University of Hull, UK.
Health Informatics J. 2019 Dec;25(4):1278-1289. doi: 10.1177/1460458217751013. Epub 2018 Jan 24.
The presence and increase of challenges to eHealth in today's society have begun to generate doubts about the capability of technology in patient empowerment, especially within the frameworks supporting empowerment. Through the review of existing frameworks and articulation of patient demands, weaknesses in the current application of technology to support empowerment are explored, and key constituents of a technology-driven framework for patient empowerment are determined. This article argues that existing usage of technology in the design, development and implementation of patient empowerment in the healthcare system, although well intentioned, is insufficiently constituted, primarily as a result of fragmentation. Systems theory concepts such as holism and iteration are considered vital in improving the role of technology in enabling patient empowerment.
当今社会,电子健康面临的挑战日益增多,这使得人们开始对技术在增强患者权能方面的能力产生怀疑,尤其是在支持增强患者权能的框架内。通过对现有框架的审查和对患者需求的表达,探讨了当前技术在支持赋权方面应用的弱点,并确定了一个由技术驱动的患者赋权框架的关键组成部分。本文认为,尽管出于良好的意图,但是在医疗保健系统中设计、开发和实施患者赋权时,技术的现有使用方式还不够完善,主要是由于碎片化。系统理论概念,如整体性和迭代,被认为对改善技术在增强患者权能方面的作用至关重要。