期刊文章为提高医疗保健服务质量，患者和提供者之间的电子症状报告:一项随机对照试验的系统回顾。第1部分:最新状况%A Johansen,Monika Alise %A Henriksen,Eva %A Horsch,Alexander %A Schuster,Tibor %A Berntsen,Gro K rossvold %+挪威综合护理和远程医疗中心，北挪威大学医院，Sykehusveien 23, pb35，特罗姆瑟，9038，挪威，47 906 84 407，monika.alise.johansen@telemed.no %K电子症状报告%K医患关系%K患者参与%K共享决策%K复查%K会诊%K监测%K自我管理%D 2012 %7 03.10.2012 %9原创论文%J J Med Internet Res %G英文%X背景:在过去的二十年里，关于电子症状报告的研究数量有了很大的增加。然而，该领域非常多样化:患者群体的选择、卫生服务创新和研究目标似乎涉及广泛的重点。为了推动这一领域向前发展，有必要在已有工作的基础上进一步研究最有希望的领域。因此，我们进行了一个随机对照试验(rct)的全面回顾，侧重于患者和提供者之间的电子通信，以提高医疗保健服务质量，提出了两个部分。第2部分调查了随机对照试验的方法质量和效果，并展示了电子症状报告的一些有前途的好处。目的:全面概述这一新兴领域中最成熟的部分，包括(1)患者群体，(2)卫生服务创新，和(3)与电子症状报告相关的研究目标。方法:我们搜索Medline、EMBASE、psyinfo、Cochrane中央对照试验登记册和IEEE Xplore，查找1990年至2011年11月发表的英文文章中的原创研究。 Inclusion criteria were RCTs of interventions where patients or parents reported health information electronically to the health care system for health care purposes and were given feedback. Results: Of 642 records identified, we included 32 articles representing 29 studies. The included articles were published from 2002, with 24 published during the last 5 years. The following five patient groups were represented: respiratory and lung diseases (12 studies), cancer (6), psychiatry (6), cardiovascular (3), and diabetes (1). In addition to these, 1 study had a mix of three groups. All included studies, except 1, focused on long-term conditions. We identified four categories of health service innovations: consultation support (7 studies), monitoring with clinician support (12), self-management with clinician support (9), and therapy (1). Most of the research (21/29, 72%) was conducted within four combinations: consultation support innovation in the cancer group (5/29, 17%), monitoring innovation in the respiratory and lung diseases group (8/29, 28%), and self-management innovations in psychiatry (4/29, 14%) and in the respiratory and lung diseases group (4/29, 14%). Research targets in the consultation support studies focused on increased patient centeredness, while monitoring and self-management mainly aimed at documenting health benefits. All except 1 study aiming for reduced health care costs were in the monitoring group. Conclusion: RCT-based research on electronic symptom reporting has developed enormously since 2002. Research including additional patient groups or new combinations of patient groups with the four identified health service innovations can be expected in the near future. We suggest that developing a generic model (not diagnosis specific) for electronic patient symptom reporting for long-term conditions may benefit the field. %M 23032300 %R 10.2196/jmir.2214 %U //www.mybigtv.com/2012/5/e118/ %U https://doi.org/10.2196/jmir.2214 %U http://www.ncbi.nlm.nih.gov/pubmed/23032300