%0 Journal Article
%T Understanding the EMR-Related Experiences of Pregnant Japanese Women to Redesign Antenatal Care EMR Systems
%A Eiji Kondoh
%A Goshiro Yamamoto
%A Hiroshi Tamura
%A Kazuya Okamoto
%A Masayuki Nambu
%A Osamu Sugiyama
%A Samar Helou
%A Shusuke Hiragi
%A Tomohiro Kuroda
%A Victoria Abou-Khalil
%J -
%D 2019
%R https://doi.org/10.3390/informatics6020015
%X 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-Tex
%K Electronic Medical Record system
%K user experience
%K antenatal care
%K Japan
%K observational study
%K survey
%K pregnancy
%K women
%K attitudes
%K person-centered care
%U https://www.mdpi.com/2227-9709/6/2/15