@Article{信息:doi 10.2196 / / jmir。4067，作者=“Gee, Perry M and Greenwood, Deborah A and Paterniti, Debora A and Ward, Deborah and Miller, Lisa M Soederberg”，标题=“eHealth增强慢性护理模型:一种理论推导方法”，期刊=“J Med Internet Res”，年=“2015”，月=“四月”，日=“01”，卷=“17”，数=“4”，页=“e86”，关键词=“慢性疾病;移动健康;电子健康;远程医疗;个人健康记录;社交网络;背景:慢性疾病对个人来说意义重大，对社会来说代价高昂。经过系统实施，久经验证的慢性护理模式(CCM)可改善慢性病患者的健康状况。自从最初的CCM发展以来，已经建立了巨大的信息管理、通信和技术进步。 An opportunity exists to improve the time-honored CCM with clinically efficacious eHealth tools. Objective: The first goal of this paper was to review research on eHealth tools that support self-management of chronic disease using the CCM. The second goal was to present a revised model, the eHealth Enhanced Chronic Care Model (eCCM), to show how eHealth tools can be used to increase efficiency of how patients manage their own chronic illnesses. Methods: Using Theory Derivation processes, we identified a ``parent theory'', the Chronic Care Model, and conducted a thorough review of the literature using CINAHL, Medline, OVID, EMBASE PsychINFO, Science Direct, as well as government reports, industry reports, legislation using search terms ``CCM or Chronic Care Model'' AND ``eHealth'' or the specific identified components of eHealth. Additionally, ``Chronic Illness Self-management support'' AND ``Technology'' AND several identified eHealth tools were also used as search terms. We then used a review of the literature and specific components of the CCM to create the eCCM. Results: We identified 260 papers at the intersection of technology, chronic disease self-management support, the CCM, and eHealth and organized a high-quality subset (n=95) using the components of CCM, self-management support, delivery system design, clinical decision support, and clinical information systems. In general, results showed that eHealth tools make important contributions to chronic care and the CCM but that the model requires modification in several key areas. Specifically, (1) eHealth education is critical for self-care, (2) eHealth support needs to be placed within the context of community and enhanced with the benefits of the eCommunity or virtual communities, and (3) a complete feedback loop is needed to assure productive technology-based interactions between the patient and provider. Conclusions: The revised model, eCCM, offers insight into the role of eHealth tools in self-management support for people with chronic conditions. Additional research and testing of the eCCM are the logical next steps. ", issn="1438-8871", doi="10.2196/jmir.4067", url="//www.mybigtv.com/2015/4/e86/", url="https://doi.org/10.2196/jmir.4067", url="http://www.ncbi.nlm.nih.gov/pubmed/25842005" }