What is eHealth (6): perspectives on the evolution of eHealth research.
What is eHealth (6): perspectives on the evolution of eHealth research.
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DOI：
10.2196/jmir.8.1.e4
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发表时间：
2006-03-31
影响因子：
7.4
通讯作者：
Phalen JM
中科院分区：
文献类型：
--
作者：
Ahern DK;Kreslake JM;Phalen JM
电子健康领域有望支持和促进健康行为改变以及慢性病的预防和管理。为了确定早期开发、评估和传播电子医疗应用的贡献者之间的一致和争议领域，以及为评估研究资助议程提供信息的愿望，2002 年 5 月至 2003 年 9 月期间，对电子医疗利益相关者进行了 38 次半结构化、定性访谈。参与者被问及他们对信息技术在健康行为改变和慢性病管理方面的可信度、价值和未来潜力的看法。使用定性方法对访谈进行编码和分析，以找出新兴主题。 各利益相关群体都确定了一致的主题，但侧重点略有不同。这些主题包括以下内容：（1）共识和标准化——大多数利益相关者表达了强烈渴望更加协调、严格的努力来定义和整合该领域； (2) 评估方法和挑战——需要展示结果来确定电子卫生保健的质量和功效，但利益相关者对现有结果测量的敏感性、有效性和可靠性并不满意； (3) 质量、价值和未来潜力——电子医疗的潜在成本效益、效率和改善临床状态之间的交集引起了用户的高度兴趣； (4) 健康差异——许多利益相关者认为，传统上服务不足的人群将特别受益于电子卫生保健应用，尽管其他人认为服务不足的人群在获得技术方面也处于不利地位。 建议包括需要改进和正规化私营和公共部门的发展和评估标准，对传统上服务不足的人群的技术需求和偏好进行更多研究，以及对电子卫生保健对结果和成本效益的影响进行长期流行病学研究。
The field of eHealth holds promise for supporting and enabling health behavior change and the prevention and management of chronic disease. In order to establish areas of congruence and controversy among contributors to the early development, evaluation, and dissemination of eHealth applications, as well as the desire to inform an evaluation research funding agenda, 38 semistructured, qualitative interviews were conducted among stakeholders in eHealth between May 2002 and September 2003. Participants were asked about their perspectives on the credibility, value, and future potential of information technology for health behavior change and chronic disease management. Interviews were coded and analyzed for emergent themes using qualitative methods. Consistent themes were identified across stakeholder groups, with slight differences in emphasis. These topics included the following: (1) consensus and standardization—most stakeholders expressed a strong desire for a more coordinated, rigorous effort to define and integrate the field; (2) evaluation methods and challenges—demonstrating outcomes is required to establish eHealth quality and efficacy, but stakeholders were not satisfied with the sensitivity, validity, and reliability of existing outcome measures; (3) quality, value, and future potential—the intersection between eHealth’s potential cost-effectiveness, efficiency, and improved clinical status among users generated a high degree of interest; and (4) health disparities—many stakeholders contended that traditionally underserved populations will particularly benefit from eHealth applications, although others argued that the underserved are also disadvantaged in terms of access to technology. Recommendations included the need for improvement and formalization of development and evaluation standards across private and public sectors, additional research on the technology needs and preferences of traditionally underserved populations, and long-term epidemiologic studies of the impact of eHealth on outcomes and cost-effectiveness.
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影响因子：
7.4
作者：
Gibbons, Michael C
通讯作者：
Gibbons, Michael C
DOI：
10.1089/tmj.2005.11.384
发表时间：
2005-06-01
期刊：
TELEMEDICINE JOURNAL AND E-HEALTH
影响因子：
--
作者：
Craft, RL
通讯作者：
Craft, RL
影响因子：
7.4
作者：
Jones, R;Rogers, R;Williamson, GR
通讯作者：
Williamson, GR
DOI：
10.1197/jamia.m1535
发表时间：
2004-11-01
影响因子：
6.4
作者：
Chang, BL;Bakken, S;Stavri, PZ
通讯作者：
Stavri, PZ
影响因子：
120.7
作者：
Chassin, MR;Galvin, RW
通讯作者：
Galvin, RW