Department of Applied IT, University of Gothenburg, Gothenburg, Sweden.
Patient Educ Couns. 2012 Mar;86(3):342-7. doi: 10.1016/j.pec.2011.06.013. Epub 2011 Jul 22.
To evaluate how patients are supported with information and other forms of Web-based decision support for making an informed choice of a primary health care provider.
The article is based on a comparative case study of recently developed tools provided by Web portals in Sweden (one national, three regional). The theoretical framework for analysis is the general calculation model, including the steps of isolating, examining, and ranking available options.
The provision of information and other forms of support is reasonable when it comes to isolating a particular alternative or presenting a general view of alternatives. As for examining and ranking, one regional system and one national system offer support based on information from patient surveys and waiting times, and one regional system offers support based on provider competencies.
One design alternative is to represent the opinions of patients about care centers, another is to represent the characteristics of care centers, and a third is to combine the two. The general calculation model is relevant as a framework for analysis from a practical as well as a theoretical viewpoint.
The study provides practical examples of decision support for patient choice in primary health care.
评估患者如何通过信息以及其他形式的基于网络的决策支持来做出明智的初级保健提供者选择。
本文基于对瑞典网络门户（一个国家门户、三个地区门户）最近开发的工具的比较案例研究。分析的理论框架是通用计算模型，包括隔离、检查和对可用选项进行排序的步骤。
在隔离特定替代方案或呈现替代方案的一般视图方面，提供信息和其他形式的支持是合理的。至于检查和排序，一个地区系统和一个国家系统提供基于患者调查和等待时间的信息支持，而一个地区系统提供基于提供者能力的支持。
一种设计方案是代表患者对护理中心的意见，另一种是代表护理中心的特征，第三种是将两者结合起来。从实践和理论的角度来看，通用计算模型都是一个相关的分析框架。
该研究为初级保健中的患者选择提供了决策支持的实际范例。
