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患者的角色:自我护理的论据。

A role for patients: the argument for self-care.

机构信息

THINK-Health and Health Populi blog, USA.

出版信息

Am J Prev Med. 2013 Jan;44(1 Suppl 1):S16-8. doi: 10.1016/j.amepre.2012.09.019.

Abstract

CONTEXT

This article discusses the role of patients and self-care enabled through the use of technology. Patients have shown interest in healthcare tools that are artfully designed and based on their wants and personal habits. The expectation is that, as these tools evolve, patients will find sufficient motivation and capability to join with their providers to co-manage their health.

EVIDENCE ACQUISITION

Review of research published between 2001 and 2012 was conducted in 2011. The areas where research still needs to be conducted include our gaps in understanding about the relationship between self-care and engagement with technology (that might facilitate self-care), and the issues that determine why and when consumers engage with technology.

EVIDENCE SYNTHESIS

Evidence increasingly suggests that patient engagement in self-care, particularly with respect to coping with chronic disease, can improve medical outcomes.

CONCLUSIONS

Technology platforms are important to patient self-care. But a more-important need is to change workflows/incentive structures to support long-term behavioral change.

摘要

背景

本文讨论了患者的角色以及通过技术实现的自我护理。患者对设计巧妙且基于其需求和个人习惯的医疗工具很感兴趣。随着这些工具的不断发展,人们期望患者能够找到足够的动力和能力,与医疗服务提供者一起共同管理自己的健康。

证据获取

2011 年对 2001 年至 2012 年间发表的研究进行了回顾。仍需开展研究的领域包括我们对自我护理与技术应用之间关系(这可能有助于自我护理)的理解存在差距,以及决定消费者何时以及为何使用技术的问题。

证据综合

越来越多的证据表明,患者参与自我护理,尤其是应对慢性疾病,可以改善医疗效果。

结论

技术平台对患者自我护理很重要。但更重要的是需要改变工作流程/激励结构,以支持长期的行为改变。

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