在初级医疗保健中电子实施患者报告的结果措施:混合方法系统性审查
Maxime Sasseville1, Wilfried Supper1, Jean-Baptiste Gartner1
1Faculty of Medicine, Université Laval, Quebec City, QC, Canada.
Journal of medical Internet research
|May 5, 2025
概括
在初级卫生保健中实施电子患者报告结果测量 (ePROM) 显示了慢性疾病管理的混合结果. 解决数字素养和工作流集成是成功采用和改善患者结果的关键.
科学领域:
- 医疗信息学 医疗信息学
- 初级医疗保健研究 研究初级医疗保健研究
- 慢性疾病管理 慢性疾病管理
背景情况:
- 慢性疾病管理是初级医疗保健 (PHC) 的一个重大挑战.
- 电子患者报告结果测量 (ePROM) 提供了增强患者参与度和改善结果的潜力.
- 目前在PHC的ePROM实施显示了有效性和采用的变化.
研究的目的:
- 在PHC内系统审查ePROM在慢性疾病管理中的实施和有效性.
- 识别影响ePROM集成在PHC环境中的障碍和促进因素.
主要方法:
- 一个混合方法的系统审查,遵守柯克兰和PRISMA指南.
- 包括的研究重点是针对PHC中成人慢性疾病管理的ePROM实施.
- 数据提取涵盖了患者的结果,工作流程,实施因素和成本,并使用RE-AIM框架进行分析.
主要成果:
- 包括22项研究,主要来自美国和加拿大,使用各种ePROM工具,特别是移动应用程序.
- 在45%的研究中报告了患者结果和自我管理的改善,55%的研究显示没有显著变化.
- 障碍包括数字素养差距和工作流集成问题;促进者涉及患者提供者关系和技术支持. 长期的成本效益仍然不确定.
结论:
- 在PHC中成功实施ePROM需要解决数字素养和个性化问题.
- 有意义的患者-提供者互动和无的技术集成至关重要.
- 需要进一步研究长期影响和成本效益,以最大限度地利用数字健康技术的好处.
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