TY - JOUR AU - Nijland, Nicol AU - van Gemert-Pijnen, Julia AU - Boer, Henk AU - stehouder, Michaël F AU - Seydel, Erwin R PY - 2008 DA - 2008/5/15 TI -基于互联网的支持自我护理技术评估:JO - J Med Internet Res SP - e13 VL - 10 IS - 2kw - Internet KW -技术KW -初级保健KW -获取信息KW -患者-提供者电子通信KW -自我保健AB -背景:先前的研究表明，许多患者对基于互联网的技术感兴趣，使他们能够控制自己的护理。因此，创新的电子卫生服务正在迅速发展，包括自我评估工具和安全的患者-护理人员电子邮件通信。探索这些技术如何用于支持自我护理是很有趣的。目的:本研究旨在确定以用户为中心的标准，以成功应用基于互联网的技术在初级保健中支持自我护理。方法:对14名护理人员和14名患者/消费者进行场景测试和深度访谈，描述各种自我护理应用的使用情况和伴随的用户问题。我们重点关注应用程序的用户友好性、应用程序提供的护理质量以及应用程序在实践中的实现。结果:自我护理应用程序的用户友好性问题涉及导航结构和搜索选项不充分，以及缺乏反馈功能。患者希望用尽可能少的努力检索健康信息;然而，应用程序的导航和搜索功能似乎无法有效处理患者的健康投诉。 Among caregivers, the lack of feedback and documentation possibilities caused inconvenience. Caregivers wanted to know how patients acted on their advice, but the applications did not offer an adequate feedback feature. Quality of care problems were mainly related to insufficient tailoring of information to patients’ needs and to efficiency problems. Patients expected personalized advice to control their state of health, but the applications failed to deliver this. Language (semantics) also appeared as an obstacle to providing appropriate and useful self-care advice. Caregivers doubted the reliability of the computer-generated information and the efficiency and effectiveness of secure email consultation. Legal or ethical issues with respect to possible misuse of email consultation also caused concerns. Implementation problems were mainly experienced by caregivers due to unclear policy on email consultation and the lack of training for email consultations. Conclusions: Patients’ and caregivers’ expectations did not correspond with their experiences of the use of the Internet-based applications for self-care. Patients thought that the applications would support them in solving their health problems. Caregivers were more reserved about the applications because of medico-legal concerns about misuse. However, the applications failed to support self-care because eHealth is more than just a technological intervention. The design of the applications should include a way of thinking about how to deliver health care with the aid of technology. The most powerful application for self-care was secure email consultation, combined with a suitable triage mechanism to empower patients’ self-awareness. Future research should focus on the effectiveness of such Web-based triage mechanisms for medical complaints and on the development of interactive features to enhance patients’ self-care. SN - 1438-8871 UR - //www.mybigtv.com/2008/2/e13/ UR - https://doi.org/10.2196/jmir.957 UR - http://www.ncbi.nlm.nih.gov/pubmed/18487137 DO - 10.2196/jmir.957 ID - info:doi/10.2196/jmir.957 ER -