Impact of a patient-centered, computer-based health information/support system
Impact of a patient-centered, computer-based health information/support system
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DOI：
10.1016/s0749-3797(98)00108-1
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发表时间：
1999-01-01
影响因子：
5.5
通讯作者：
Chan, CL
中科院分区：
文献类型：
--
作者：
Gustafson, DH;Hawkins, R;Chan, CL
背景：消费者健康信息系统可能改善患者的生活质量并激活患者自我护理。目标：测试一种计算机化系统(CHESS：综合健康增强支持系统)，在该应用中，该系统为HIV阳性患者提供信息、决策支持以及与专家和其他患者的联系。被允许在家中使用电脑的患者是否会使用该系统，提高他们的生活质量，减少健康风险行为，并更有效地使用医疗服务！研究随机对照试验：在实验对象的家中使用国际象棋电脑InDesign：麦迪逊或威斯康星州密尔沃基，为期3或6个月；对照组没有接受任何干预。受试者在安装国际象棋之前、期间和之后完成自我报告调查。研究对象：在招募的204名HIV阳性患者(男性90%，白人84%，平均大学学历，65%经历HIV相关症状)中，90%完成了研究。测量：自我报告生活质量和使用医疗服务的频率和持续时间。结果：每天使用国际象棋，不同人口统计亚组之间差异不大。当国际象棋在家中时，其用户报告了生活质量的改善：积极的生活、负面情绪、认知功能、社会支持和参与医疗保健。他们还报告说，他们在门诊就诊中花费的时间更少，给医疗服务提供者打的电话更多，住院时间更少和更短。结论：基于计算机的个人健康支持系统可以提高患者的生活质量，促进更有效地利用医疗保健。
Background: Consumer health information systems potentially improve a patient's quality of life and activate patient self-care.Objectives: Test a computerized system (CHESS: Comprehensive Health Enhancement Support System), which, in this application, provided HIV-positive patients with information, decision support, and connections to experts and other patients. Would patients given in-home access to computers use the system, improve their quality of life, reduce health-risk behaviors, and use medical services more efficiently!Research Randomized controlled trial: CHESS computers in experimental subjects' homes inDesign: Madison or Milwaukee, Wisconsin, for 3 or 6 months; controls received no intervention. Subjects were compensated for self-report surveys completed before, during, and after CHESS installation.Subjects: Of 204 HIV-positive patients recruited (90% male, 84% white, average education some college, and 65% experiencing HIV-related symptoms), 90% completed the study.Measures: Self-reports of quality of life and frequency and duration of use of medical services.Results: CHESS was used daily with little difference between demographic subgroups. While CHESS was in the home, its users reported quality-of-life improvements: active life, negative emotions, cognitive function, social support, and participation in health care. They also reported spending less time during ambulatory care visits, making more phone calls to providers, and experiencing fewer and shorter hospitalizations.Conclusions: A computer-based personal health support system can improve a patient's quality of life and promote more efficient use of health care.