eHealth for Patient Engagement: A Systematic Review.
eHealth for Patient Engagement: A Systematic Review.
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DOI：
10.3389/fpsyg.2015.02013
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发表时间：
2015
影响因子：
3.8
通讯作者：
Riva G
中科院分区：
文献类型：
--
作者：
Barello S;Triberti S;Graffigna G;Libreri C;Serino S;Hibbard J;Riva G
电子保健干预措施被认为具有促进患者参与的巨大潜力。迄今为止，大多数研究都在研究电子健康在增强临床结果方面的功效，而没有关注患者参与其特异性。本文旨在回顾文献中关于使用电子健康在从事自己的护理过程中的患者的调查结果。我们在同行评审的国际文献中进行了全面的文献检索。11项研究符合纳入标准。审查的电子卫生干预措施主要致力于促进患者参与的部分方面（即，或者与健康护理管理相关的认知、情感或行为领域），因此未能考虑这种体验的复杂性。这也导致了技术、评估变量和取得成果的巨大差异。这一系统性综述强调，需要对患者需求进行更全面的了解，以使他们真正参与电子卫生干预措施并获得积极成果。从这个意义上说，患者参与构成了医疗保健模式的新领域，电子健康可以最大限度地发挥其潜力。
eHealth interventions are recognized to have a tremendous potential to promote patient engagement. To date, the majority of studies examine the efficacy of eHealth in enhancing clinical outcomes without focusing on patient engagement in its specificity. This paper aimed at reviewing findings from the literature about the use of eHealth in engaging patients in their own care process. We undertook a comprehensive literature search within the peer-reviewed international literature. Eleven studies met the inclusion criteria. eHealth interventions reviewed were mainly devoted to foster only partial dimensions of patient engagement (i.e., alternatively cognitive, emotional or behavioral domains related to healthcare management), thus failing to consider the complexity of such an experience. This also led to a great heterogeneity of technologies, assessed variables and achieved outcomes. This systematic review underlines the need for a more holistic view of patient needs to actually engage them in eHealth interventions and obtaining positive outcomes. In this sense, patient engagement constitute a new frontiers for healthcare models where eHealth could maximize its potentialities.