Wolff Jennifer L, Darer Jonathan D, Larsen Kevin L
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Division of Clinical Innovation, Geisinger Health System, Danville, PA, USA.
J Gen Intern Med. 2016 Jan;31(1):117-21. doi: 10.1007/s11606-015-3494-0. Epub 2015 Aug 27.
Health information technology has been embraced as a strategy to facilitate patients' access to their health information and engagement in care. However, not all patients are able to access, or are capable of using, a computer or mobile device. Although family caregivers assist individuals with some of the most challenging and costly health needs, their role in health information technology is largely undefined and poorly understood. This perspective discusses challenges and opportunities of engaging family caregivers through the use of consumer-oriented health information technology. We compile existing evidence to make the case that involving family caregivers in health information technology as desired by patients is technically feasible and consistent with the principles of patient-centered and family-centered care. We discuss how more explicit and purposeful engagement of family caregivers in health information technology could advance clinical quality and patient safety by increasing the transparency, accuracy, and comprehensiveness of patient health information across settings of care. Finally, we describe how clarifying and executing patients' desires to involve family members or friends through health information technology would provide family caregivers greater legitimacy, convenience, and timeliness in health system interactions, and facilitate stronger partnerships between patients, family caregivers, and health care professionals.
健康信息技术已被视为一种促进患者获取自身健康信息并参与医疗护理的策略。然而,并非所有患者都能够访问或有能力使用计算机或移动设备。尽管家庭护理人员协助个人满足一些最具挑战性和成本最高的健康需求,但他们在健康信息技术中的作用在很大程度上尚未明确界定,也未得到充分理解。本文探讨了通过使用面向消费者的健康信息技术来吸引家庭护理人员所面临的挑战和机遇。我们汇集现有证据,以证明应患者要求让家庭护理人员参与健康信息技术在技术上是可行的,并且符合以患者为中心和以家庭为中心的护理原则。我们讨论了让家庭护理人员更明确、更有目的地参与健康信息技术如何通过提高患者健康信息在不同护理环境中的透明度、准确性和全面性来提升临床质量和患者安全。最后,我们描述了通过健康信息技术明确并落实患者让家庭成员或朋友参与的愿望将如何使家庭护理人员在医疗系统互动中获得更大的合法性、便利性和及时性,并促进患者、家庭护理人员和医疗保健专业人员之间建立更紧密的伙伴关系。