TY - JOUR AU - Risling, Tracie AU - Martinez, Juan AU - Young, Jeremy AU - Thorp-Froslie, Nancy PY - 2017 DA - 2017/09/29 TI -评估与电子健康技术相关的患者授权:范围审查JO - J Med Internet Res SP - e329 VL - 19 IS - 9kw -审查KW - eHealth KW -患者参与KW -患者授权KW -患者激活KW -测量AB -背景:在当代医疗保健中，以患者为中心的可持续护理的优先次序导致了对患者赋权的日益关注，这反过来被认为有助于患者的独立性、自我管理和自我效能。然而，赋权的定义共识仍然难以捉摸，阻碍了将赋权的概念理想转化为与医疗保健行为或结果变化相关的可衡量实体的努力。技术在保健领域的迅速结合，使赋权的可衡量性和可操作性又增加了一层复杂性，并有助于创造一种具体的背景，在这种背景下应进一步审查这一概念性实体。目的:本范围审查的主要目的是探讨电子健康(eHealth)环境下患者赋权的概念。进一步关注这一概念与栓系患者门静脉使用的关联或测量。方法:在这个范围审查，六步框架被用来指导搜索和论文选择过程。回顾是由以下两个广泛的研究问题开始的:(1)从患者的角度来看，授权和使用电子卫生技术之间的关系是什么?(2)通过系住的患者门户访问个人健康信息对患者赋权(和/或参与或激活)有何影响?在综合搜索策略中使用多个数据库，论文主要由2位综述作者评估和选择纳入，并咨询第三位作者以解决达成共识的任何问题。 Results: From an initial count of 1387 publications, this review returned nine systematic or literature review papers and 19 empirical studies that pertained to patient empowerment (and/or engagement and activation) in relation to the use of tethered patient portals providing access to electronic health records (EHRs). Of the 19 empirical publications, only four were found to have used specific patient empowerment measures with significant variety in their identified conceptual elements. Conclusions: There is a persistent lack of conceptual clarity in patient empowerment research, and this has extended to study within the eHealth context. The interchangeable use or conflation of terms such as patient empowerment, engagement, and activation, has further complicated the advancement of distinct conceptual measures. To more strongly align changes in patient empowerment with supportive eHealth solutions, the challenges of achieving a consensus on how best to operationalize and measure patient empowerment must be met. SN - 1438-8871 UR - //www.mybigtv.com/2017/9/e329/ UR - https://doi.org/10.2196/jmir.7809 UR - http://www.ncbi.nlm.nih.gov/pubmed/28963090 DO - 10.2196/jmir.7809 ID - info:doi/10.2196/jmir.7809 ER -