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Impact of information and communication technology on interprofessional collaboration for chronic disease management: a systematic review

机译:信息与通信技术对慢性疾病管理思想协作的影响:系统审查

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Objectives Information and communication technology is often lauded as the key to enhancing communication among health care providers. However, its impact on interprofessional collaboration is unclear. The objective of this study was to determine the extent to which it improves communication and, subsequently, enhances interprofessional collaboration in chronic disease management. Methods A systematic review of academic literature using two electronic platforms: HealthSTAR and Web of Science (core collection and MEDLINE). To be eligible for inclusion in the review, articles needed to be peer-reviewed; accessible in English and focused on how technology supports, or might support, collaboration (through enhanced communication) in chronic disease management. Studies were assessed for quality and a narrative synthesis conducted. Results The searches identified 289 articles of which six were included in the final analysis (three used qualitative methods, two were descriptive and one used mixed methods). Various forms of information and communication technology were described including electronic health records, online communities/learning resources and telehealth/telecare. Three themes emerged from the studies that may provide insights into how communication that facilitates collaboration in chronic disease management might be enhanced: professional conflict, collective engagement and continuous learning. Conclusions The success of technology in enhancing collaboration for chronic disease management depends upon supporting the social relationships and organization in which the technology will be placed. Decision-makers should take into account and work toward balancing the impact of technology together with the professional and cultural characteristics of health care teams. ]]>
机译:目标信息和通信技术通常被誉为加强医疗服务提供者之间沟通的关键。然而,它对跨专业合作的影响尚不清楚。这项研究的目的是确定它在多大程度上改善了沟通,进而加强了慢性病管理中的跨专业合作。方法使用两个电子平台:HealthSTAR和科学网(core collection和MEDLINE)对学术文献进行系统回顾。为了有资格被纳入审查,文章需要经过同行审查;英文版,重点关注技术如何支持或可能支持慢性病管理方面的合作(通过加强沟通)。对研究进行了质量评估,并进行了叙事综合。结果检索出289篇文章,其中6篇纳入最终分析(3篇采用定性方法,2篇采用描述性方法,1篇采用混合方法)。介绍了各种形式的信息和通信技术,包括电子健康记录、在线社区/学习资源和远程健康/远程医疗。这些研究提出了三个主题,可以为如何加强促进慢性病管理合作的沟通提供见解:职业冲突、集体参与和持续学习。结论:技术在促进慢性病管理合作方面的成功取决于支持技术所处的社会关系和组织。决策者应考虑并努力平衡技术的影响与医疗团队的专业和文化特征。]]>

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