Rapid progress or lengthy process? Electronic personal health records in mental health.
Rapid progress or lengthy process? Electronic personal health records in mental health.
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DOI：
10.1186/1471-244x-11-117
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发表时间：
2011-07-26
期刊：
影响因子：
4.4
通讯作者：
Wykes T
中科院分区：
文献类型：
--
作者：
Ennis L;Rose D;Callard F;Denis M;Wykes T
许多医疗保健提供者的一个主要目标是增加患者对自身护理的参与。采用电子个人健康记录（ePHR）可能有助于实现这一目标。ePHR是个人健康信息的电子数据库，可供患者访问并由患者维护。ePHR非常流行，越来越多的研究报告了它们的潜在效用和成本。然而，这些研究中的绝大多数都集中在一般医疗保健方面。很少有人试图记录在精神卫生方面实施ePHRs过程中可能出现的具体问题。本综述通过电子文献检索确定了这些问题。报告强调并讨论了若干潜在的困难，包括获取信息技术、查明相关人群和处理敏感信息。特别注意的是“赋权”的概念，这意味着什么关系到ePHRs。
A major objective of many healthcare providers is to increase patients' participation in their own care. The introduction of electronic personal health records (ePHRs) may help to achieve this. An ePHR is an electronic database of an individual's health information, accessible to and maintained by the patient. ePHRs are very much in vogue, with an increasing number of studies reporting their potential utility as well as cost. However, the vast majority of these studies focus on general healthcare. Little attempt has been made to document the specific problems which might occur throughout the implementation of ePHRs in mental health. This review identifies such concerns through an electronic search of the literature. Several potential difficulties are highlighted and addressed, including access to information technology, identifying relevant populations and the handling of sensitive information. Special attention is paid to the concept of 'empowerment' and what this means in relation to ePHRs.