Conditions potentially sensitive to a personal health record (PHR) intervention, a systematic review.
Conditions potentially sensitive to a personal health record (PHR) intervention, a systematic review.
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DOI：
10.1186/s12911-015-0159-1
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发表时间：
2015-04-18
影响因子：
3.5
通讯作者：
Lau F
中科院分区：
文献类型：
--
作者：
Price M;Bellwood P;Kitson N;Davies I;Weber J;Lau F
个人健康记录（PHR）是由患者控制、共享或维护的电子健康记录，以支持以患者为中心的护理。PHRs改变卫生保健的潜力是巨大的;然而，PHRs并不总是实现其潜力。其中一个原因可能是，并非所有健康状况都对PHR作为干预措施敏感。本综述的目的是发现哪些条件是潜在的敏感PHR作为一种干预措施，也就是说，什么条件的经验证据，从PHR启用管理的好处。完成了Medline和CINAHL的系统综述，以查找评估2008年至2014年在特定健康状况下使用PHR和获益的文章。两名研究人员独立筛选和编码的文章。从纳入的研究中确定了具有使用PHR获益证据的健康状况。共收录论文23篇。7篇论文为RCT。确定了十种健康状况，其中七种记录了与使用PHR相关的益处：哮喘、糖尿病、生育能力、青光眼、艾滋病毒、高脂血症和高血压。用途：报告的好处被认为是在护理质量，访问和生产力方面，虽然许多好处是通过自我报告通过准实验研究来衡量的。没有研究检查发病率/死亡率。没有研究报告PHR造成的伤害。已发表了一小部分特定条件的证据。有证据表明使用PHR有益的疾病往往是慢性疾病，在PHR监测和可以自我管理的直接行为之间存在反馈回路。这些发现可以指出其他潜在的PHR敏感的健康状况，并指导PHR设计者，实施者和研究人员。需要更多的研究来联系PHR的设计，功能，采用和健康结果，以更好地了解PHR如何以及是否对健康结果产生影响。
Personal Health Records (PHRs) are electronic health records controlled, shared or maintained by patients to support patient centered care. The potential for PHRs to transform health care is significant; however, PHRs do not always achieve their potential. One reason for this may be that not all health conditions are sensitive to the PHR as an intervention. The goal of this review was to discover which conditions were potentially sensitive to the PHR as an intervention, that is, what conditions have empirical evidence of benefit from PHR-enabled management. A systematic review of Medline and CINAHL was completed to find articles assessing PHR use and benefit from 2008 to 2014 in specific health conditions. Two researchers independently screened and coded articles. Health conditions with evidence of benefit from PHR use were identified from the included studies. 23 papers were included. Seven papers were RCTs. Ten health conditions were identified, seven of which had documented benefit associated with PHR use: asthma, diabetes, fertility, glaucoma, HIV, hyperlipidemia, and hypertension. Reported benefits were seen in terms of care quality, access, and productivity, although many benefits were measured by self-report through quasi-experimental studies. No study examined morbidity/mortality. No study reported harm from the PHR. There is a small body of condition specific evidence that has been published. Conditions with evidence of benefit when using PHRs tended to be chronic conditions with a feedback loop between monitoring in the PHR and direct behaviours that could be self-managed. These findings can point to other potentially PHR sensitive health conditions and guide PHR designers, implementers, and researchers. More research is needed to link PHR design, features, adoption and health outcomes to better understand how and if PHRs are making a difference to health outcomes.
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影响因子：
2.2
作者：
Chiche L;Brescianini A;Mancini J;Servy H;Durand JM
通讯作者：
Durand JM
DOI：
10.1016/s1386-5056(01)00184-8
发表时间：
2001-11-01
影响因子：
4.9
作者：
Kaplan, B
通讯作者：
Kaplan, B
影响因子：
4.4
作者：
Ennis L;Rose D;Callard F;Denis M;Wykes T
通讯作者：
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影响因子：
2.5
作者：
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通讯作者：
Elliott, Tom
影响因子：
3.6
作者：
Breton, Emily R.;Fuemmeler, Bernard F.;Abroms, Lorien C.
通讯作者：
Abroms, Lorien C.