TY - JOUR AU - Johansen, Monika Alise AU - Henriksen, Eva AU - Horsch, Alexander AU - Schuster, Tibor AU - Berntsen, Gro K Rosvold PY - 2012 DA - 2012/10/03 TI -患者和提供者之间的电子症状报告以提高医疗保健服务质量:随机对照试验的系统综述。第1部分:最新的JO - J医学Internet Res SP - e118 VL - 14 IS - 5kw -电子症状报告KW -医患关系KW -患者参与KW -共享决策KW -复查KW -咨询KW -监测KW -自我管理AB -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，该领域是非常异质的: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焦点。为了推动这一领域的发展，有必要在已经完成的工作的基础上，将进一步的研究引向最有希望的领域。因此，我们对患者和提供者之间的电子通信以提高医疗保健服务质量的随机对照试验(rct)进行了全面综述，分为两部分。第2部分调查了随机对照试验的方法学质量和效果，并展示了电子症状报告的一些有希望的好处。目的:全面概述这一新兴领域最成熟的部分，涉及(1)患者群体，(2)卫生服务创新，(3)与电子症状报告相关的研究目标。方法:检索Medline、EMBASE、PsycINFO、Cochrane Central Register of Controlled Trials和IEEE Xplore，检索1990年至2011年11月发表的英文文章中的原创研究。纳入标准为干预措施的随机对照试验，其中患者或父母以电子方式向医疗保健系统报告健康信息，并得到反馈。结果:在确定的642份记录中，我们纳入了32篇文章，代表29项研究。 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. SN - 1438-8871 UR - //www.mybigtv.com/2012/5/e118/ UR - https://doi.org/10.2196/jmir.2214 UR - http://www.ncbi.nlm.nih.gov/pubmed/23032300 DO - 10.2196/jmir.2214 ID - info:doi/10.2196/jmir.2214 ER -