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Patient Health Information Technology Designed for Shared Decision Making: If We Implement It, Will It Become Normal
1University of Victoria, School of Health Information Science, Victoria, Canada.
Studies in Health Technology and Informatics
|August 24, 2019
Summary
Personal health records (PHRs) can improve patient engagement in self-management. Successful integration requires collective action and investment in cognitive and behavioral processes for shared decision-making.
Area of Science:
- Health Informatics
- Patient Engagement
- Shared Decision-Making
Background:
- Personal health records (PHRs) are increasingly utilized for patient engagement.
- Shared decision-making models aim to involve patients actively in their care.
- Understanding implementation factors is crucial for successful adoption.
Purpose of the Study:
- To evaluate the pre-implementation factors influencing the integration of PHRs for shared decision-making.
- To describe the cognitive and behavioral work involved in implementing PHRs.
- To assess the potential of PHRs to enhance patient engagement in self-management.
Main Methods:
- Utilized Normalization Process Theory (NPT) as a framework.
- Employed mixed methods for a comprehensive evaluation.
- Described cognitive and behavioral aspects of implementation.
Main Results:
- Participants showed strong agreement on the positive impact of PHRs on engagement.
- Sense-making, commitment, and appraisal processes were key areas of participant investment.
- Evidence suggests potential for successful integration into practice.
Conclusions:
- PHRs hold significant potential for enhancing patient engagement in self-management through shared decision-making.
- Successful implementation hinges on systemic investment in collective action.
- Further research should focus on optimizing integration strategies based on NPT.
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