Academic Unit of Palliative Care, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK
North East Essex Health and Wellbeing Alliance, Colchester, UK.
BMJ Support Palliat Care. 2022 Jun;12(2):194-197. doi: 10.1136/bmjspcare-2021-003304. Epub 2021 Dec 7.
Approaches using digital technologies to support advance care planning (ACP) and care coordination are being used in palliative and end of life care. While providing opportunities to facilitate increases in the completeness, sharing and availability of care plans, the evidence base underpinning their use remains limited. We outline an approach that continues to be developed in England; Electronic Palliative Care Coordination Systems (EPaCCS). Stages governing their optimal use are outlined alongside unanswered questions with relevance across technology-mediated approaches to ACP. Research has a critical role in determining if technology-mediated approaches to ACP, such as EPaCCS, could be useful tools to support the delivery of care for patients with chronic and progressive illnesses.
利用数字技术支持预先医疗照护计划（ACP）和医疗协调的方法正在姑息治疗和临终关怀中使用。虽然这些方法为提高医疗计划的完整性、共享性和可用性提供了机会，但支撑其使用的证据基础仍然有限。我们概述了一种在英格兰不断发展的方法，即电子姑息治疗协调系统（EPaCCS）。概述了管理其最佳使用的阶段，以及与所有技术介导的 ACP 方法都相关的未解决问题。研究在确定技术介导的 ACP 方法（如 EPaCCS）是否可以成为支持慢性和进行性疾病患者护理的有用工具方面具有关键作用。
