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数字化患者沟通:改善医患关系

Digital Patient Communication: Improving the Hospital-Patient Relationship.

作者信息

Prokosch Hans-Ulrich, Schüttler Christina, Schraudt Michaela, Öfelein Matthias, Maier Christian

机构信息

Chair of Medical Informatics, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.

出版信息

Stud Health Technol Inform. 2019;259:3-9.

Abstract

Digitally engaging patients in their care processes was for many years limited to sharing care related documents (e.g. laboratory or radiology findings, discharge letters) with them through personal electronic health records. Newer concepts have led to the establishment of patient portals as patient frontends to a hospitalś electronic health record. Rarely however have complete patient pathways with pre-hospitalization, inpatient stay and post-hospitalization been evaluated to identify chains of communication processes involving clinical care scenarios, as well as subsequent home monitoring scenarios. Neither have such approaches been integrated with digital communication processes related to a patientś engagement in medical research projects. In order to enhance hospital-patient relationships in a holistic manner, we hypothesize that an integrated environment (e.g. patient portal) supporting shared decision making and communication in a patient´s care situation and in the same time providing communication processes for patient research engagement will optimize the patient-hospital relationship and be supportive in binding a patient to this care providing institution.

摘要

多年来,让患者在其护理过程中进行数字化参与仅限于通过个人电子健康记录与他们共享护理相关文件(如实验室或放射学检查结果、出院小结)。更新的概念促使建立了患者门户,作为医院电子健康记录的患者前端。然而,很少有针对包括院前、住院期间和出院后在内的完整患者路径进行评估,以确定涉及临床护理场景以及后续家庭监测场景的沟通流程链。此类方法也未与患者参与医学研究项目的数字通信流程相结合。为了以整体方式加强医患关系,我们假设一个支持患者护理情况中共同决策和沟通,同时为患者参与研究提供沟通流程的集成环境(如患者门户)将优化医患关系,并有助于患者与该护理提供机构建立联系。

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