Informatics Systems and Tools to Facilitate Patient-centered Care Coordination.
Informatics Systems and Tools to Facilitate Patient-centered Care Coordination.
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DOI：
10.15265/iy-2015-003
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发表时间：
2015-08-13
影响因子：
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通讯作者：
Kneale, L
中科院分区：
文献类型：
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作者：
Demiris, G;Kneale, L
引言：以病人为中心的护理越来越受到国际关注.一个模式，旨在促进这种类型的护理在初级保健设置是以病人为中心的医疗之家。这种模式的护理努力是以病人为中心的，全面的，以团队为基础的，协调的，可访问的，并专注于质量和安全的care.Objective：本文的目的是确定目前的状态和未来的趋势，以病人为中心的护理和信息系统和工具的作用，促进这种模式的护理。在本文中，我们回顾了过去四年的最新科学文献，以确定以患者为中心的整体护理，更具体地说是医疗之家的趋势和当前证据的状态。有几项研究表明，在以病人为中心的护理，即临床决策支持，注册，团队护理，护理过渡，个人健康记录，远程医疗和测量的七个信息领域的增长和发展。在某些情况下，我们仍然缺乏大型随机临床试验和证据基础并不总是坚实的，但研究结果强烈表明，信息学的潜力，以支持以病人为中心的care.CONCLUSION：目前的证据表明，进步已经取得了实施和评估以病人为中心的护理模式。技术、法律的和实际的挑战仍然存在。需要进一步研究以患者为中心的信息学工具和系统对临床结局的影响。
INTRODUCTION: There is a growing international focus on patient- centered care. A model designed to facilitate this type of care in the primary care setting is the patient-centered medical home. This model of care strives to be patient-focused, comprehensive, team-based, coordinated, accessible, and focused on quality and safety of care.OBJECTIVE: The objective of this paper is to identify the current status and future trends of patient-centered care and the role of informatics systems and tools in facilitating this model of care.METHODS: In this paper we review recent scientific literature of the past four years to identify trends and state of current evidence when it comes to patient-centered care overall, and more specifically medical homes.RESULTS: There are several studies that indicate growth and development in seven informatics areas within patient-centered care, namely clinical decision support, registries, team care, care transitions, personal health records, telehealth, and measurement. In some cases we are still lacking large randomized clinical trials and the evidence base is not always solid, but findings strongly indicate the potential of informatics to support patient-centered care.CONCLUSION: Current evidence indicates that advancements have been made in implementing and evaluating patient-centered care models. Technical, legal, and practical challenges still remain. Further examination of the impact of patient-centered informatics tools and systems on clinical outcomes is needed.