School of Pharmacy, The University of Queensland, Woolloongabba, Qld, 4102, Australia.
School of Pharmacy, The University of Queensland, 20 Cornwall St, Woolloongabba, Qld, 4102, Australia.
Patient Educ Couns. 2019 Jun;102(6):1080-1089. doi: 10.1016/j.pec.2019.01.021. Epub 2019 Jan 31.
To explore the influence of mobile health applications on various dimensions of patient and healthcare provider relationships.
A systematic, narrative review of English literature reporting experiences and outcomes of using mobile health applications was performed, evaluating communication and relationships between patients and healthcare professionals. Findings were framed thematically within the four dimensions of relationship-centred care. The methodological quality of included articles was appraised.
Thirty-seven articles were included, all of them meeting tenets of relationship-centred care. After adopting mobile health applications patients perceived an overall positive impact on their relationship with healthcare providers, indicating they are ready to transition from traditional clinical ecounters to a different modality. Use of the applications supported patients in assuming active roles in the management of their health in collaboration with health professionals. Reluctance of providers to using mobile health needs to be acknowledged and addressed when encouraging wider use of applications in clinical practice.
The use of mobile health applications can influence communication and relationships between patients and providers positively, facilitating relationship-centered healthcare.
Implementation of mobile health can support patients' self-efficacy, improve access to healthcare services and improve relationships between patients and providers in ambulatory and hospital settings.
探索移动医疗应用对患者和医疗服务提供者关系各方面的影响。
系统地对报告使用移动医疗应用的经验和结果的英文文献进行了叙述性综述，评估了患者和医疗保健专业人员之间的沟通和关系。研究结果在以关系为中心的护理的四个维度内进行了主题分析。评估了纳入文章的方法学质量。
共纳入 37 篇文章，均符合以关系为中心的护理原则。使用移动医疗应用后，患者对与医疗服务提供者的关系总体上有积极的影响，表明他们准备从传统的临床接触转变为不同的模式。应用程序的使用支持患者在与卫生专业人员合作的情况下积极参与自身健康管理。在鼓励更广泛地将应用程序应用于临床实践时，需要承认并解决提供者不愿使用移动医疗的问题。
移动医疗应用的使用可以积极影响患者和提供者之间的沟通和关系，促进以关系为中心的医疗保健。
移动医疗的实施可以支持患者的自我效能，改善对医疗保健服务的获取，并改善门诊和医院环境中患者和提供者之间的关系。
