Yang Yushi, Asan Onur
Medical College of Wisconsin, Clemson University, USA.
J Innov Health Inform. 2016 Apr 6;23(1):185. doi: 10.14236/jhi.v23i1.185.
The implementation of health information technologies (HITs) has changed the dynamics of doctor-patient communication in outpatient settings. Designing patient-facing HITs provides patients with easy access to healthcare information during the visit and has the potential to enhance the patient-centred care.
The objectives of this study are to systematically review how the designs of patient-facing HITs have been suggested and evaluated, and how they may potentially affect the doctor-patient communication and patient-centred care.
We conducted an online database search to identify articles published before December 2014 relevant to the objectives of this study. A total of nine papers have been identified and reviewed in this study.
Designing patient-facing HITs is at an early stage. The current literature has been exploring the impact of HITs on doctor-patient communication dynamics. Based on the findings of these studies, there is an emergent need to design more patient-centred HITs. There are also some papers that focus on the usability evaluation of some preliminary prototypes of the patient-facing HITs. The design styles of patient-facing HITs included sharing the health information with the patients on: (1) a separate patient display, (2) a projector, (3) a portable tablet, (4) a touch-based screen and (5) a shared computer display that can be viewed by both doctors and patients. Each of them had the strengths and limitations to facilitate the patient-centred care, and it is worthwhile to make a comparison of them in order to identify future research directions.
The designs of patient-facing HITs in outpatient settings are promising in facilitating the doctor-patient communication and patient engagement. However, their effectiveness and usefulness need to be further evaluated and improved from a systems perspective.
健康信息技术（HITs）的应用改变了门诊环境中医患沟通的动态。设计面向患者的HITs能让患者在就诊期间轻松获取医疗信息，并有可能增强以患者为中心的护理。
本研究的目的是系统回顾面向患者的HITs的设计是如何被提出和评估的，以及它们可能如何影响医患沟通和以患者为中心的护理。
我们进行了在线数据库搜索，以识别2014年12月之前发表的与本研究目标相关的文章。本研究共识别并审查了九篇论文。
面向患者的HITs设计尚处于早期阶段。当前文献一直在探讨HITs对医患沟通动态的影响。基于这些研究的结果，迫切需要设计出更多以患者为中心的HITs。也有一些论文关注面向患者的HITs一些初步原型的可用性评估。面向患者的HITs的设计风格包括在以下设备上与患者共享健康信息：（1）单独的患者显示屏，（2）投影仪，（3）便携式平板电脑，（4）触摸屏，以及（5）医生和患者都能看到的共享电脑显示屏。它们每一种在促进以患者为中心的护理方面都有优点和局限性，为了确定未来的研究方向，对它们进行比较是值得的。
门诊环境中面向患者的HITs设计在促进医患沟通和患者参与方面很有前景。然而，从系统角度来看，它们的有效性和实用性需要进一步评估和改进。
