McGeady David, Kujala Jaakko, Ilvonen Karita
Helsinki University of Technology, Finland.
Int J Med Inform. 2008 Jan;77(1):17-23. doi: 10.1016/j.ijmedinf.2006.11.004. Epub 2006 Dec 22.
Information technology can support the delivery of healthcare. Patients are eager to make use of such tools as web messaging, yet its deployment has been limited to date. A fear still pervades that the cost associated with a possible increase to physician workloads may outweigh any suggested benefits.
This paper aims to review the body of research completed in the area of patient-physician web messaging. The findings of this review will then be assessed and synthesised, with the intention of creating an overview of both the benefits and costs of patient-physician online messaging. Areas of particular importance to future research may then be identified.
Demand and support for online communication tools amongst patients is strong, and can increase quality of care due to increased patient-physician communication. Although there would seem to be great potential to increase process efficiency, there would not seem to be sufficient evidence as of yet to suggest that this is the case.
Further quantitative research in particular is required to assess the impact of online communication, with special regard to the effect on overall patient demand and on healthcare process efficiency.
信息技术能够支持医疗保健服务的提供。患者渴望使用诸如网络消息传递之类的工具,然而迄今为止其应用仍较为有限。一种担忧仍然普遍存在,即与医生工作量可能增加相关的成本可能超过任何预期的益处。
本文旨在回顾在医患网络消息传递领域已完成的研究主体。然后将对该综述的结果进行评估和综合,以期概述医患在线消息传递的益处和成本。进而可以确定对未来研究特别重要的领域。
患者对在线通信工具的需求和支持很强烈,并且由于医患沟通增加可提高护理质量。尽管似乎有很大潜力提高流程效率,但目前似乎尚无足够证据表明情况确实如此。
尤其需要进一步开展定量研究,以评估在线通信的影响,特别要关注其对患者总体需求和医疗保健流程效率的影响。