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电子健康在优化基层医疗环境中预防保健方面的作用。

The Role of eHealth in Optimizing Preventive Care in the Primary Care Setting.

作者信息

Carey Mariko, Noble Natasha, Mansfield Elise, Waller Amy, Henskens Frans, Sanson-Fisher Rob

机构信息

Health Behaviour Research Group, Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, Australia.

出版信息

J Med Internet Res. 2015 May 22;17(5):e126. doi: 10.2196/jmir.3817.

Abstract

Modifiable health risk behaviors such as smoking, overweight and obesity, risky alcohol consumption, physical inactivity, and poor nutrition contribute to a substantial proportion of the world's morbidity and mortality burden. General practitioners (GPs) play a key role in identifying and managing modifiable health risk behaviors. However, these are often underdetected and undermanaged in the primary care setting. We describe the potential of eHealth to help patients and GPs to overcome some of the barriers to managing health risk behaviors. In particular, we discuss (1) the role of eHealth in facilitating routine collection of patient-reported data on lifestyle risk factors, and (2) the role of eHealth in improving clinical management of identified risk factors through provision of tailored feedback, point-of-care reminders, tailored educational materials, and referral to online self-management programs. Strategies to harness the capacity of the eHealth medium, including the use of dynamic features and tailoring to help end users engage with, understand, and apply information need to be considered and maximized. Finally, the potential challenges in implementing eHealth solutions in the primary care setting are discussed. In conclusion, there is significant potential for innovative eHealth solutions to make a contribution to improving preventive care in the primary care setting. However, attention to issues such as data security and designing eHealth interfaces that maximize engagement from end users will be important to moving this field forward.

摘要

诸如吸烟、超重与肥胖、危险饮酒、缺乏身体活动以及营养不良等可改变的健康风险行为,在全球发病率和死亡率负担中占相当大的比例。全科医生(GPs)在识别和管理可改变的健康风险行为方面发挥着关键作用。然而,在初级保健环境中,这些行为往往未被充分发现和管理。我们描述了电子健康在帮助患者和全科医生克服管理健康风险行为的一些障碍方面的潜力。特别是,我们讨论了(1)电子健康在促进常规收集患者报告的生活方式风险因素数据方面的作用,以及(2)电子健康在通过提供量身定制的反馈、即时护理提醒、量身定制的教育材料以及转介至在线自我管理项目来改善已识别风险因素的临床管理方面的作用。需要考虑并最大化利用电子健康媒介能力的策略,包括使用动态功能和量身定制以帮助最终用户参与、理解和应用信息。最后,讨论了在初级保健环境中实施电子健康解决方案的潜在挑战。总之,创新的电子健康解决方案在改善初级保健环境中的预防保健方面具有巨大潜力。然而,关注数据安全以及设计能最大限度提高最终用户参与度的电子健康界面等问题,对于推动该领域发展至关重要。

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