杂志文章@ 14388871 % JMIR出版公司基于互联网的医疗服卡塔尔世界杯8强波胆分析务提供者和慢性疾病患者之间的异步通信对健康行为和健康结果的影响:系统综述%A de Jong,Catharina Carolina %A Ros,Wynand JG %A Schrijvers,Guus %+ Julius健康科学和初级保健中心，乌得勒支大学医学中心，乌得勒支大学，邮箱85500，乌得勒支，3508 GA，荷兰，31 623908387，c.c.dejong-8@umcutrecht.nl %K慢性病%K电信%K互联网%K远程医疗%K保健服务%K保健交付%K医疗信息学%K电子邮件%K自我保健%K自我效能%D 2014年%7 16.01.2014年%9回顾%J J医疗互联网Res %G英语%X背景:为支持专业实践，患者和提供者之间的异步通信是单独实施的，或与基于互联网的自我管理干预措施相结合。这种互动主要通过电子消息或讨论板进行。很少有证据表明它是否是支持慢性病患者自我管理和提高干预有效性的有用工具。目的:我们研究的目的是回顾患者-提供者异步沟通对慢性病患者的使用和可用性，以及这种沟通对健康行为、健康结果和患者满意度的影响。方法:采用PubMed和Embase进行文献检索。文章的质量根据国家健康和临床优化研究所(NICE)的标准进行评估。通过检查异步通信干预的使用频率和用户数量以及单独的电子消息，分析了异步通信的使用和可用性。通过检查对健康行为、健康结果和患者满意度的影响来分析异步沟通的有效性。 Results: Patients’ knowledge concerning their chronic condition increased and they seemed to appreciate being able to communicate asynchronously with their providers. They not only had specific questions but also wanted to communicate about feeling ill. A decrease in visits to the physician was shown in two studies (P=.07, P=.07). Increases in self-management/self-efficacy for patients with back pain, dyspnea, and heart failure were found. Positive health outcomes were shown in 12 studies, where the clinical outcomes for diabetic patients (HbA1c level) and for asthmatic patients (forced expiratory volume [FEV]) improved. Physical symptoms improved in five studies. Five studies generated a variety of positive psychosocial outcomes. Conclusions: The effect of asynchronous communication is not shown unequivocally in these studies. Patients seem to be interested in using email. Patients are willing to participate and are taking the initiative to discuss health issues with their providers. Additional testing of the effects of asynchronous communication on self-management in chronically ill patients is needed. %M 24434570 %R 10.2196/jmir.3000 %U //www.mybigtv.com/2014/1/e19/ %U https://doi.org/10.2196/jmir.3000 %U http://www.ncbi.nlm.nih.gov/pubmed/24434570