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Informatics 2019, 6(2), 15; https://doi.org/10.3390/informatics6020015

Understanding the EMR-Related Experiences of Pregnant Japanese Women to Redesign Antenatal Care EMR Systems

1
Department of Social Informatics, Graduate School of Informatics, Kyoto University, Kyoto 606-8501, Japan
2
Division of Medical Information Technology and Administration Planning, Kyoto University Hospital, Kyoto 606-8507, Japan
3
Department of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, Kyoto 606-8507, Japan
4
Center for Innovative Research and Education in Data Science, Kyoto University, Kyoto 606-8501, Japan
5
Preemptive Medicine and Lifestyle Related Diseases Research Center, Kyoto University, Kyoto 606-8507, Japan
*
Author to whom correspondence should be addressed.
Received: 26 February 2019 / Revised: 21 March 2019 / Accepted: 26 March 2019 / Published: 4 April 2019
(This article belongs to the Special Issue Data-Driven Healthcare Research)
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Abstract

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. View Full-Text
Keywords: Electronic Medical Record system; user experience; antenatal care; Japan; observational study; survey; pregnancy; women; attitudes; person-centered care Electronic Medical Record system; user experience; antenatal care; Japan; observational study; survey; pregnancy; women; attitudes; person-centered care
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Helou, S.; Abou-Khalil, V.; Yamamoto, G.; Kondoh, E.; Tamura, H.; Hiragi, S.; Sugiyama, O.; Okamoto, K.; Nambu, M.; Kuroda, T. Understanding the EMR-Related Experiences of Pregnant Japanese Women to Redesign Antenatal Care EMR Systems. Informatics 2019, 6, 15.

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