of Pregnant Japanese Women to Redesign Antenatal Care EMR SystemsSamar Helou0Victoria Abou-Khalil1Goshiro Yamamoto2Eiji Kondoh3Hiroshi Tamura4Shusuke Hiragi5Osamu Sugiyama6Kazuya Okamoto7Masayuki Nambu8Tomohiro Kuroda9Department of Social Informatics, Graduate School of Informatics, Kyoto University, Kyoto 606-8501, JapanDepartment of Social Informatics, Graduate School of Informatics, Kyoto University, Kyoto 606-8501, JapanDivision of Medical Information Technology and Administration Planning, Kyoto University Hospital, Kyoto 606-8507, JapanDepartment of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, Kyoto 606-8507, JapanCenter for Innovative Research and Education in Data Science, Kyoto University, Kyoto 606-8501, JapanDivision of Medical Information Technology and Administration Planning, Kyoto University Hospital, Kyoto 606-8507, JapanPreemptive Medicine and Lifestyle Related Diseases Research Center, Kyoto University, Kyoto 606-8507, JapanDivision of Medical Information Technology and Administration Planning, Kyoto University Hospital, Kyoto 606-8507, JapanPreemptive Medicine and Lifestyle Related Diseases Research Center, Kyoto University, Kyoto 606-8507, JapanDivision of Medical Information Technology and Administration Planning, Kyoto University Hospital, Kyoto 606-8507, JapanWoman-centered antenatal care necessitates Electronic Medical Record (EMR) systems that respect women’s preferences. However, women’s preferences regarding EMR systems in antenatal care remain unknown. This work aims to understand the EMR-related experiences that pregnant Japanese women want. First, we conducted a field-based observational study at an antenatal care clinic at a Japanese university hospital. We analyzed the data following a thematic analysis approach and found multiple EMR-related experiences that pregnant women encounter during antenatal care. Based on the observations’ findings, we administered a web survey to 413 recently pregnant Japanese women to understand their attitudes regarding the EMR-related experiences. Our results show that pregnant Japanese women want accessible, exchangeable, and biopsychosocial EMRs. They also want EMR-enabled explanations and summaries. Interestingly, differences in their demographics and stages of pregnancy affected their attitudes towards some EMR-related experiences. To respect their preferences, we propose amplifying the roles of EMR systems as tools that promote communication and woman-centeredness in antenatal care. We also propose expanding the EMR design mindset from a biomedical to a biopsychosocial-oriented one. Finally, to accommodate the differences in individual needs and preferences, we propose the design of adaptable person-centered EMR systems.https://www.mdpi.com/2227-9709/6/2/15Electronic Medical Record systemuser experienceantenatal careJapanobservational studysurveypregnancywomenattitudesperson-centered care |
| spellingShingle | Samar Helou Victoria Abou-Khalil Goshiro Yamamoto Eiji Kondoh Hiroshi Tamura Shusuke Hiragi Osamu Sugiyama Kazuya Okamoto Masayuki Nambu Tomohiro Kuroda Understanding the EMR-Related Experiences of Pregnant Japanese Women to Redesign Antenatal Care EMR Systems Informatics Electronic Medical Record system user experience antenatal care Japan observational study survey pregnancy women attitudes person-centered care |
| title | Understanding the EMR-Related Experiences of Pregnant Japanese Women to Redesign Antenatal Care EMR Systems |
| title_full | Understanding the EMR-Related Experiences of Pregnant Japanese Women to Redesign Antenatal Care EMR Systems |
| title_fullStr | Understanding the EMR-Related Experiences of Pregnant Japanese Women to Redesign Antenatal Care EMR Systems |
| title_full_unstemmed | Understanding the EMR-Related Experiences of Pregnant Japanese Women to Redesign Antenatal Care EMR Systems |
| title_short | Understanding the EMR-Related Experiences of Pregnant Japanese Women to Redesign Antenatal Care EMR Systems |
| title_sort | understanding the emr related experiences of pregnant japanese women to redesign antenatal care emr systems |
| topic | Electronic Medical Record system user experience antenatal care Japan observational study survey pregnancy women attitudes person-centered care |
| url | https://www.mdpi.com/2227-9709/6/2/15 |
| work_keys_str_mv | AT samarhelou understandingtheemrrelatedexperiencesofpregnantjapanesewomentoredesignantenatalcareemrsystems AT victoriaaboukhalil understandingtheemrrelatedexperiencesofpregnantjapanesewomentoredesignantenatalcareemrsystems AT goshiroyamamoto understandingtheemrrelatedexperiencesofpregnantjapanesewomentoredesignantenatalcareemrsystems AT eijikondoh understandingtheemrrelatedexperiencesofpregnantjapanesewomentoredesignantenatalcareemrsystems AT hiroshitamura understandingtheemrrelatedexperiencesofpregnantjapanesewomentoredesignantenatalcareemrsystems AT shusukehiragi understandingtheemrrelatedexperiencesofpregnantjapanesewomentoredesignantenatalcareemrsystems AT osamusugiyama understandingtheemrrelatedexperiencesofpregnantjapanesewomentoredesignantenatalcareemrsystems AT kazuyaokamoto understandingtheemrrelatedexperiencesofpregnantjapanesewomentoredesignantenatalcareemrsystems AT masayukinambu understandingtheemrrelatedexperiencesofpregnantjapanesewomentoredesignantenatalcareemrsystems AT tomohirokuroda understandingtheemrrelatedexperiencesofpregnantjapanesewomentoredesignantenatalcareemrsystems |