Evaluating Patient Empowerment in Association With eHealth Technology: Scoping Review.
Evaluating Patient Empowerment in Association With eHealth Technology: Scoping Review.
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DOI：
10.2196/jmir.7809
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发表时间：
2017-09-29
影响因子：
7.4
通讯作者：
Thorp-Froslie N
中科院分区：
文献类型：
--
作者：
Risling T;Martinez J;Young J;Thorp-Froslie N
在当代医疗保健中，以患者为中心的可持续护理的优先次序已经导致越来越多地关注患者赋权，这反过来又被认为是促进患者独立性，自我管理和自我效能。然而，赋权的定义共识仍然难以捉摸，阻碍了将赋权的概念理想转化为与医疗保健行为或结果变化相关的可衡量实体的努力。技术与保健的迅速结合使增强权能的可衡量性和可操作性又增加了一层复杂性，并有助于创造一个具体的背景，以便进一步审查这一概念实体。本次范围界定审查的主要目的是探讨电子健康（eHealth）背景下患者赋权的概念。还进一步关注了该概念与栓系患者入口使用的关联或测量。在这次范围界定审查中，使用了一个六步框架来指导检索和论文选择过程。审查开始了两个广泛的研究问题，这是如下：（1）从病人的角度来看，授权和使用电子健康技术之间的关系是什么？(2)通过联网患者门户访问个人健康信息如何影响患者赋权（和/或参与或激活）？在综合检索策略中使用了多个数据库，由2名综述作者对论文进行初步评价和选择以纳入，并咨询第三名作者以解决达成共识的任何问题。从1387篇出版物的初始计数中，该综述返回了9篇系统或文献综述论文和19项实证研究，这些研究与使用提供电子健康记录（EHR）访问的栓系患者门户网站相关的患者赋权（和/或参与和激活）有关。在19篇经验性出版物中，只有4篇被发现使用了特定的患者赋权措施，其确定的概念要素具有显著的多样性。在患者赋权研究中一直缺乏概念清晰度，这已经扩展到电子健康背景下的研究。患者赋权、参与和激活等术语的可互换使用或合并，使不同概念措施的进展进一步复杂化。为了使患者赋权的变化与支持性电子健康解决方案更加一致，必须应对就如何最好地实施和衡量患者赋权达成共识的挑战。
The prioritization of sustainable patient-centered care in contemporary health care has resulted in an increased focus on patient empowerment, which in turn is considered to facilitate patient independence, self-management, and self-efficacy. However, a definitional consensus of empowerment remains elusive, impeding efforts to translate the conceptual ideals of empowerment into a measurable entity associated with changes in health care behavior or outcomes. The rapid integration of technology in health care serves to add another layer of complexity in the measurability and operationalization of empowerment and helps to create a specific context in which this conceptual entity should be further examined. The primary objective of this scoping review was to explore the concept of patient empowerment within the electronic health (eHealth) context. A further focus on the association or measurement of this concept in conjunction with tethered patient portal use was also employed. In this scoping review, a six-step framework was used to guide the search and paper selection process. The review was initiated with two broad research questions, which are as follows: (1) What is the relationship between empowerment and the use of eHealth technologies from a patient perspective? (2) How is patient empowerment (and/or engagement or activation) influenced by accessing personal health information through a tethered patient portal? Multiple databases were employed in a comprehensive search strategy, and papers were primarily evaluated and selected for inclusion by 2 review authors, and a third author was consulted to resolve any issues in reaching consensus. From an initial count of 1387 publications, this review returned nine systematic or literature review papers and 19 empirical studies that pertained to patient empowerment (and/or engagement and activation) in relation to the use of tethered patient portals providing access to electronic health records (EHRs). Of the 19 empirical publications, only four were found to have used specific patient empowerment measures with significant variety in their identified conceptual elements. There is a persistent lack of conceptual clarity in patient empowerment research, and this has extended to study within the eHealth context. The interchangeable use or conflation of terms such as patient empowerment, engagement, and activation, has further complicated the advancement of distinct conceptual measures. To more strongly align changes in patient empowerment with supportive eHealth solutions, the challenges of achieving a consensus on how best to operationalize and measure patient empowerment must be met.
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影响因子：
2.8
作者：
Bravo, Paulina;Edwards, Adrian;McAllister, Marion
通讯作者：
McAllister, Marion
影响因子：
9.9
作者：
Hill, Rowena;Betts, Lucy R.;Gardner, Sarah E.
通讯作者：
Gardner, Sarah E.
DOI：
10.1007/978-1-4614-1536-7_14
发表时间：
2012-01-01
期刊：
CRITICAL ISSUES FOR THE DEVELOPMENT OF SUSTAINABLE E-HEALTH SOLUTIONS
影响因子：
--
作者：
Bos, Lodewijk
通讯作者：
Bos, Lodewijk
影响因子：
5.5
作者：
Henry, Shayna L.;Shen, Ernest;Kanter, Michael H.
通讯作者：
Kanter, Michael H.
影响因子：
3.5
作者：
Holmstrom, Inger;Roing, Marta
通讯作者：
Roing, Marta