Davis Selena, Roudsari Abdul, Courtney Karen L
School of Health Information Science, University of Victoria, Victoria, BC, Canada.
Stud Health Technol Inform. 2017;234:75-80.
Engaging patients in the self-management decision-making provides opportunities for positive health outcomes. The process of shared decision-making (SDM) is touted as the pinnacle of patient-centred care, yet it has been difficult to implement in practice. Access to tools resulting from the integration of all health data and clinical evidence, and an ease of communications with care providers are needed to engage patients in self management decision-making. Personal health record (PHR) technology is a promising approach for overcoming such barriers. Yet there is a scarcity of studies on system design for SDM via PHR. This paper describes the design and implications of a system for SDM via PHR.
让患者参与自我管理决策能带来积极的健康结果。共享决策（SDM）过程被誉为以患者为中心的医疗的巅峰之作，但在实践中却难以实施。要让患者参与自我管理决策，需要获取整合所有健康数据和临床证据所产生的工具，以及与医疗服务提供者进行便捷沟通。个人健康记录（PHR）技术是克服此类障碍的一种有前景的方法。然而，关于通过PHR进行SDM的系统设计的研究却很少。本文描述了一个通过PHR进行SDM的系统的设计及意义。
