Health Information Technology Resource Center for Aligning Forces for Quality, Program in Behavioral Informatics and eHealth, Department of Psychiatry, Harvard Medical School/Brigham and Women's Hospital, 1249 Boylston Street, Boston, MA 02215, USA.
Am J Prev Med. 2011 May;40(5 Suppl 2):S162-72. doi: 10.1016/j.amepre.2011.01.005.
Patients are using healthcare technologies for a variety of reasons. Recently, the Meaningful-Use rule was released by the Centers for Medicare and Medicaid Services, providing some initial guidance for patient-facing technologies. There needs to be more of an understanding of patients' needs and how these technologies can be utilized effectively. This article provides a framework for organizing patient-facing technologies into categories of meaningful use, and how these technologies can improve healthcare quality, safety, and population health. Barriers to achieving meaningful use of HIT and unintended consequences of patient-facing technologies are discussed. The success of healthcare reform is predicated on achieving improved health outcomes and reduced costs, which can be accomplished only by activating patients to become more engaged in their own care. Patient-facing technologies are likely to play a critical role in supporting patients to become more informed and activated and may also improve efficiencies. Further research is needed to identify the most useful and effective technologies for patients.
患者出于多种原因使用医疗保健技术。最近,医疗保险和医疗补助服务中心发布了有意义使用规则,为面向患者的技术提供了一些初步指导。需要更多地了解患者的需求以及如何有效地利用这些技术。本文提供了一个框架,将面向患者的技术分为有意义使用的类别,并讨论了这些技术如何提高医疗质量、安全性和人口健康。还讨论了实现医疗保健信息技术有意义使用的障碍和面向患者的技术的意外后果。医疗改革的成功取决于改善健康结果和降低成本,这只有通过激活患者使其更积极地参与自己的护理才能实现。面向患者的技术可能在支持患者变得更知情和更积极方面发挥关键作用,并且还可能提高效率。需要进一步研究以确定对患者最有用和最有效的技术。