• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BMC Medical Informatics and Decision Making >Barriers to patient, provider, and caregiver adoption and use of electronic personal health records in chronic care: a systematic review
【24h】

Barriers to patient, provider, and caregiver adoption and use of electronic personal health records in chronic care: a systematic review

机译：患者，提供者和护理人员的障碍采用和使用慢性护理中的电子个人健康记录：系统审查

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Electronic personal health records (ePHRs) are defined as electronic applications through which individuals can access, manage, and share health information in a private, secure, and confidential environment. Existing evidence shows their benefits in improving outcomes, especially for chronic disease patients. However, their use has not been as widespread as expected partly due to barriers faced in their adoption and use. We aimed to identify the types of barriers to a patient, provider, and caregiver adoption/use of ePHRs and to analyze their extent in chronic disease care. A systematic search in Medline, PubMed, Science Direct, Cumulative Index to Nursing and Allied Health Literature (CINAHL), the Cochrane Central Register of Controlled Trials, and the Institute of Electrical and Electronics Engineers (IEEE) database was performed to find original studies assessing barriers to ePHR adoption/use in chronic care until the end of 2018. Two researchers independently screened and extracted data. We used the PHR adoption model and the Unified Theory of Acceptance and Use of Technology to analyze the results. The Mixed Methods Appraisal Tool (MMAT) version 2018 was used to assess the quality of evidence in the included studies. Sixty publications met our inclusion criteria. Issues found hindering ePHR adoption/use in chronic disease care were associated with demographic factors (e.g., patient age and gender) along with key variables related to health status, computer literacy, preferences for direct communication, and patient’s strategy for coping with a chronic condition; as well as factors related to medical practice/environment (e.g., providers’ lack of interest or resistance to adopting ePHRs due to workload, lack of reimbursement, and lack of user training); technological (e.g., concerns over privacy and security, interoperability with electronic health record systems, and lack of customized features for chronic conditions); and chronic disease characteristics (e.g., multiplicities of co-morbid conditions, settings, and providers involved in chronic care). ePHRs can be meaningfully used in chronic disease care if they are implemented as a component of comprehensive care models specifically developed for this care. Our results provide insight into hurdles and barriers mitigating ePHR adoption/use in chronic disease care. A deeper understating of the interplay between these barriers will provide opportunities that can lead to an enhanced ePHR adoption/use.
机译：电子个人健康记录（EPHR）被定义为电子应用程序，个人可以通过该应用程序在私人，安全和机密环境中访问，管理和分享健康信息。现有证据表明了改善结果的益处，特别是对于慢性疾病患者。然而，由于在采用和使用中面临的障碍，他们的使用并未按预期的普遍存在。我们旨在识别患者，提供者和护理人员采用/使用ephrs的障碍类型，并分析它们在慢性疾病护理中的程度。在Medline，PubMed，Science Direct，累积指数中进行系统搜索，对护理和盟友的健康文献（CINAHL），Cochrane中央登记册以及电气和电子工程师（IEEE）数据库的研究所进行了解，以寻找评估原始研究ephr通过/用于慢性护理的障碍直到2018年底。两位研究人员独立筛选和提取数据。我们使用了Phr采用模型和统一的接受理论和使用技术来分析结果。混合方法评估工具（MMAT）2018年用于评估包括在内的研究中的证据质量。六十个出版物达到了我们的纳入标准。发现障碍伊庇尔采用/用于慢性疾病护理的问题与人口因子（例如，患者年龄和性别）相关，以及与健康状况，计算机识字，直接沟通的偏好有关的关键变量，以及患者应对慢性病的策略;以及与医疗实践/环境有关的因素（例如，提供者缺乏兴趣或抵制采用ephrs，由于工作量，缺乏报销和缺乏用户培训）;技术（例如，涉及隐私和安全，与电子健康记录系统的互操作性，以及慢性条件的定制特征）;和慢性疾病特征（例如，慢性护理参与的共同病态，设置和提供者的多重性）。如果它们被实施为专门为此护理专门开发的综合护理模型的组成部分，则可以有意义地用于慢性疾病护理的ephrs。我们的结果提供了对减轻迟到的核心疾病护理的障碍和障碍的洞察力。对这些障碍之间的相互作用更深入地低估了可以导致增强型ePHR采用/使用的机会。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号